In 46 women aged 50 - 80 (mean 67) years

Measurement of bone density (IPC) is critical for the World Health Organization (WHO) approach to the definition of osteoporosis. Dual energy X-ray absorbtsiometrii (DRA) remains the gold standard method of measuring bone mineral density (IPC), but quantitative ultrasound (QUS) is an attractive alternative method for assessing bone because it is easy to use and relatively inexpensive. It has been suggested that QUS can be used as a selective population pre-screen, to maximize the profitability trend for DXA assessment of missile defense. We decided to examine how this approach can serve buy lasix generic in the evaluation of women with low fracture Kollis injury. In 46 women aged 50 - 80 (mean 67) years we used DXA to measure the IPC in the lumbar spine and hip, and calcaneus ultrasound to measure the attenuation of a wide range (BSH) and the speed of sound (VOS). We estimate the local costs \ pounds 45 DXA and \ pounds 15 QUS. We determined the threshold of BUA 60 dB / MHz, as the most cost-effective as the previous test, and calculated sensitivity of 93% 84% have osteoporosis by densitometry. DXA evaluation of all patients value \ 77 pounds for osteoporosis subject identified. We examined the cost-effectiveness of QUS as a pre-screen, only referring to the more expensive items DXA assessment if BUA was less than 60 ~ dB / MHz. However, this approach had the advantage of still value \ £ 78 per osteoporotic subject identified. QUS evaluation is not cost effective as a preliminary screen for DXA, even in this high risk group for women with low fracture Kollis injury.

QUS pre-selection will only cost effective if the test can be performed at significantly lower cost. .