Guideline 71: Management of osteoporosis

Management of osteoporosis
Annex 2

Model DXA Report

DXA Unit, Hospital, Address

GP
ADDRESS

Dear Dr

Re: Patient's Name
Address

Sex:

DOB:

Thank you for referring your patient for DXA which was performed on

Risk Factors for osteoporosis:
Early menopause; long term corticosteroid use.

Risk factors for fracture:
Previous Colles' fracture; current use of anticonvulsants; impaired visual acuity.

DXA Results:

Site	BMD g cm-2	T-score	WHO Diagnosis	% of age-matched population with lower BMD
Spine (L1-L3)	0.503	- 4.9	Osteoporosis	< 1
L Hip	0.596	- 2.3	Osteopenia	10

For diagnostic purposes it is normal to consider the site with the lowest T-score. For the sites measured the WHO category is: OSTEOPOROSIS.

L4 was excluded because BMD cannot be measured accurately due to an artifact.

Hip Fracture Risk:
Ten year risk – VERY LOW. Lifetime risk – EXTREME
{Very Low <5%, Low 5-10%, Moderate 10-15%, High 15-20%, Extreme >25%}
Note: For an age- and sex-matched patient of average BMD, the Ten Year risk is VERY LOW and the Lifetime risk is LOW.

The estimated hip fracture risks are based only on hip BMD and age.

Lateral Spine DXA:
The lateral spine DXA image shows a moderate wedge deformity of L4 and a severe wedge compression fracture of T6. These existing vertebral fractures significantly increase the risk of subsequent spine and hip fractures.

Life Style Advice:
Avoid smoking and excessive alcohol intake.
Advise adequate calcium intake.
Advise regular weight bearing exercise.

Recommended Treatment:
Bisphosphonate (Didronel PMO, Alendronate or Risedronate).

Follow up:
Please refer patient for repeat DXA in 2 years.

Yours sincerely,