ACOG Recommendations: Management of Postmenopausal Osteoporosis
Osteoporosis is a common disease that can result in bone fractures. Through screening, risk assessment, and pharmacologic treatment, fractures can be prevented. DEXA scans should be used for screening starting at age 65 for most women. Biphosphonates are the first line therapy for patients found to be high risk patients and should be used for most postmenopausal patients
Dual Energy X-Ray (DEXA) is preferred method
Hip and lumbar bone mineral density measurements most accurate
Osteoporosis diagnosed with T Score ≤–2.5
T-score between −1.0 and −2.5 and increased risk of fracture using a formal clinical risk-assessment tool such as the US Fracture Risk Assessment (FRAX) tool
Clinically diagnosed if patient has a fragility fracture
Fracture occurs after a fall at less than standing height
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