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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
Purpose: whilst 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 organisation 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
ee647287-edb4-4392-8361-e59fd505b1d1
Kanis, John A.
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Kassim Javaid, M.
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Harvey, Nicholas
ce487fb4-d360-4aac-9d17-9466d6cba145
Fujita, Masaki
715e3b1d-34ff-46ff-9340-1a337e48394d
Cooper, Cyrus
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Leslie, William D.
5b2dd5d6-4569-40a3-a9b1-95152d11e4f1
Shuhart, Christopher R
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Clynes, Michael
b860d3b7-12ee-42b8-8cd5-1e1abfccbee2
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.
12781b29-34fa-4158-837b-daf452b8d4ed
Harvey, Nicholas
ce487fb4-d360-4aac-9d17-9466d6cba145
Fujita, Masaki
715e3b1d-34ff-46ff-9340-1a337e48394d
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Leslie, William D.
5b2dd5d6-4569-40a3-a9b1-95152d11e4f1
Shuhart, Christopher R
83c26b78-1718-43d7-9207-6b3be6e00053

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

Purpose: whilst 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 organisation 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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More information

Accepted/In Press date: 22 April 2020
e-pub ahead of print date: 6 May 2020
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: 26 Nov 2021 06:14

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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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