Management of osteoporosis

Table 3 Indications for Bone Density Testing [36] (Official Position of the International Society for Clinical Densitometry).

1. All women aged 65 and older.
2. Postmenopausal women under age 65 with risk factors for osteoporosis.
3. Adults with a fragility fracture.
4. Adults with a disease or condition associated with low bone mass or bone loss.
5. Adults taking medication associated with low bone mass or bone loss.
6. Anyone being treated for low bone mass, to monitor treatment effect.
7. Anyone not receiving therapy, in whom evidence of bone loss would lead to treatment.

Women discontinuing estrogen should be considered for bone density testing/bone mass measurement according to the indications listed above. These indications provide a framework for selecting patients for bone density testing. In order to determine if the test is covered by insurance, it is important to be familiar with local requirements.

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