Intervention thresholds and diagnostic thresholds in the management of osteoporosis

Following calls to change the definition of osteoporosis [1, 2], a position paper of the International Osteoporosis Foundation (IOF) and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) recently addressed the rationale for separate diagnostic and intervention thresholds in osteoporosis [3]. The conclusions of the working group are given in this Point of View.

We recommend that the BMD-based definition of osteoporosis be retained whilst further clarity is brought to bear on the distinction between BMD-based diagnoses and intervention thresholds.

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Kanis, J.A., McCloskey, E.V., Harvey, N.C. et al. Intervention thresholds and diagnostic thresholds in the management of osteoporosis. Aging Clin Exp Res 34, 3155–3157 (2022). https://doi.org/10.1007/s40520-022-02216-7