An update on the diagnosis and assessment of osteoporosis with densitometry
An update on the diagnosis and assessment of osteoporosis with densitometry
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DOI：
10.1007/s001980050281
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发表时间：
2000-01-01
影响因子：
4
通讯作者：
Glüer, CC
中科院分区：
文献类型：
--
作者：
Kanis, JA;Glüer, CC
1994年，世界卫生组织提出了基于骨密度测量的骨质疏松症诊断指南。它们已被广泛用于流行病学研究、临床研究和治疗策略。尽管诊断标准被广泛接受，但在使用过程中仍存在一些问题。不确定性涉及评估的最佳地点、男性阈值和不同地点的诊断不准确性。此外，许多用于评估骨的数量或质量的新技术的发展在将这些新工具置于诊断和评估环境中提出了问题。本文回顾了最近的文献，这些文献强调了诊断阈值的优缺点及其在骨折风险评估中的应用，并提出了解决这些困难的措施建议。
In 1994 the WHO proposed guidelines for the diagnosis of osteoporosis based on measurement of bone mineral density. They have been widely used for epidemiological studies, clinical research and for treatment strategies. Despite the widespread acceptance of the diagnostic criteria, several problems remain with their use. Uncertainties concern the optimal site for assessment, thresholds for men and diagnostic inaccuracies at different sites. In addition, the development of many new technologies to assess the amount or quality of bone poses problems in placing these new tools within a diagnostic and assessment setting. This review considers the recent literature that has highlighted the strengths and weaknesses of diagnostic thresholds and their use in the assessment of fracture risk, and makes recommendations for actions to resolve these difficulties.