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Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population

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Rationale for osteoporosis screening in men.

Radhika R Narla^1,2, Robert A Adler^3,4

¹Division of Endocrinology, Metabolism, and Nutrition, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA.

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

|December 13, 2024

Summary

Targeted screening for osteoporosis in men can identify those at risk. Osteoporosis medications effectively reduce fracture risk in men, similar to women, supporting broader screening.

Keywords:

Bone mineral density Fracture Male osteoporosis Osteoporosis screening Veterans

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Published on: September 8, 2023

Area of Science:

Gerontology
Endocrinology
Public Health

Background:

The US Preventive Services Task Force (USPSTF) has not established evidence-based guidelines for osteoporosis screening in men.
Osteoporosis affects men and poses a significant fracture risk, yet screening remains under-addressed.

Purpose of the Study:

To review the existing literature on osteoporosis screening and treatment specifically in men.
To establish a consensus among Department of Veterans Affairs (VA) clinicians regarding male osteoporosis management.

Main Methods:

A literature review was conducted by a panel of 20 experienced VA clinicians specializing in male osteoporosis.
Consensus was achieved through virtual meetings and extensive email communication.

Main Results:

Targeted screening effectively identifies men at elevated risk for osteoporotic fractures.
Pharmacological interventions for osteoporosis demonstrate comparable efficacy in reducing fracture risk for both men and women.
Recent studies indicate that current osteoporosis medications significantly lower hip fracture risk in men, mirroring effects seen in women.

Conclusions:

The panel reached a consensus that implementing targeted osteoporosis screening in men would enhance medication utilization.
Increased use of osteoporosis medications is expected to lead to a reduction in fracture incidence among the male population.