Recommendations for measurement of bone mineral density and identifying persons to be treated for osteoporosis

Clinical practice guidelines exist for the diagnosis and treatment of osteoporosis in men and postmenopausal women. These guidelines present a uniform set of recommendations. Unfortunately, studies have shown a low rate of screening and treatment, particularly in high-risk groups, such as patients who have experienced a fracture. It is hoped that quality improvement projects, such as that being conducted by the American Medical Association in conjunction with numerous specialty societies, will lead to an improvement in physician practices in this area that will result in a reduction in morbidity and mortality from osteoporotic fractures.