Measurement of bone density in osteoporosis

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.6999.263c (Published 22 July 1995) Cite this as: BMJ 1995;311:263
  1. E M Tayler
  1. Registrar in public health medicine Department of Public Health and Health Policy, Oxfordshire Health, Oxford OX3 9DZ

    EDITOR,--I am surprised that Nicola Peel and Richard Eastell list oestrogen deficiency and monitoring the response of osteoporosis to treatment as indications for measurement of bone density, without qualification.1 An investigation is useful only to the extent that it affects management, and the decision to start or continue hormone replacement therapy will rarely be based on the result of a recording of bone density.

    Hormone replacement therapy is indicated for women with a relative oestrogen deficiency irrespective of their bone density because of the greater attributable benefits of mortality and …

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