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.
Sponsoring Organizations:
  • American Academy of Family Physicians
  • Sources:
  • American College of Preventive Medicine
  • U.S. Preventive Services Task Force
  • National Osteoporosis Foundation
  • American Association of Clinical Endocrinologists
  • Disciplines:
  • Preventive Medicine
  • Rheumatologic
  • References: • U.S. Preventive Services Task Force
    • American Association of Clinical Endocrinology
    • American College of Preventive Medicine
    • National Osteoporosis Foundation

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