Osteoporosis Practice Bulletin

Publication Date: September 1, 2012
Last Updated: March 14, 2022

Recommendations and Conclusions

The following recommendations and are based on good and consistent scientific evidence.

  • Treatment should be recommended for:
    • Women with a T-score of –2.5 or less
    • Women who have had low-trauma fracture
    • Women who have a T-score from –1 to –2.5 and a FRAX score greater than or equal to 3% for risk of hip fracture or a FRAX score greater than or equal to 20% for risk of a major osteoporotic fracture (defined as forearm, hip, shoulder, or clinical spine fracture) or both in the next 10 years
  • FDA-approved therapies should be used for medical treatment: raloxifene, bisphosphonates, PTH, denosumab, calcitonin.
  • Bone density screening for women should begin at age 65 years. Dual-energy X-ray absorptiometry screening can be used selectively for women younger than 65 years if they are postmenopausal and have other significant risk factors for osteoporosis or fracture.
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Overview

Title

Osteoporosis Practice Bulletin

Authoring Organization