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Repeat bone mineral density scans do not appear helpful for predicting fractures in most older women

orphometric spine fractures," fractures in which the diagnosis is made based on vertebral shape, the authors write.

In the study, "we did not find any improvement in the overall predictive value in a second measure of BMD, obtained a mean [average] of eight years later, in prediction of hip, spine or overall non-spine fracture risk," they continue. "In other words, the initial BMD was highly, and similarly, predictive of fracture risk in our population."

Despite these findings, a repeat BMD measurement might still be useful in some women, including those with clinical factors that contribute to rapid bone loss and younger women in early menopause. "However, our results do suggest that, for the average healthy older woman 65 years or older, a repeat BMD measurement has little or no value in classifying risk for future fracture--even for the average older woman who has osteoporosis by initial BMD measure or high BMD loss," the authors conclude.


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Contact: Terry Fitzpatrick
503-335-6602
JAMA and Archives Journals
22-Jan-2007


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