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The most recent version of this article was published on 1 August 2008

Arch Dis Child. Published Online First: 19 February 2008. doi:10.1136/adc.2007.118265
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

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Auditing bone densitometry and fractures in chronic disease

SC Wong 1*, S Khanna 1, R Rashid 1 and SF Ahmed 1

1 Bone and Endocrine Research Group, Royal Hospital for Sick Children, Glasgow, United Kingdom

* To whom correspondence should be addressed. E-mail: gcl590{at}clinmed.gla.ac.uk.

Accepted 24 January 2008


Abstract

In a retrospective analysis of DXA scans performed in an audit of 576 children with chronic disease, bone mineral content (lean mass adjusted) measured at total body and lumbar spine was marginally lower in children with fractures.

However, the predictive ability of different BMD and BMC cut-offs to identify fracture risk in children with chronic disease needs to be tested for specific disease conditions in larger prospective studies.

Keywords: Bone mineral content, chronic disease, densitometry, fracture, paediatric


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