Screening recommendations in postmenopausal
women have been developed by government and private
organizations, many of which recommend BMD screening
in women at risk for osteoporosis. The NOF, U.S.
Preventive Services Task Force (USPSTF), and the
International Society for Clinical Densitometry
(ISCD) recommend that all Caucasian women aged
> 65 years be offered BMD screening
(Table).10-15
In postmenopausal women with a history of fragility
fracture, BMD measurements are not required for
a clinical diagnosis of osteoporosis. In these instances,
BMD measurements are useful in establishing a baseline
for assessing the response to treatment and quantifying
fracture risk. ISCD guidelines also address BMD
testing in men.
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