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Published in: Current Osteoporosis Reports 6/2015

01-12-2015 | Epidemiology and Pathophysiology (J Cauley and B Dawson-Hughes, Section Editors)

Bone Density Screening and Re-screening in Postmenopausal Women and Older Men

Authors: Margaret L. Gourlay, Robert A. Overman, Kristine E. Ensrud

Published in: Current Osteoporosis Reports | Issue 6/2015

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Abstract

Clinical practice guidelines universally recommend bone mineral density (BMD) screening to identify osteoporosis in women aged 65 years and older. Risk assessment is recommended to guide BMD screening in postmenopausal women under age 65. Insufficient data are available to inform standard ages to start and stop BMD screening in postmenopausal women. Based on longitudinal studies of incident osteoporosis and fracture in postmenopausal women, an initial BMD test should be ordered for all women aged 65, and the frequency of re-screening should be based on age and BMD T score (more frequent testing for older age and lower T score). Although clinical practice guidelines recommend BMD screening according to risk factors for fracture in postmenopausal women under age 65, no standard approach to risk assessment exists. Minimal evidence is available to guide osteoporosis screening in men, but some experts recommend initiation of BMD screening in men at age 70.
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Metadata
Title
Bone Density Screening and Re-screening in Postmenopausal Women and Older Men
Authors
Margaret L. Gourlay
Robert A. Overman
Kristine E. Ensrud
Publication date
01-12-2015
Publisher
Springer US
Published in
Current Osteoporosis Reports / Issue 6/2015
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-015-0289-5

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