Establishing a regional bone density program:​ lessons from the Manitoba experience

Leslie, William D.; Metge, Colleen

Affiliations

¹Departments of Medicine and Radiology, University of Manitoba, Winnipeg, Canada

²Faculty of Pharmacy, University of Manitoba, Winnipeg, Canada

Abstract and keywords

In 1997, the province of Manitoba, Canada developed a regional bone density program to address concerns related to access, waiting times, and quality assurance. We report our experience with this model of bone density service delivery, which is unique in North America, and confront the challenge of balancing accessibility, clear guidelines, and fiscal responsibility.

Keywords: Bone densitometry; administrative databases; health services delivery

Links

DOI: 10.1385/JCD:6:3:275

PubMed: 14514998

WoS: 000185611500012

History

Received: 2003-02-28

Revised: 2003-04-18

Accepted: 2003-04-24

Cited Works (3)

Year	Entry
2001	Black DM, Steinbuch M, Palermo L, Dargent-Molina P, Lindsay R, Hoseyni MS, Johnell O. An assessment tool for predicting fracture risk in postmenopausal women. Osteoporos Int. August 2001;12(7):519-528.
2002	Brown JP, Josse RG; Scientific Advisory Council of the Osteoporosis Society of Canada. 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. Can Med Assoc J. November 12, 2002;167(suppl 10):S1-S34.
1995	Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, Cauley J, Black D, Vogt TM; Study of Osteoporotic Fractures Research Group. Risk factors for hip fracture in white women. NEJM. March 23, 1995;332(12):767-773.

Cited By (19)

Year	Entry
2021	Kline GA, Morin SN, Lix LM, Leslie WD. Bone densitometry categories as a salient distracting feature in the modern clinical pathways of osteoporosis care: a retrospective 20-year cohort study. Bone. April 2021;145:115861.
2021	Reid S, Schousboe JT, Kimelman D, Monchka BA, Jafari Jozani M, Leslie WD. Machine learning for automated abdominal aortic calcification scoring of DXA vertebral fracture assessment images: a pilot study. Bone. July 2021;148:115943.
2010	Leslie WD, Lix LM, Johansson H, Oden A, McCloskey E, Kanis JA; Manitoba Bone Density Program. Independent clinical validation of a Canadian FRAX tool: fracture prediction and model calibration. J Bone Miner Res. November 2010;25(11):2350-2358.
2011	Hans D, Goertzen AL, Krieg M-A, Leslie WD. Bone microarchitecture assessed by TBS predicts osteoporotic fractures independent of bone density: the Manitoba study. J Bone Miner Res. November 2011;26(11):2762-2769.
2022	Leslie WD, Morin SN, Lix LM, McCloskey EV, Johansson H, Harvey NC, Kanis JA. The effect of fracture recency on observed 10-year fracture probability: a registry-based cohort study. J Bone Miner Res. May 2022;37(5):848-855.
2022	Leslie WD, Morin SN, Lix LM, McCloskey EV, Johansson H, Harvey NC, Kanis JA. Effect of discordant hip bone density on incident fracture risk: a registry-based cohort study. J Bone Miner Res. October 2022;37(10):2018-2024.
2023	Leslie WD, Goel H, Binkley N, McCloskey EV, Hans D. Contributions of clinical and technical factors to longitudinal change in trabecular bone score and bone density: a registry-based individual-level analysis. J Bone Miner Res. April 2023;38(4):512-521.
2023	Kline GA, Morin SN, Lix LM, Leslie WD. A population-based registry study of extended bisphosphonate use: minimal shift after landmark publications about shorter treatment duration. J Bone Miner Res. October 2023;38(10):1435-1442.
2023	Leslie WD; ASBMR Task Force on Clinical Algorithms for Fracture Risk. Effect of race/ethnicity on United States FRAX calculations and treatment qualification: a registry-based study. J Bone Miner Res. December 2023;38(12):1742-1748.
2023	Leslie WD, Binkley N, Schousboe JT, McCloskey EV, Johansson H, Harvey NC, Kanis JA. Effect of BMI-discordant abdominal tissue thickness on fracture probability: a registry-based study. J Bone Miner Res. December 2023;38(12):1749-1756.
2005	Leslie WD, Caetano PA, MacWilliam LR, Finlayson GS. Construction and validation of a population-based bone densitometry database. J Clin Densitom. Spring 2005;8(1):25-30.
2020	Leslie WD, Schousboe JT, Morin SN, Martineau P, Lix LM, Johansson H, McCloskey EV, Harvey NC, Kanis JA. Fracture risk following high-trauma versus low-trauma fracture: a registry-based cohort study. Osteoporos Int. June 2020;31(6):1059-1067.
2020	Leslie WD, Schousboe JT, Morin SN, Martineau P, Lix LM, Johansson H, McCloskey EV, Harvey NC, Kanis JA. Measured height loss predicts incident clinical fractures independently from FRAX: a registry-based cohort study. Osteoporos Int. June 2020;31(6):1079-1087.
2020	Ng BC, Leslie WD, Johnson KM, FitzGerald JM, Sadatsafavi M, Chen W. Effects of long-term inhaled corticosteroid treatment on fragility fractures in older women: the Manitoba BMD registry study. Osteoporos Int. June 2020;31(6):1155-1162.
2020	Leslie WD, Morin SN, Lix LM, Binkley N. Targeted bone density testing for optimizing fracture prevention in Canada. Osteoporos Int. July 2020;31(7):1291-1297.
2020	Binkley N, Morin SN, Martineau P, Lix LM, Hans D, Leslie WD. Frequency of normal bone measurement in postmenopausal women with fracture: a registry-based cohort study. Osteoporos Int. December 2020;31(12):2337-2344.
2021	Duerksen DR, Lix LM, Johansson H, McCloskey EV, Harvey NC, Kanis JA, Leslie WD. Fracture risk assessment in celiac disease: a registry-based cohort study. Osteoporos Int. January 2021;32(1):93-99.
2021	Leslie WD, Morin SN, Lix LM, McCloskey EV, Johansson H, Harvey NC, Kanis JA. Fracture prediction from FRAX for Canadian ethnic groups: a registry-based cohort study. Osteoporos Int. January 2021;32(1):113-122.
2021	Leslie WD, Edwards B, Al-Azazi S, Yan L, Lix LM, Czaykowski P, Singh H. Cancer patients with fractures are rarely assessed or treated for osteoporosis: a population-based study. Osteoporos Int. February 2021;32(2):333-341.