May 11, 2017

Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women: A Clinical Practice Guideline Update From the American College of Physicians

Structured PICO

Should clinicians treat osteopenic women 65 years of age or older who are at a high risk for fracture with medications to prevent fractures?

Population

Men and women with low bone density or osteoporosis, specifically osteopenic women 65 years of age or older who are at a high risk for fracture

Intervention

Medications for the treatment of low bone density or osteoporosis

Outcome

Fractureshard clinical

The American College of Physicians issued an updated clinical practice guideline recommending shared decision-making for the pharmacological treatment of osteopenic women aged 65 and older at high risk for fracture.

Abstract

ACP recommends that clinicians should make the decision whether to treat osteopenic women 65 years of age or older who are at a high risk for fracture based on a discussion of patient preferences, fracture risk profile, and benefits, harms, and costs of medications. (Grade: weak recommendation; low-quality evidence).

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Discussion

Journals

Annals of Internal Medicine

Institutions

University of Pennsylvania Health System

American College of Physicians

Yale New Haven Health System

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