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

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

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)390-398
Number of pages9
JournalCurrent Osteoporosis Reports
Volume13
Issue number6
DOIs
StatePublished - Sep 26 2015

Bibliographical note

Publisher Copyright:
© 2015, Springer Science+Business Media New York.

Keywords

  • Bone density
  • Men
  • Osteoporosis
  • Postmenopausal women
  • Screening

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