Repeating Vertebral Fracture Assessment: The 2019 ISCD Official Positions
The ISCD periodically holds Position Development Conferences (PDCs) in which a panel of experts make recommendations based on reviews of scientific literature by specific task forces. In 2019 the PDC Monitoring Serial Bone Measures with DXA Task Force convened to review new medical evidence about the clinical utility of repeating vertebral fracture assessment (VFA). The outcome of this PDC was the 2019 Official Adult Positions of the ISCD, specifically, ‘when should VFA be repeated?' This activity aims to provide learners with the most current, evidence-based practice guidelines for assessing skeletal health so they may begin utilizing them in their clinical practice.
Clinicians must be familiar with the newly published 2019 ISCD Official Positions related to repeating VFA or radiographic lateral spine imaging. Clinicians must be current and aware of the associated, current research that indicates when repeat VFA is recommended. Further, clinicians must know how to implement the evidence-based, best-practice guidelines related to repeat VFA that includes imaging in patients with continued high risk, self-reported but undocumented VF, or daily (≥ 5 mg) glucocorticoid therapy for ≥ three months.
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