The official positions of the International Society for Clinical Densitometry: vertebral fracture assessment

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National Guideline Clearinghouse | The official positions of the International Society for Clinical Densitometry: vertebral fracture assessment.

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National Guideline Clearinghouse | The official positions of the International Society for Clinical Densitometry: vertebral fracture assessment.

International Society for Clinical Densitometry

National Guideline Clearinghouse (NGC)
Guideline Title
The official positions of the International Society for Clinical Densitometry: vertebral fracture assessment.
Bibliographic Source(s)
Rosen HN, Vokes TJ, Malabanan AO, Deal CL, Alele JD, Olenginski TP, Schousboe JT. The official positions of the International Society for Clinical Densitometry: vertebral fracture assessment. J Clin Densitom. 2013 Oct-Dec;16(4):482-8. [25 references]PubMed External Web Site Policy
Guideline Status
This is the current release of the guideline.
J Clin Densitom. 2013 Oct-Dec;16(4):482-8. doi: 10.1016/j.jocd.2013.08.003. Epub 2013 Sep 22.

The Official Positions of the International Society for Clinical Densitometry: vertebral fracture assessment.

Abstract

Vertebral fracture assessment (VFA) is a low-cost method of accurately identifying individuals who have clinically unrecognized or undocumented vertebral fractures at the time of bone density test. Because prevalent vertebral fractures predict subsequent fractures independent of bone mineral density and other clinical risk factors, their recognition is an important part of strategies to identify those who are at high risk of fracture, so that prevention therapies for those individuals can be implemented. The 2007 Position Development Conference developed detailed guidelines regarding the indications for acquisition of, and interpretation and reporting of densitometric VFA tests. The purpose of the 2013 VFA Task Force was to simplify the indications for VFA yet keep them evidence based. The Task Force reviewed the literature published since the 2007 Position Development Conference and developed prediction models based on 2 large cohort studies (the Study of Osteoporotic Fractures and the Osteoporotic Fractures in Men Study) and the densitometry database of the University of Chicago. Based on these prediction models, indications for VFA were reduced to a simplified set of criteria based on age, historical height loss, use of systemic glucocorticoid therapy, and self-reported but undocumented prior vertebral fracture.
Copyright © 2013 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Dual-energy X-ray absorptiometry; fracture; guideline; imaging; vertebral fracture
PMID:

 

24063846

 

[PubMed – indexed for MEDLINE]
This guideline updates a previous version: Schousboe JT, Vokes T, Broy SB, Ferrar L, McKiernan F, Roux C, Binkley N. Vertebral fracture assessment: the 2007 ISCD official positions. J Clin Densitom. 2008 Jan-Mar;11(1):92-108.

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