The markers of bone turnover have been shown to correlate with fracture risk independently of BMD. Can these be used in conjunction with the model?
It is correct that high values for indices of bone turnover are associated with a fracture risk independently of BMD. There is, however, no agreement on a reference analyte and insufficient world-wide experience to know how they might be incorporated. The manner in which the results of such tests are interpreted is a matter of clinical judgement.
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