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JAMA Clinical Guidelines Synopsis |

Screening for Osteoporosis

Diane Altkorn, MD1; Adam S. Cifu, MD2
[+] Author Affiliations
1Section of General Internal Medicine, University of Chicago, Chicago, Illinois
2Department of Medicine, University of Chicago, Chicago, Illinois
JAMA. 2015;313(14):1467-1468. doi:10.1001/jama.2015.1064.
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Extract

This JAMA Clinical Guidelines Synopsis article summarizes the most recent National Osteoporosis Foundation guidelines on screening older men and postmenopausal women for osteoporosis.

Box Section Ref ID

Guideline title Clinician’s Guide to Prevention and Treatment of Osteoporosis

Developer National Osteoporosis Foundation (NOF)

Release date April 1, 2014

Prior version March 1, 2013

Funding source National Osteoporosis Foundation

Target population Postmenopausal women and men aged 50 years or older.

Major recommendations

Bone mineral density (BMD) testing should be performed in

  • Women aged 65 years or older and men aged 70 years or older (with future testing interval determined by initial findings).

  • Postmenopausal women and men aged 50 to 69 years at high risk of osteoporosis based on the presence of risk factors (eg, endocrine disorders, malabsorption) and the World Health Organization Fracture Risk Algorithm (FRAX) model.

  • Postmenopausal women and men aged 50 years or older who have had any adult fracture.

Vertebral imaging should be performed in

  • All women aged 70 years or older and all men aged 80 years or older if BMD T score is −1.0 or lower at the spine, total hip, or femoral neck.

  • Women aged 65 to 69 years and men aged 70 to 79 years if BMD T score is −1.5 or lower at the spine, total hip, or femoral neck.

  • Postmenopausal women and men aged 50 years or older with specific risk factors: low-trauma fracture during adulthood; historical height loss (current height vs peak height in young adulthood) of 1.5 in (3.8 cm) or more; prospective height loss (height loss between medical assessments) of 0.8 in (2.0 cm) or more; recent or ongoing long-term glucocorticoid treatment.

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