The diagnostic threshold for osteoporosis impedes fracture prevention in women at high risk for fracture: A registry-based cohort study

The diagnostic threshold for osteoporosis, a bone mineral density (BMD) T-score  ≤ −2.5, signals an increased risk for fracture. However, most fragility fractures arise among the majority of women with ‘osteopenia’ or ‘normal’ BMD. We hypothesized that a BMD T-score of −2.5, even if not intended as a treatment threshold, paradoxically may create disincentive t o initiating treatment of women with osteopenia or normal BMD at high risk for fracture. From a population-based BMD registry covering the Province of Manitoba, Canada, we identified 3735 untreated women aged ≥ 50 years undergoing BMD screening in 2006–2015 found to qualify for Osteoporosi s Canada guidelines-based treatment.
Source: Bone - Category: Orthopaedics Authors: Tags: Full Length Article Source Type: research