USPSTF Updates Recommendations for Osteoporosis Screening

Jennifer Barrett, Assistant Editor
Published Online: Friday, November 10th, 2017
In an updated draft recommendation statement, the United States Preventive Task Force (USPSTF) provided guidelines for clinicians on osteoporosis screening to prevent fractures. 

The Task Force’s recommendations, which are an update to the previous 2011 guidelines, are based on review of the quality of evidence available to advise health care providers when screening of osteoporosis is appropriate. According to the USPSTF assessment, the Task Force concluded:
  • With moderate certainty that the net benefit of screening for osteoporosis in women aged 65 years and older is at least moderate (B recommendation).
  • With moderate certainty that the net benefit of screening of osteoporosis in postmenopausal women younger than 65 years of age who are at increased risk of osteoporosis is at least moderate (B recommendation).
  • Current evidence is insufficient to assess the balance of benefits and harms of screening for osteoporosis in men (Insufficent statement).
The USPSTF guidelines point to convincing evidence that bone measurement tests are accurate for predicting osteoporotic fractures in women and men, and adequate evidence that clinical risk assessment tools are moderately accurate in identifying risk of osteoporosis and related fractures.

Health care providers should consider risk factors when deciding whether to screen women under the age of 65. These risk factors include parental history of hip fracture, smoking, excess alcohol consumption, low body weight, and menopausal status.

For women who are at an increased risk, the Fracture Risk Assessment Tool (FRAX) is commonly used to assess the 10-year risk for fracture. The Task Force determined that it is reasonable to test postmenopausal women younger than 65 years of age who have a FRAX risk of major osteoporotic fracture greater than 8.4%, which is the newly updated cutoff compared to 9.3% recommended in the 2011 guidelines.

The draft recommendation is open for public comment until December 4, 2017.


Draft Recommendation Statement. Osteoporosis to Prevent Fractures: Screening. USPSTF’s website. 2017. Accessed November 7, 2017.

Current Issue

The Educated Patient

Kristen Marjama, DNP, FNP-BC
Gluten proteins found in barley, rye, and wheat trigger systemic injury primarily to the small intestine, but they can also affect the joints, liver, skin, uterus, and other organs.
Kristen Marjama, DNP, FNP-BC
It is that time of year again, when health care providers see an increase in patient volume because no one has time to be sick.
Sara Marlow, MSN, RN, PHN, FNP-C
Sunburn is still a major health issue that can be prevented.
Kristen Marjama, DNP, FNP-BC
The National Health Interview Survey in 2014 estimated that 17.7 million adults and 6.3 million children had asthma.
$vacMongoViewPlus$ $vAR$
Contemporary Clinic
MJH Associates
American Journal of Managed Care
MD Magazine
Pharmacy Times
Specialty Pharmacy Times
Targeted Oncology
About Us
Contact Us
Terms & Conditions
Pharmacy Healthcare & Communications, LLC
2 Clarke Drive
Suite 100
Cranbury, NJ 08512
P: 609-716-7777
F: 609-257-0701

Copyright Contemporary Clinic 2018
Pharmacy Healthcare & Communications, LLC. All Rights Reserved.