JAMA Clinical Reviews USPSTF Recommendation: Screening for Osteoporosis to Prevent Fractures
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Jan 14, 2025 Esa M. Davis, a leading expert in family and community medicine and a member of the U.S. Preventive Services Task Force, joins the discussion to highlight the critical need for osteoporosis screening. The conversation emphasizes the importance of early detection in women aged 65 and older, and the necessity for improved screening practices for younger at-risk women and men. Davis also addresses gaps in current research and treatment protocols, advocating for enhanced methods to prevent fractures and better serve diverse populations.
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Osteoporosis Screening Recommendations
- Clinicians should screen for osteoporosis in women 65 and older.
- Younger women who have gone through menopause and have increased risk factors should also be screened.
Screening Methods for Osteoporosis
- Screen women over 65 with bone mineral density exam (DEXA scan).
- A fracture risk assessment tool can provide additional information about bone health.
Screening for Women Under 65
- For women under 65, assess clinical risk factors like smoking and low body weight.
- Use a risk assessment tool to determine who needs a bone density exam.