Choosing Wisely:
Don’t use dual energy x-ray absorptiometry (DEXA) to screen for osteoporosis in women younger than 65 years or in men younger than 70 years with no risk factors. note: Risk factors include, but are not limited to, fractures after 50 years of age, prolonged exposure to corticosteroids, diet deficient in calcium or vitamin D, cigarette smoking, alcoholism, and thin/small build.
Rationale and Comments: | Not cost-effective in younger, low-risk patients, but cost-effective in older patients. |
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References: | • U.S. Preventive Services Task Force • American Association of Clinical Endocrinology • American College of Preventive Medicine • National Osteoporosis Foundation |
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