[Trabecular bone score-TBS for bone fragility diagnosis]
Alfie V, García Martí S, Pichon-Riviere A, Augustovski F, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001409
Spanish
Original Title:
Puntaje óseo trabecular (trabecular bone score-TBS) en diagnóstico de fragilidad ósea
Authors' recommendations:
CONCLUSIONS
High-quality evidence shows that the Trabecular Bone Score (TBS) obtained using TBS iNsight? allows determining fracture risk due to bone fragility in postmenopausal women. Adding the Trabecular Bone Score to FRAX? barely increases the diagnostic value of fracture risk versus its use in isolation.
Moderate-quality evidence shows that the use of the Trabecular Bone Score allows recategorization of those patients whose clinical characteristics or densitometry values do not determine themselves the treatment approach to follow to treat osteoporosis. Low-quality evidence suggests that in postmenopausal women with Type 2 diabetes, TBS might allow a better identification of fracture risk due to bone fragility than densitometry.
Moderate-quality evidence shows that TBS might not adequately measure the risk of spine fracture in men over 65 years old.
One clinical practice guideline from Argentina and four international ones mention TBS as an additional valid method to estimate the fracture risk due to bone fragility.
National and foreign state and private health sponsors do not mention the use of TBS.
Details
Project Status:
Completed
Year Published:
2017
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Bone Density
- Osteoporosis
- Osteoporosis, Postmenopausal
- Risk Assessment
- Fractures, Bone
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.