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Bone mineral density measurements: are they worth while?

D J Torgerson1, C Donaldson, D M Reid

  • 1Health Economics Unit, University of Aberdeen, Scotland.

Journal of the Royal Society of Medicine
|August 1, 1996
PubMed
Summary

Bone mineral density (BMD) measurements are valuable diagnostic tools, even if not proven for screening. Their efficiency depends on costs, interventions, and predictive value, not screening compliance issues.

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Area of Science:

  • Medical Diagnostics
  • Osteoporosis Research
  • Health Economics

Background:

  • Bone mineral density (BMD) measurements face criticism regarding their utility as a screening tool.
  • The effectiveness of BMD measurements is often debated due to cost-benefit analyses.

Purpose of the Study:

  • To argue that BMD measurements can be efficient diagnostic tools, irrespective of their screening value.
  • To analyze the complex relationship between measurement costs, interventions, and predictive value in assessing BMD utility.
  • To address common objections to BMD screening, such as low compliance.

Main Methods:

  • Comparative analysis of BMD measurement value for diagnostic versus screening purposes.
  • Evaluation of cost-effectiveness considering measurement expenses and intervention impact.

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  • Addressing specific criticisms related to screening efficiency and compliance.

    • Main Results:

    • BMD measurements can be efficient diagnostic tools, separate from their screening utility.
    • The value assessment for screening requires broader evaluation than for diagnostic use.
    • Common objections like low screening compliance do not invalidate the efficiency of BMD measurements.

    Conclusions:

    • BMD measurements offer significant diagnostic value.
    • The efficiency of BMD testing is contingent upon a comprehensive evaluation of costs and predictive accuracy.
    • Further research and evaluation are needed to optimize the application of BMD measurements in healthcare settings.