The AAFP 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. A 65-year-old white woman with no other risk factors has a 9.3% 10-year risk for any osteoporotic fracture. (2011)
(Grade: B recommendation)
Grade Definition: http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm#brec(www.uspreventiveservicestaskforce.org)
The FRAX (Fracture Risk Assessment) tool), available at
www.shef.ac.uk/FRAX/(www.shef.ac.uk), can be used to estimate 10-year risks for fractures for all racial and ethnic groups in the United States. (2011)
Clinical Considerations: http://www.uspreventiveservicestaskforce.org/uspstf10/osteoporosis/osteors.htm#clinical(www.uspreventiveservicestaskforce.org)
The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for osteoporosis in men. (2011)
(Grade: I Statement)
Grade Definition: http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm#irec(www.uspreventiveservicestaskforce.org)
Clinical Considerations: http://www.uspreventiveservicestaskforce.org/uspstf10/osteoporosis/osteors.htm#clinical (www.uspreventiveservicestaskforce.org)
These recommendations are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient's family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These recommendations are only one element in the complex process of improving the health of America. To be effective, the recommendations must be implemented.
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