Requirements for DXA for the management of osteoporosis in Europe View Full Text


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Article Info

DATE

2004-12-24

AUTHORS

J. A. Kanis, O. Johnell

ABSTRACT

The availability of dual energy X-ray absorptiometry (DXA) varies markedly in different countries. There is, however, little information to indicate the optimal requirements for this technology. The principal aim of this study was to estimate the requirements for DXA in Europe for the assessment and treatment of osteoporosis. Three assessment scenarios were chosen. The first envisaged screening of all women with DXA at the age of 65 years. A second scenario comprised a screening programme based on the identification of clinical risk factors with the selective addition of BMD tests in those close to an intervention threshold. The third scenario envisaged a case finding strategy where women aged 65 years were identified on the basis of risk factors and referred for DXA. Requirements for women aged more than 65 years were amortised over a 10-year period. A secondary aim was to estimate the number and cost of osteoporotic fractures in Europe. The requirements for DXA in assessment ranged from 4.21 to 11.21 units/million of the population. The most efficient assessment scenario was the use of clinical risk factors with the selective use of BMD. With this scenario, an additional 6.39 units/million would be required to monitor treatment giving a total requirement of 10.6 units/million. In 2000, the number of osteoporotic fractures was estimated at 3.79 million, of which 0.89 million were hip fractures (179,000 hip fractures in men and 711,000 in women). The total direct costs were estimated at €31.7 billion (£21.165 billion), which were expected to increase to €76.7 billion (£51.1 billion) in 2050 based on the expected changes in the demography of Europe. More... »

PAGES

229-238

References to SciGraph publications

  • 2001-05. The Burden of Osteoporotic Fractures: A Method for Setting Intervention Thresholds in OSTEOPOROSIS INTERNATIONAL
  • 2004-02-18. Action Plan for the prevention of osteoporotic fractures in the European Community in OSTEOPOROSIS INTERNATIONAL
  • 2004-07-01. The burden of hospitalised fractures in Sweden in OSTEOPOROSIS INTERNATIONAL
  • 2004-04-22. Intervention thresholds for osteoporosis in men and women: a study based on data from Sweden in OSTEOPOROSIS INTERNATIONAL
  • 2000-09. Long-Term Risk of Osteoporotic Fracture in Malmö in OSTEOPOROSIS INTERNATIONAL
  • 2003-11-04. Two new regions of interest to evaluate separately cortical and trabecular BMD in the proximal femur using DXA in OSTEOPOROSIS INTERNATIONAL
  • 2003-04-01. Cost-equivalence of different osteoporotic fractures in OSTEOPOROSIS INTERNATIONAL
  • 1999-01. Fracture Incidence in Olmsted County, Minnesota: Comparison of Urban with Rural Rates and Changes in Urban Rates Over time in OSTEOPOROSIS INTERNATIONAL
  • 1997-03. The hospital burden of vertebral fracture in Europe: A study of national register sources in OSTEOPOROSIS INTERNATIONAL
  • 1992-11. The apparent incidence of hip fracture in Europe: A study of national register sources in OSTEOPOROSIS INTERNATIONAL
  • 1998-11. The Cost of Treating Osteoporotic Fractures in the United Kingdom Female Population in OSTEOPOROSIS INTERNATIONAL
  • 2003-11-13. Undertreatment with anti-osteoporotic drugs after hospitalization for fracture in OSTEOPOROSIS INTERNATIONAL
  • 2003-04-30. The hospital cost of vertebral fractures in the EU: estimates using national datasets in OSTEOPOROSIS INTERNATIONAL
  • 1997-07. Guidelines for diagnosis and management of osteoporosis in OSTEOPOROSIS INTERNATIONAL
  • 1994-09. The variable incidence of hip fracture in Southern Europe: The MEDOS study in OSTEOPOROSIS INTERNATIONAL
  • 2003-10-31. The risk and burden of vertebral fractures in Sweden in OSTEOPOROSIS INTERNATIONAL
  • 1997-09. World-wide Projections for Hip Fracture in OSTEOPOROSIS INTERNATIONAL
  • 2000-03. An Update on the Diagnosis and Assessment of Osteoporosis with Densitometry in OSTEOPOROSIS INTERNATIONAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00198-004-1811-2

    DOI

    http://dx.doi.org/10.1007/s00198-004-1811-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1033148553

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15618996


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