Letters

Bone densitometry in clinical practice

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7006.686c (Published 09 September 1995) Cite this as: BMJ 1995;311:686

Clinical uses of densitometry are not yet proved

  1. Trevor A Sheldon
  1. Director NHS Centre for Reviews and Dissemination, University of York, York YO1 5DD

    EDITOR,—J E Compston and colleagues review the indications for bone densitometry in clinical practice.1 They agree with the conclusions of the Effective Health Care bulletin that there is insufficient evidence to justify screening women at the menopause.2 Several of their other recommendations, however, do not seem to be supported by the evidence.

    The authors propose that bone densitometry should be used, for example, for people with strong clinical risk factors. This is justified only if the information provided by the test can influence decision making in a way that improves the effectiveness or cost effectiveness of treatment.3 However, no evidence is cited to show that decision making is improved as …

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