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Review

To scan or not to scan? DXA in postmenopausal women

Kristi Tough DeSapri, MD, CCD, NCMP and Rachel Brook, MD
Cleveland Clinic Journal of Medicine April 2020, 87 (4) 205-210; DOI: https://doi.org/10.3949/ccjm.87a.18136
Kristi Tough DeSapri
Assistant Professor of Obstetrics and Gynecology and Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL
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  • For correspondence: kristi.toughdesapri@nm.org
Rachel Brook
Assistant Professor, Hospitalist, Department of Medicine, Iris Cantor UCLA Women’s Health Center, University of California, Los Angeles
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CME/MOC

  • Release date: April 1, 2020
  • Expiration date: March 31, 2021
CME/MOC Accreditation Information.

ABSTRACT

Fracture is a major cause of morbidity and death in postmenopausal women. Dual-energy x-ray absorptiometry (DXA) measures bone mineral density, which helps in estimating fracture risk and in identifying those who may benefit from treatment. Although screening guidelines differ somewhat for postmenopausal women under age 65, in general, DXA is indicated if the patient has a high risk for fracture.

Footnotes

  • Dr. Tough DeSapri has disclosed membership on advisory committees or review panels and teaching and speaking for Amgen, and consulting for Radius Health, Inc.

  • Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Kristi Tough DeSapri, MD, CCD, NCMP⇑ and
  2. Rachel Brook, MD
  1. Assistant Professor of Obstetrics and Gynecology and Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL
  2. Assistant Professor, Hospitalist, Department of Medicine, Iris Cantor UCLA Women’s Health Center, University of California, Los Angeles
  1. ADDRESS:
    Kristi Tough DeSapri, MD, CCD, NCMP, Assistant Professor of Ob/GYN and Internal Medicine, Feinberg School of Medicine, Northwestern, 259 East Erie Street, Suite 2450 Chicago, IL 60611; kristi.toughdesapri{at}nm.org

ABSTRACT

Fracture is a major cause of morbidity and death in postmenopausal women. Dual-energy x-ray absorptiometry (DXA) measures bone mineral density, which helps in estimating fracture risk and in identifying those who may benefit from treatment. Although screening guidelines differ somewhat for postmenopausal women under age 65, in general, DXA is indicated if the patient has a high risk for fracture.

Footnotes

  • Dr. Tough DeSapri has disclosed membership on advisory committees or review panels and teaching and speaking for Amgen, and consulting for Radius Health, Inc.

  • Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.
View Full Text
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Cleveland Clinic Journal of Medicine: 87 (4)
Cleveland Clinic Journal of Medicine
Vol. 87, Issue 4
1 Apr 2020
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To scan or not to scan? DXA in postmenopausal women
Kristi Tough DeSapri, Rachel Brook
Cleveland Clinic Journal of Medicine Apr 2020, 87 (4) 205-210; DOI: 10.3949/ccjm.87a.18136

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To scan or not to scan? DXA in postmenopausal women
Kristi Tough DeSapri, Rachel Brook
Cleveland Clinic Journal of Medicine Apr 2020, 87 (4) 205-210; DOI: 10.3949/ccjm.87a.18136
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Jump to section

  • Article
    • ABSTRACT
    • BONE MINERAL DENSITY DECLINES WITH AGE AND MENOPAUSE
    • OSTEOPOROSIS IS COMMON
    • DXA SCREENING
    • RECOMMENDATIONS FOR DXA SCREENING IN POSTMENOPAUSAL WOMEN
    • WHY NOT SCREEN ALL YOUNGER POSTMENOPAUSAL WOMEN?
    • FRAX IS A VALIDATED TOOL
    • SHOULD OUR PATIENT UNDERGO DXA?
    • MANAGING LOW BONE MASS
    • EFFECTIVE AND EMERGING THERAPIES
    • CLINICAL BOTTOM LINE
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
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