Search Resources (English): Bone densitometry

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What evidence is there for the prevention and screening of osteoporosis?  
http://euro.who.int/Document/E88668.pdf

Presents a review of evidence to determine the effectiveness of the prevention and screening of osteoporosis.

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Published: 2006
Bone density measurement: a health technology report  
www.ahfmr.ab.ca/hta/hta-publications/reports/bonedensity99/bonedensity.shtml

Explores the appropriate use of bone density measurement (BDM) in routing health care services. Examines the value and use of BDM and associated treatments, issues which have been covered in a number of health technology assessments and commentaries.

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Published: 1999
Normal bone mass, aging bodies, marketing of fear: bone mineral density screening of well women  
http://www.chspr.ubc.ca/node/415

Capitalizing on women's fear of aging, the private health care sector has created a demand for bone mineral density testing (BMD). Although research does not support the use of BMD (a bone scan that measures bone mass) to prevent future bone deterioration, limited health care funds will be diverted from more effective approaches to this one, according to a recent paper by Dr. Arminée Kazanjian.

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Published: 1998
Bone mineral density testing: does the evidence support its selective use in well women?  
www.chspr.ubc.ca/node/474

Exposes the other side of the debate about bone mineral density testing and reviews evidence-based literature to uncover some facts about BMD testing and osteoporosis that have not received public attention. Suggests that testing may actually misdirect treatment efforts "away from the majority of women who will ultimately suffer fractures," by focussing attention on the minority with low bone mineral density.

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Published: 1997
Osteoporosis and bone densitometry : does the emperor have clothes?  
http://www.cmaj.ca/cgi/reprint/159/10/1261.pdf
Reviews research on the influence of bone mineral density measurements on women's decisions about medication to treat bone loss. Discusses controversies about the use of densitometry in Canada as well as symptoms, diagnosis, risk factors, treatment options, and costs. Includes links to related articles and references. (See Details)
Published: 1998
Informing, advising, or persuading? An assessment of bone mineral density testing information from consumer health websites  
http://journals.cambridge.org/bin/bladerunner?REQUNIQ=1101396508&REQSESS=3880224&117000REQEVENT=&REQINT1=227018&REQAUTH=0
Evaluates the quality of the information content on bone-mineral density (BMD) testing posted on consumer health websites (CHWS). Finds that: the majority of CHWS identified by popular search engines do not disclose the limited capacity of BMD to discriminate between low-risk individuals and those who will suffer future fractures; CHWS generally present BMD testing as quick, painless, noninvasive, and as being recommended, based on risk factors that are widespread among the general public; BMD testing information is prominently paired on CHWS sites with information on osteoporosis, with an emphasis on "silent disease" and the devastating consequences of advanced disease; sponsors of CHWS sites are frequently either providers of BMD testing or companion drugs, and consequently in a position of conflict of interest with regard to decisions to undergo BMD testing; and, HTA organizations have no documented conflict of interest, nor do they invoke emotional arguments-their approach is to emphasize the effects of testing on populations, on the basis of referenced research findings. Concludes that: content analysis demonstrates the omissions and divergence of information on BMD testing available to consumers on the Internet, as compared with HTA reports; the content of HTA reports has undergone rigorous systematic and peer review-therefore, their findings may be useful to consumers; this information is not generally accessible to patients using the most popular Internet search engines; and, inaccurate and incomplete information may cause harm by deflecting patients from optimal decisions. (See Details)
Published: 2004