dc.contributor.author | Phillips, John | eng |
dc.contributor.author | Krist, Alex | eng |
dc.contributor.author | Wilder, Laura | eng |
dc.date.issued | 2003 | eng |
dc.description.abstract | No single study evaluates the effectiveness of osteoporosis screening. However, screening women over the age of 65 years -- or those between 60-64 years with certain risk factors -- is recommended based on available evidence. First, osteoporosis is common, and its prevalence increases with age (strength of recommendation [SOR]: A - prospective cohort studies). Second, low bone mineral density predicts fracture risk (SOR: A - prospective cohort studies). Finally, the likelihood of osteoporotic fracture is reduced with therapy, such as alendronate 10 mg/day or risedronate 5 mg/day plus adequate daily calcium and vitamin D (SOR: A - meta-analysis of randomized clinical trials). Women under 60 years should not be screened (SOR: B--clinical decision rule). There is no evidence to guide decisions about screening interval or at what age to stop screening. The long-term risks of newer medications used for osteoporosis are unknown. | eng |
dc.identifier.uri | http://hdl.handle.net/10355/2947 | eng |
dc.language | English | eng |
dc.publisher | Family Physicians Inquiries Network | eng |
dc.relation.ispartofcollection | Clinical Inquiries, 2003 (MU) | eng |
dc.relation.ispartofcommunity | University of Missouri--Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network | eng |
dc.relation.ispartofseries | Journal of family practice, 52, no. 04 (April 2003): 331-333. | eng |
dc.rights | OpenAccess. | eng |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. | eng |
dc.subject | therapy | eng |
dc.subject | fracture risk | eng |
dc.subject | bone mineral density | eng |
dc.subject | screening interval | eng |
dc.subject.lcsh | Osteoporosis -- prevention | eng |
dc.subject.lcsh | Medical screening | eng |
dc.subject.lcsh | Bone densitometry | eng |
dc.subject.mesh | Osteoporosis, Postmenopausal | eng |
dc.title | Is osteoporosis screening in postmenopausal women effective? | eng |
dc.type | Article | eng |