Current Osteoporosis Reports

, Volume 9, Issue 3, pp 160–166

Diagnostic Thresholds in Osteoporosis: How Are They Used in Clinical Trials?

  • Ronald C. Hamdy
  • Dustin M. Price
  • Miriam M. Mottl

DOI: 10.1007/s11914-011-0063-2

Cite this article as:
Hamdy, R.C., Price, D.M. & Mottl, M.M. Curr Osteoporos Rep (2011) 9: 160. doi:10.1007/s11914-011-0063-2


Clinical trials are used to determine the efficacy and safety of a medication prior to approval for commercial use and to influence the prescribing habits of clinicians. The lack of uniformity in the diagnostic thresholds used in clinical trials on osteoporosis makes it difficult to compare the results of these trials. The use of placebo, different anatomical sites, T-score cutoff points, and risk factors precludes any meaningful comparison being made between the outcomes of clinical trials. Finally, the lack of uniform reporting format makes it difficult to retrieve important information to compare one medication to another. Because the diagnostic thresholds used affect the outcomes of these trials, health care providers need to be aware of these criteria to determine whether the results of a particular clinical trial can be applied to a particular patient.


OsteoporosisRandomized clinical trialsDiagnostic thresholdsProblemsEvidence-basedHIPVERTFITBONEMOREPROOF

Clinical Trial Acronyms


Ibandronate Osteoporosis Vertebral Fracture Trial in North America and Europe


Fracture Intervention Trial


Fracture Reduction Evaluation of Denosumab in Osteoporosis Every 6 Months


Hip Intervention Program


Health Outcomes and Reduced Incidence with Zoledronic Therapy


Multiple Outcomes of Raloxifene Evaluation


National Health and Nutrition Examination Survey


Prevent Recurrence of Osteoporosis Fracture


Vertebral Efficacy with Risedronate Therapy

Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2011

Authors and Affiliations

  • Ronald C. Hamdy
    • 1
  • Dustin M. Price
    • 2
  • Miriam M. Mottl
    • 3
  1. 1.James H. Quillen College of MedicineEast Tennessee State UniversityJohnson CityUSA
  2. 2.James H. Quillen College of MedicineJohnson CityUSA
  3. 3.University of Rostock Medical SchoolRostockGermany