OBJECTIVES: The objectives of this article were to review national and international guidelines to establish a congruent set of parameters that may aid the clinician in the decision-making process for the diagnosis of osteoporosis.
DATA SOURCES: An online search of several databases provided 18 guidelines for this review. Comparison among the guidelines was made on 10 different aspects: format, focus, significance of hip and vertebral body fractures, primary diagnostic considerations, BMD measurement technology, interpretation, reporting and follow-up, equipment reliability and quality control, risk factors considered, and methodologic quality of the guidelines. Tables were created for easier comparison on the aspects covered and supported by each guideline.
RESULTS: None of the guidelines reviewed fulfills all the requirements of good clinical practice guidelines.
CONCLUSIONS: Further works should finally provide all those interested with a more complete and thorough set of guidelines based on the best evidence available.
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