Ability of bone mineral density to predict osteoporotic fractures

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7056.561a (Published 31 August 1996) Cite this as: BMJ 1996;313:561

Conclusion of meta-analysis was unjustified

  1. Kate Brooks, (management trainee),
  2. Ruth Shakespeare, (consultant in public health medicine),
  3. Patricia Christmas, (head of health promotion),
  4. Robert Whatley, (health information analyst),
  5. Derek Jenkins, (librarian),
  6. Catherine Woodward, (senior registrar in public health medicine),
  7. Andrew Mortimore, (consultant in public health medicine)
  1. Southampton and South West Hampshire Health Authority, Southampton SO16 4GX

    EDITOR,—We believe that the “critical appraisal skills for purchasers” approach1 2 has greatly improved our ability to evaluate published papers. We recently considered Deborah Marshall and colleagues' meta-analysis of how well measures of bone mineral density predict the occurrence of osteoporotic fractures.3 We asked ourselves: Does this paper show whether screening by measuring bone mineral density would be a useful approach to reducing osteoporotic fractures in our population? Our principal conclusions were as follows:

    • The review addresses a clearly focused issue, and the …

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