Screening for Osteoporosis: US Preventive Services Task Force Recommendation Statement

被引:327
作者
Calonge, Ned [1 ]
Bibbins-Domingo, Kirsten [2 ]
Cantu, Adelita Gonzales [3 ]
Curry, Susan [4 ]
Dietrich, Allen J. [5 ]
Flores, Glenn [6 ]
Grossman, David [7 ]
Isham, George [8 ]
LeFevre, Michael L. [9 ]
Leipzig, Rosanne M. [10 ]
Melnikow, Joy [11 ]
Melnyk, Bernadette
Nicholson, Wanda [12 ]
Reyes, Carolina [13 ]
Schwartz, J. Sanford [14 ,15 ]
Wilt, Timothy [16 ,17 ]
机构
[1] Colorado Trust, Denver, CO USA
[2] Univ Calif San Francisco, San Francisco, CA 94143 USA
[3] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA
[4] Univ Iowa, Iowa City, IA USA
[5] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Hanover, NH 03756 USA
[6] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA
[7] Grp Hlth Cooperat Puget Sound, Seattle, WA USA
[8] HealthPartners, Minneapolis, MN USA
[9] Univ Missouri, Sch Med, Columbia, MO USA
[10] Mt Sinai Sch Med, New York, NY USA
[11] Univ Calif Davis, Sacramento, CA 95817 USA
[12] Univ N Carolina, Sch Med, Chapel Hill, NC USA
[13] Univ So Calif, Los Angeles, CA USA
[14] Univ Penn, Sch Med, Philadelphia, PA 19104 USA
[15] Univ Penn, Wharton Sch, Philadelphia, PA 19104 USA
[16] Univ Minnesota, Dept Med, Minneapolis, MN 55455 USA
[17] Minneapolis Veteran Affairs Med Ctr, Minneapolis, MN 55455 USA
关键词
ATRIAL-FIBRILLATION; BONE-DENSITY; WOMEN; RISK; MEN; ALENDRONATE; FRACTURES; METAANALYSIS; PREDICTION;
D O I
10.7326/0003-4819-154-5-201103010-00307
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Description: Update of the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for osteoporosis. Methods: The USPSTF evaluated evidence on the diagnostic accuracy of risk assessment instruments for osteoporosis and fractures, the performance of dual-energy x-ray absorptiometry and peripheral bone measurement tests in predicting fractures, the harms of screening for osteoporosis, and the benefits and harms of drug therapy for osteoporosis in women and men. Recommendations: The USPSTF recommends screening for osteoporosis in women aged 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors. (Grade B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for osteoporosis in men. (I statement)
引用
收藏
页码:356 / +
页数:10
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