[Skip to Navigation]
September 2018

Osteoporosis Screening—2 Steps May Be Too Much for Women Younger Than 65 Years

Author Affiliations
  • 1Department of Family Medicine, University of North Carolina at Chapel Hill
JAMA Intern Med. 2018;178(9):1159-1160. doi:10.1001/jamainternmed.2018.2776

The 2018 US Preventive Services Task Force (USPSTF) osteoporosis screening statement1 includes separate B recommendations (moderate certainty of moderate net benefit) for bone density screening in women 65 years or older and in postmenopausal women younger than 65 years who are at increased risk of osteoporosis, as determined by a formal clinical risk assessment tool. The B recommendation for routine osteoporosis screening in all women 65 years or older has been an enduring and evidence-based feature of the USPSTF recommendations since 2002. Unfortunately, the B recommendation for a 2-step strategy of risk-factor assessment before bone-density testing in postmenopausal women younger than 65 years does not match existing evidence. Instead, the evidence for 2-step osteoporosis screening in women younger than 65 years would be better characterized by an I statement; ie, the evidence is insufficient to determine the balance between benefits and harms.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words