Update of the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for osteoporosis.

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.

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).

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
86% Article relates to my practice (20/23)
8% Article does not relate to my practice (2/23)
4% Undecided (1/23)

Will this article lead to more cost-effective healthcare?

69% Yes (16/23)
26% No (6/23)
4% Undecided (1/23)

Was this article biased? (commercial or personal)

8% Yes (2/23)
91% No (21/23)
0% Undecided (0/23)

What level of evidence do you think this article is?

19% Level 1 (5/26)
26% Level 2 (7/26)
30% Level 3 (8/26)
15% Level 4 (4/26)
7% Level 5 (2/26)