Does osteoporosis screening in postmenopausal women prevent fractures?

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The effect of osteoporosis screening in postmenopausal women is unclear. In a mixed population of pre- and postmenopausal women, osteoporosis screening increases the use of medications to treat osteoporosis and slightly decreases all fractures by an absolute difference of 0.6%, but does not decrease osteoporotic fractures of the hip, lumbar spine, femur, or wrist (SOR: B, RCT). In a mixed male and female population 65 years of age and older, screening is associated with 3.4 fewer hip fractures per 1,000 patients (SOR: B, cohort trial). Screening for osteoporosis is recommended in women 65 years and older, and younger women with similar risk to a white woman 65 years of age without other risk factors (SOR: B, evidence-informed guidelines).

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