Executive Summary of the 2019 ISCD Position Development Conference on Monitoring Treatment, DXA Cross-calibration and Least Significant Change, Spinal Cord Injury, Peri-prosthetic and Orthopedic Bone Health, Transgender Medicine, and Pediatrics

Christopher R. Shuhart, Swan Sim Yeap, Paul A. Anderson, Lawrence G. Jankowski, E. Michael Lewiecki, Leslie R. Morse, Harold N. Rosen, David R. Weber, Babette S. Zemel, John A. Shepherd

Research output: Contribution to journalReview articlepeer-review

236 Scopus citations

Abstract

To answer important questions in the fields of monitoring with densitometry, dual-energy X-ray absorptiometry machine cross-calibration, monitoring, spinal cord injury, periprosthetic and orthopedic bone health, transgender medicine, and pediatric bone health, the International Society for Clinical Densitometry (ISCD) held a Position Development Conference from March 20 to 23, 2019. Potential topics requiring guidance were solicited from ISCD members in 2017. Following that, a steering committee selected, prioritized, and grouped topics into Task Forces. Chairs for each Task Force were appointed and the members were co-opted from suggestions by the Steering Committee and Task Force Chairs. The Task Forces developed key questions, performed literature searches, and came up with proposed initial positions with substantiating draft publications, with support from the Steering Committee. An invited Panel of Experts first performed a review of draft positions using a modified RAND Appropriateness Method with voting for appropriateness. Draft positions deemed appropriate were further edited and presented at the Position Development Conference meeting in an open forum. A second round of voting occurred after discussions to approve or reject the positions. Finally, a face-to-face closed session with experts and Task Force Chairs, and subsequent electronic follow-up resulted in 34 Official Positions of the ISCD approved by the ISCD Board on May 28, 2019. The Official Positions and the supporting evidence were submitted for publication on July 1, 2019. This paper provides a summary of the all the ISCD Adult and Pediatric Official Positions, with the new 2019 positions highlighted in bold.

Original languageEnglish (US)
Pages (from-to)453-471
Number of pages19
JournalJournal of Clinical Densitometry
Volume22
Issue number4
DOIs
StatePublished - Aug 12 2019

Bibliographical note

Funding Information:
The authors extend sincere thanks to the staff at ISCD in the USA and to Medical Conference Partners in Kuala Lumpur, Malaysia for making the 2019 PDC possible successful, to Task Force Chairs and members and Expert Panelists for their tenacity and passion, and to William Leslie, MD and Aliya Khan, MD for their sage advice during the PDC process. Steering Committee Members: Christopher R. Shuhart, MD, MHA, Swan Sim Yeap, MD, CCD, John A. Shepherd, PhD, CCD. Task Force Chairs: Paul A. Anderson, MD, Peri-prosthetic and Orthopedic Bone Health Chair Unnop Jaisamrarn, MD, MHS, Transgender and Gender Non-conforming Co-Chair Larry Jankowski, CBDT, Cross-Calibration and LSC Chair E. Michael Lewiecki, MD, Monitoring Chair Leslie R. Morse, DO, Spinal Cord Injury Chair Harold N. Rosen, MD, Transgender and Gender Non-conforming Co-Chair David R. Weber, MD, Pediatric Co-Chair Babette S. Zemel, PhD, Pediatric Co-Chair. Expert Panelists: Sanford Baim, MD; Robert Blank, MD, PhD; Neil Binkley, MD; Joon Kiong Lee, MD; Craig Munns, MD; Richard Prince, MD; Laura Tosi, MD; Weibo Xia, MD. CRS ? is a voting member of Board of Directors of ISCD and ISCD President 2019-2020, and has served on scientific advisory board for Amgen. SSY ? has served on scientific advisory boards for Amgen, Eli Lilly, Novartis and Pfizer, and has received travel grants from Mylan and Pfizer. JAS ? no relevant disclosures

Publisher Copyright:
© 2019 The International Society for Clinical Densitometry

Keywords

  • Atypical femur fracture
  • cross-calibration
  • dual-energy X-ray absorptiometry
  • lateral distal femur
  • monitoring
  • pediatric
  • periprosthetic fracture
  • spinal cord injury
  • trabecular bone score
  • transgender
  • vertebral fracture assessment

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