ArticleJournal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
DXA Utilization Between 2006 and 2012 in Commercially Insured Younger Postmenopausal Women.
Article in Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed.
- Cortical indices, DXA, and FRAX as indicators of bone fragility: a comparative human cadaveric study.JBMR plus · 2026Article
- Can artificial intelligence-derived bone mineral density outperform traditional morphometric measurements in opportunistic osteoporosis screening using pelvic radiographs? A multicenter comparative diagnostic study.Osteoporosis and sarcopenia · 2026Article
- An AI-based pipeline for osteoporosis/osteopenia prediction using hip radiographs.Skeletal radiology · 2026Article
- Artificial intelligence system for predicting areal bone mineral density from plain X-rays.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Insights and implications of sexual dimorphism in osteoporosis.Bone research · 2024Review
- Health Insurance Coverage as a Social Determinant of Osteoporosis Diagnosis in a Population-Based Cohort Study of Older American Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Cost-effectiveness of opportunistic QCT-based osteoporosis screening for the prediction of incident vertebral fractures.Frontiers in endocrinology · 2023Article
- Osteoporosis in 2022: Care gaps to screening and personalised medicine.Best practice & research. Clinical rheumatology · 2022Review
- Medical management patterns in a US commercial claims database following a nontraumatic fracture in postmenopausal women.Archives of osteoporosis · 2022Article
- Article
- Level-Specific Volumetric BMD Threshold Values for the Prediction of Incident Vertebral Fractures Using Opportunistic QCT: A Case-Control Study.Frontiers in endocrinology · 2022Article
- Automated bone mineral density prediction and fracture risk assessment using plain radiographs via deep learning.Nature communications · 2021Article
- Bone densitometry worldwide: a global survey by the ISCD and IOF.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Secular trends in the initiation of therapy in secondary fracture prevention in Europe: a multi-national cohort study including data from Denmark, Catalonia, and the United Kingdom.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- General and Specific Considerations as to why Osteoporosis-Related Care Is Often Suboptimal.Current osteoporosis reports · 2020Review
- Appropriateness of bone density measurement in Switzerland: a cross-sectional study.BMC public health · 2018Article
- The impact of fragility fracture and approaches to osteoporosis risk assessment worldwide.Bone · 2017Review
- Reprint of: The impact of fragility fracture and approaches to osteoporosis risk assessment worldwide.International journal of orthopaedic and trauma nursing · 2017Article
- Trends in osteoporosis and low bone mass in older US adults, 2005-2006 through 2013-2014.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Article
- Predictors of bone mineral density testing among older women on Medicare.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Reimbursement for dual-energy X-ray absorptiometry (DXA) scans in the outpatient setting has declined significantly since 2006. Research through 2011 has suggested reimbursement reductions for DXA scans have corresponded with an overall decreased utilization of DXA. This study updates utilization estimates for DXAs through 2012 in patients with commercial insurance and compares DXA rates before and after reimbursement changes. We evaluated DXA utilization for women aged 50-64 yr from Marketscan Commercial Claims and Encounter database between January 2006 and December 2012 based on CPT codes. We estimated utilization rates per 1000 person years (PY). We also used segmented regression analysis of monthly rates to evaluate the change in utilization rates after a proposed reimbursement reduction in July 2009. In women aged 50-64 yr, 451,656 DXAs were performed in 2006, a rate of 144 DXAs per 1000 PY. This rate increased to 149 DXAs per 1000 PY in 2009 before decreasing to 110 DXAs per 1000 PY or 667,982 scans in 2012. DXA utilization increased by 2.24 per 1000 PY until July 2009 then declined by 12.98 DXAs per 1000 persons, resulting in 37.5 DXAs per PY fewer performed in 2012 compared with 2006. Since July 2009 a significant decline in DXA utilization occurred in a younger postmenopausal commercially insured population. This decline corresponds with a time period of reductions in Medicare DXA reimbursement.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.