The need to distinguish intervention thresholds and diagnostic thresholds in the management of osteoporosis

Osteoporos Int. 2023 Jan;34(1):1-9. doi: 10.1007/s00198-022-06567-9. Epub 2022 Oct 25.

Abstract

This position paper of the International Osteoporosis Foundation (IOF) and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) addresses the rationale for separate diagnostic and intervention thresholds in osteoporosis. We conclude that the current BMD-based diagnostic criteria for osteoporosis be retained whilst clarity is brought to bear on the distinction between diagnostic and intervention thresholds.

Keywords: Definition; Diagnosis; FRAX; Fracture risk; Intervention thresholds; Osteoporosis.

MeSH terms

  • Bone Density
  • Humans
  • Musculoskeletal Diseases*
  • Osteoarthritis*
  • Osteoporosis* / diagnosis
  • Osteoporosis* / therapy
  • Osteoporotic Fractures* / diagnosis
  • Osteoporotic Fractures* / etiology
  • Osteoporotic Fractures* / prevention & control
  • Risk Assessment