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October 24/31, 2001

Who Should Be Screened for Osteoporosis?

Author Affiliations

Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

JAMA. 2001;286(16):1970-1971. doi:10.1001/jama.286.16.1969

To the Editor: Ms Cadarette and colleagues1 compared the diagnostic properties of 4 different decision rules and the North Osteoporosis Foundation guidelines for selecting postmenopausal women for DXA testing, and estimated their sensitivity and specificity in the detection of low bone density. The diagnostic approaches mainly relied on age and body weight, with older age and lower body weight resulting in the highest probability of a obtaining a DXA scan indicating osteoporosis. This approach, although simple, appealing, and apparently efficacious, is limited by technical concerns.

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