Timing the Scan: Optimizing Screening for Osteoporosis and Risk of Fracture in Celiac Disease

The ideal timing for DXA screening in patients with CeD depends on the clinical objective. DXA at diagnosis maximizes the early detection of low bone mass, whereas the NOGG criteria effectively identified patients at high risk of fractures, reducing unnecessary scans. However, their use should be weighed against an underdetection of clinically relevant BMD alterations. Tailoring DXA timing to healthcare resources and patient demographics may optimize outcomes and resource allocation.

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Publication Details

Journal
The American Journal of Gastroenterology
Published
2025-08-26
DOI
https://doi.org/10.14309/ajg.0000000000003750
Primary Topic
Celiac Disease Research and Management
Type
article
Field-Weighted Citation Impact
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article

Timing the Scan: Optimizing Screening for Osteoporosis and Risk of Fracture in Celiac Disease

Francesco Tovoli, Giovanni Monaco, Dante Pio Pallotta, Alessandro Granito et al.
The American Journal of Gastroenterology
Celiac Disease Research and Management
article

Timing the Scan: Optimizing Screening for Osteoporosis and Risk of Fracture in Celiac Disease

Francesco Tovoli, Giovanni Monaco, Dante Pio Pallotta, Alessandro Granito, Maria Boe, Agnese Pratelli, Alberto Raiteri, Iwona Krela‐Kaźmierczak, Kinga Skoracka, Uberto Pagotto, Guido Zavatta
article en

Abstract

The ideal timing for DXA screening in patients with CeD depends on the clinical objective. DXA at diagnosis maximizes the early detection of low bone mass, whereas the NOGG criteria effectively identified patients at high risk of fractures, reducing unnecessary scans. However, their use should be weighed against an underdetection of clinically relevant BMD alterations. Tailoring DXA timing to healthcare resources and patient demographics may optimize outcomes and resource allocation.

The American Journal of Gastroenterology
Poznan University of Medical Sciences (PL), Azienda USL di Bologna (IT), University of Bologna (IT)
Openalex Percentile: Top 67%
Celiac Disease Research and Management
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