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Bone densitometry worldwide: a global survey by the ISCD and IOF

Bone densitometry worldwide: a global survey by the ISCD and IOF
Bone densitometry worldwide: a global survey by the ISCD and IOF

Summary: In a global survey of fracture liaison services, most reported that DXA access met needs. However, adherence to basic DXA quality and reporting procedures was confirmed by only around 50% of institutions and many required education for operators/interpreters. Overall, there is significant variability in the access to, and quality of, DXA services worldwide. Introduction: While the use of dual-energy X-ray absorptiometry (DXA) has been widely adopted worldwide for the assessment of bone mineral density, the quality of DXA facilities is unknown. To address this, a global survey of fracture liaison services (FLS) was conducted by the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) to assess the quality of their DXA facilities. Methods: A questionnaire for the accessibility and quality of DXA services was co-created by representatives of the ISCD and the IOF and made available to institutions who participated in the Capture the Fracture Best Practice Framework. From a list of 331 contacted invitees, 124 FLS centres responded; analyses were based on 121 centres with suitable data. Results: Over 70% of institutions reported that, for over 90% of the time, DXA access met service needs, and the scanning/reporting quality was perceived as excellent. However, 25% of DXA facilities reported not being accredited by a professional/governmental organization, and adherence to some basic DXA quality assurance and reporting procedures was confirmed by < 50% of services. Importantly, in excess of 50% of institutions stated that they desired ongoing education in osteoporosis and DXA for operators and interpreters. Conclusion: There is significant variability in the access to and quality of DXA services for established FLS worldwide. Despite two decades of training initiatives in osteoporosis densitometry, many centres are falling short of the standards of the IOF-ISCD Osteoporosis Essentials criteria.

Bone densitometry, Dual-energy X-ray absorptiometry, Epidemiology, Fracture liaison services, Osteoporosis, Quality standards
0937-941X
1779-1786
Clynes, Michael
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Westbury, Leo
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Dennison, Elaine
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Kanis, John A.
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Kassim Javaid, M.
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Harvey, Nicholas
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Fujita, Masaki
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Cooper, Cyrus
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Leslie, William D.
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Shuhart, Christopher R
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Clynes, Michael
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Westbury, Leo
5ed45df3-3df7-4bf9-bbad-07b63cd4b281
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Kanis, John A.
f1621d8d-8afb-4d97-9679-2165d88a344d
Kassim Javaid, M.
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Harvey, Nicholas
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Fujita, Masaki
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Cooper, Cyrus
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Leslie, William D.
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Shuhart, Christopher R
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Clynes, Michael, Westbury, Leo, Dennison, Elaine, Kanis, John A., Kassim Javaid, M., Harvey, Nicholas, Fujita, Masaki, Cooper, Cyrus, Leslie, William D. and Shuhart, Christopher R (2020) Bone densitometry worldwide: a global survey by the ISCD and IOF. Osteoporosis International, 31 (9), 1779-1786. (doi:10.1007/s00198-020-05435-8).

Record type: Article

Abstract

Summary: In a global survey of fracture liaison services, most reported that DXA access met needs. However, adherence to basic DXA quality and reporting procedures was confirmed by only around 50% of institutions and many required education for operators/interpreters. Overall, there is significant variability in the access to, and quality of, DXA services worldwide. Introduction: While the use of dual-energy X-ray absorptiometry (DXA) has been widely adopted worldwide for the assessment of bone mineral density, the quality of DXA facilities is unknown. To address this, a global survey of fracture liaison services (FLS) was conducted by the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) to assess the quality of their DXA facilities. Methods: A questionnaire for the accessibility and quality of DXA services was co-created by representatives of the ISCD and the IOF and made available to institutions who participated in the Capture the Fracture Best Practice Framework. From a list of 331 contacted invitees, 124 FLS centres responded; analyses were based on 121 centres with suitable data. Results: Over 70% of institutions reported that, for over 90% of the time, DXA access met service needs, and the scanning/reporting quality was perceived as excellent. However, 25% of DXA facilities reported not being accredited by a professional/governmental organization, and adherence to some basic DXA quality assurance and reporting procedures was confirmed by < 50% of services. Importantly, in excess of 50% of institutions stated that they desired ongoing education in osteoporosis and DXA for operators and interpreters. Conclusion: There is significant variability in the access to and quality of DXA services for established FLS worldwide. Despite two decades of training initiatives in osteoporosis densitometry, many centres are falling short of the standards of the IOF-ISCD Osteoporosis Essentials criteria.

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Bone densitometry worldwide - a global survey by ISCD and IOF - Accepted Manuscript
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Accepted/In Press date: 22 April 2020
e-pub ahead of print date: 6 May 2020
Published date: 1 September 2020
Additional Information: Funding Information: This study was funded by the following organizations: International Society for Clinical Densitometry; International Osteoporosis Foundation; UK Medical Research Council; University of Southampton. Publisher Copyright: © 2020, International Osteoporosis Foundation and National Osteoporosis Foundation.
Keywords: Bone densitometry, Dual-energy X-ray absorptiometry, Epidemiology, Fracture liaison services, Osteoporosis, Quality standards

Identifiers

Local EPrints ID: 440684
URI: http://eprints.soton.ac.uk/id/eprint/440684
ISSN: 0937-941X
PURE UUID: 98ca6373-4852-48fd-88ff-8e3de131135a
ORCID for Michael Clynes: ORCID iD orcid.org/0000-0001-7597-7658
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 13 May 2020 16:35
Last modified: 23 Jul 2022 04:53

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Contributors

Author: Michael Clynes ORCID iD
Author: Leo Westbury
Author: Elaine Dennison ORCID iD
Author: John A. Kanis
Author: M. Kassim Javaid
Author: Nicholas Harvey ORCID iD
Author: Masaki Fujita
Author: Cyrus Cooper ORCID iD
Author: William D. Leslie
Author: Christopher R Shuhart

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