Harry W. Daniell, MD
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Daniell H.; Screening for Postmenopausal Osteoporosis. Ann Intern Med. 2003;138:689. doi: 10.7326/0003-4819-138-8-200304150-00030
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Published: Ann Intern Med. 2003;138(8):689.
TO THE EDITOR:
The U.S. Preventive Services Task Force's unqualified recommendation of routine osteoporosis screening in women older than 80 years of age (1) does not seem justified by available evidence, including that presented by Nelson and colleagues (2). Although only one bisphosphonate, risedronate, has been evaluated in large numbers of women older than 80 years of age (3), no interventions have been shown to decrease the frequency of hip fractures in this group. Unfortunately, routine screening recommendations from a respected source are very likely to be interpreted as the standard of care by some physicians, institution administrators, practicing attorneys, and government agencies that monitor the quality of health care. This makes the related decisions of physicians interested in providing cost-effective medical care for their patients more difficult.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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