Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

This Group Is Not Adhering to Screening Guidelines

Am J Med; 2017 Mar; Gillespie, Morin

There are significant deficiencies in utilization of osteoporosis screening among women between 65 and 79 years of age, according to a retrospective analysis involving more than 1.6 million women. Meanwhile, positive changes were seen in women 50 to 64 years of age, as well as those 80+, in line with national guidelines.

Participants were aged ≥50 years with no prior history of osteoporosis diagnosis, osteoporosis drug use, or hip fracture. Investigators looked at osteoporosis screening during the most recent 2-year period. Among the results:

  • Overall screening rate was 21% in the younger age group; it was 27% in those 65 to 79 years of age and 13% in the oldest group.
  • Utilization in the younger group declined 31% between 2008 and 2014; it was unchanged in the middle group, and increased 38% in the older group.
  • After adjusting for certain variables, black women were least likely and Asian and Hispanic women were most likely to be screened.


Gillespie C, Morin P. Trends and disparities in osteoporosis screening among women in the United States, 2008-2014. Am J Med. 2017;130(3):306-316. doi:10.1016/j.amjmed.2016.10.018.

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