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Comparative Effectiveness and Cost-Effectiveness of Strategies to Screen for Osteoporosis in Postmenopausal Women

John T. Schousboe, MD, PhD; and Margaret L. Gourlay, MD, MPH
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From Park Nicollet Institute for Research & Education, Park Nicollet Health Services, and University of Minnesota, Minneapolis, MN 55416, and University of North Carolina, Chapel Hill, NC 26599.

Disclaimer: The content of this editorial is solely the responsibility of the authors and does not necessarily reflect the official views of the funding agencies.

Grant Support: Dr. Schousboe is supported by the National Institutes of Health (Public Health Service research grant 1R01 AG038415-01). Dr. Gourlay is supported by the National Center for Research Resources (grant K23RR024685).

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-2481.

Requests for Single Reprints: John T. Schousboe, MD, PhD, Park Nicollet Institute, 3800 Park Nicollet Boulevard, Minneapolis, MN 55416; e-mail, john.schousboe@parknicollet.com.

Current Author Addresses: Dr. Schousboe: Park Nicollet Institute, 3800 Park Nicollet Boulevard, Minneapolis, MN 55416.

Dr. Gourlay: Department of Family Medicine, University of North Carolina, Manning Drive, CB 7595, Chapel Hill, NC 27599-7595.

Ann Intern Med. 2011;155(11):788-789. doi:10.7326/0003-4819-155-11-201112060-00012
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The findings that Nayak and colleagues report in this issue extend those of prior studies by estimating that dual-energy x-ray absorptiometry is cost-effective for women aged 55 to 64 years with an average fracture risk and pretest probability of osteoporosis by bone mineral density criteria. However, the editorialists believe it is premature to conclude that bone densitometry for all white women in this age group is cost-effective, and they discuss other factors to consider when interpreting Nayak and colleagues' analysis.

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