Log in with your email address username.

×

Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

[Correspondence] A closer look at SCOOP: screening for fracture prevention – Authors’ reply

We agree with Mark Bolland and Andrew Grey that the SCOOP trial1 provides much-needed high-quality evidence for screening, but for high fracture risk rather than for osteoporosis. The observation that Fracture Risk Assessment Tool (FRAX) probabilities in women at high risk of hip fracture in the screening group tended to decrease with the addition of bone mineral density (BMD) is correct but not unexpected. The FRAX tool is calibrated to the epidemiology of hip fractures in whole populations, and because selected subgroups are likely to have health differences not captured by clinical fracture risk factors, this will lead to differences in predicted and observed outcomes within subgroups.

email