The clinical diagnosis of osteoporosis: a position statement from the National Bone Health Alliance Working Group

• DOI: 10.1007/s00198-014-2655-z
• Publication Date: 2014-02-27T10:44:01Z
• Authors: E. S. Siris; R. Adler; J. Bilezikian; M. Bolognese; B. Dawson-Hughes; M. J. Favus; S. T. Harris; S. M. Jan de Beur; S. Khosla; N. E. Lane; R. Lindsay; A. D. Nana; E. S. Orwoll; K. Saag; S. Silverman; N. B. Watts
• Keywords: Osteopenia; FRAX; Hip Fracture

Osteoporosis causes an elevated fracture risk. We propose the continued use of T-scores as one means for diagnosis but recommend that, alternatively, hip fracture; osteopenia-associated vertebral, proximal humerus, pelvis, or some wrist fractures; FRAX scores with ≥3 % (hip) 20 (major) 10-year risk also confer osteoporosis diagnosis. is a common disorder reduced bone strength that predisposes to increased fractures in older individuals. In USA, standard criterion postmenopausal women and men T-score ≤ −2.5 at lumbar spine, femur neck, total by mineral density testing. Under direction National Bone Health Alliance, 17 clinicians clinical scientists were appointed working group charged determine appropriate expansion criteria which can be diagnosed. The recommends aged 50 years should diagnosed if they have demonstrable future fractures. This includes having less than equal spine method permits individuals this population who experienced without (BMD) testing those osteopenia BMD sustain humeral, pelvic, or, cases, distal forearm fracture. Finally, term used diagnose based on World Organization Fracture Risk Algorithm, FRAX. As new ICD-10 codes become available, it our hope understanding what represents will allow when are recognized being