Expert consensus on the diagnosis of osteoporosis in Chinese Population

Based on the year 2000 the 2nd version of the diagnosis of osteoporosis,the Osteoporosis Committee of China Gerontological Society( OCCGS) has organized experts to learn the research advance in recent years all over the world,to consider the characteristics of Chinese population and the medical practice in the prevention and treatment of osteoporosis in China,and to make the following consensus of the diagnosis of osteoporosis for guidelines of osteoporosis management in all levels of medicalcenter. Detection of the bone mineral density( BMD) is still the most important measurement in the diagnosis of osteoporosis. The DXA- 2. 5 SD criteria recommended by WHO is widely used. Also the diagnose standard can be set as- 2. 0 SD or 25% reduce of BMD recommended by OCCGS according to real status of Chinese population. Attention needs to be paid to the limitation of DXA in the diagnosis of osteoporosis,in order to avoid misdiagnosis. With the advance in QCT BMD measurement in recent years,the 80 mg /cm3 QCT criteria proposed by ISCD and ACR is also recommended in the consensus. The application of FRAX in the diagnosis of osteoporosis is suggested for the first time. The fragility fracture is an important diagnosis in osteoporosis. It should be diagnosed and differentially diagnosed combining with image examination. The clinical use of bone biochemical examination is emphasized.