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Showing content from https://pubmed.ncbi.nlm.nih.gov/28473075 below:

ACR Appropriateness Criteria® Osteoporosis and Bone Mineral Density

Review

. 2017 May;14(5S):S189-S202. doi: 10.1016/j.jacr.2017.02.018. ACR Appropriateness Criteria^® Osteoporosis and Bone Mineral Density Expert Panel on Musculoskeletal Imaging:; Robert J Ward¹, Catherine C Roberts², Jenny T Bencardino³, Erin Arnold⁴, Steven J Baccei⁵, R Carter Cassidy⁶, Eric Y Chang⁷, Michael G Fox⁸, Bennett S Greenspan⁹, Soterios Gyftopoulos¹⁰, Mary G Hochman¹¹, Douglas N Mintz¹², Joel S Newman¹³, Charles Reitman¹⁴, Zehava S Rosenberg¹⁵, Nehal A Shah¹⁶, Kirstin M Small¹⁶, Barbara N Weissman¹⁷

Affiliations

¹ Principal Author, Tufts Medical Center, Boston, Massachusetts. Electronic address: robwardmd@gmail.com.
² Panel Chair, Mayo Clinic, Phoenix, Arizona.
³ Panel Vice-Chair, New York University School of Medicine, New York, New York.
⁴ Illinois Bone and Joint Institute, Morton Grove, Illinois; American College of Rheumatology.
⁵ UMass Memorial Medical Center, Worcester, Massachusetts.
⁶ UK Healthcare Spine and Total Joint Service, Lexington, Kentucky; American Academy of Orthopaedic Surgeons.
⁷ VA San Diego Healthcare System, San Diego, California.
⁸ University of Virginia Health System, Charlottesville, Virginia.
⁹ Medical College of Georgia at Augusta University, Augusta, Georgia.
¹⁰ New York University Medical Center, New York, New York.
¹¹ Beth Israel Deaconess Medical Center, Boston, Massachusetts.
¹² Hospital for Special Surgery, New York, New York.
¹³ New England Baptist Hospital, Boston, Massachusetts.
¹⁴ Medical University of South Carolina, Charleston, South Carolina; North American Spine Society.
¹⁵ Hospital for Joint Diseases, New York, New York.
¹⁶ Brigham and Women's Hospital, Boston, Massachusetts.
¹⁷ Specialty Chair, Brigham and Women's Hospital, Boston, Massachusetts.

PMID: 28473075
DOI: 10.1016/j.jacr.2017.02.018

Item in Clipboard

Review

ACR Appropriateness Criteria^® Osteoporosis and Bone Mineral Density

Expert Panel on Musculoskeletal Imaging: et al. J Am Coll Radiol. 2017 May.

. 2017 May;14(5S):S189-S202. doi: 10.1016/j.jacr.2017.02.018. Authors Expert Panel on Musculoskeletal Imaging:; Robert J Ward¹, Catherine C Roberts², Jenny T Bencardino³, Erin Arnold⁴, Steven J Baccei⁵, R Carter Cassidy⁶, Eric Y Chang⁷, Michael G Fox⁸, Bennett S Greenspan⁹, Soterios Gyftopoulos¹⁰, Mary G Hochman¹¹, Douglas N Mintz¹², Joel S Newman¹³, Charles Reitman¹⁴, Zehava S Rosenberg¹⁵, Nehal A Shah¹⁶, Kirstin M Small¹⁶, Barbara N Weissman¹⁷ Affiliations

¹ Principal Author, Tufts Medical Center, Boston, Massachusetts. Electronic address: robwardmd@gmail.com.
² Panel Chair, Mayo Clinic, Phoenix, Arizona.
³ Panel Vice-Chair, New York University School of Medicine, New York, New York.
⁴ Illinois Bone and Joint Institute, Morton Grove, Illinois; American College of Rheumatology.
⁵ UMass Memorial Medical Center, Worcester, Massachusetts.
⁶ UK Healthcare Spine and Total Joint Service, Lexington, Kentucky; American Academy of Orthopaedic Surgeons.
⁷ VA San Diego Healthcare System, San Diego, California.
⁸ University of Virginia Health System, Charlottesville, Virginia.
⁹ Medical College of Georgia at Augusta University, Augusta, Georgia.
¹⁰ New York University Medical Center, New York, New York.
¹¹ Beth Israel Deaconess Medical Center, Boston, Massachusetts.
¹² Hospital for Special Surgery, New York, New York.
¹³ New England Baptist Hospital, Boston, Massachusetts.
¹⁴ Medical University of South Carolina, Charleston, South Carolina; North American Spine Society.
¹⁵ Hospital for Joint Diseases, New York, New York.
¹⁶ Brigham and Women's Hospital, Boston, Massachusetts.
¹⁷ Specialty Chair, Brigham and Women's Hospital, Boston, Massachusetts.

PMID: 28473075
DOI: 10.1016/j.jacr.2017.02.018

Item in Clipboard

Abstract

Osteoporosis is a considerable public health risk, with 50% of women and 20% of men >50 years of age experiencing fracture, with mortality rates of 20% within the first year. Dual x-ray absorptiometry (DXA) is the primary diagnostic modality by which to screen women >65 years of age and men >70 years of age for osteoporosis. In postmenopausal women <65 years of age with additional risk factors for fracture, DXA is recommended. Some patients with bone mineral density above the threshold for treatment may qualify for treatment on the basis of vertebral body fractures detected through a vertebral fracture assessment scan, a lateral spine equivalent generated from a commercial DXA machine. Quantitative CT is useful in patients with advanced degenerative bony changes in their spines. New technologies such as trabecular bone score represent an emerging role for qualitative assessment of bone in clinical practice. It is critical that both radiologists and referring providers consider osteoporosis in their patients, thereby reducing substantial morbidity, mortality, and cost to the health care system. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Keywords: AUC; Appropriate Use Criteria; Appropriateness Criteria; DXA; fracture; osteoporosis; screening.

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