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Quantitative ultrasound (QUS) for predicting bone fracture. Horizon scanning report |
Mundy L, McCaffrey N, Parsons J, Liufu V, Merlin T, Braunack-Mayer A, Hiller J |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Mundy L, McCaffrey N, Parsons J, Liufu V, Merlin T, Braunack-Mayer A, Hiller J. Quantitative ultrasound (QUS) for predicting bone fracture. Horizon scanning report. Adelaide: Adelaide Health Technology Assessment (AHTA). 2008 Authors' conclusions In summary, quantitative ultrasound devices suffer from a lack of standardisation, there is a lack of consensus regarding which of the diagnostic parameters should be used, and there is variation with regard to the skeletal site used in diagnosis. Results from this assessment indicate that QUS may be a reasonable test for identifying osteoporosis. In addition, it may be a valid alternative to DXA to assess fracture risk at non-spinal sites, especially in older women. There is, however, conflicting evidence regarding the role of QUS to guide therapy for osteoporotic patients.It must be reiterated that all of studies included in this assessment used DXA as the reference standard for an osteoporotic diagnosis. However, DXA itself is an imperfect reference standard and has low sensitivity for predicting fracture risk. It is entirely possible that a false positive QUS test, according to DXA, could still in fact predict fracture risk.The Australia and New Zealand Bone and Mineral Society and Osteoporosis Australia do not recommend the use of heel ultrasound as a routine screening tool to measure bone strength or to predict an individual's risk of fracture. Indexing Status Subject indexing assigned by CRD MeSH Bone Density; Computer Simulations; Image Interpretation, Computer-Assisted; Osteoporosis; Ultrasonography Language Published English Country of organisation Australia English summary An English language summary is available. English Summary English summary available Address for correspondence Adelaide Health Technology Assessment (AHTA), Discipline of Public Health Mail Drop DX650545, The University of Adelaide, Adelaide, SA 5005 Australia Email: tracy.merlin@adelaide.edu.au AccessionNumber 32008100171 Date abstract record published 02/03/2009 |
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