Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women
Publication Date: June 6, 2017
Last Updated: March 14, 2022
Recommendations
ACP recommends that clinicians offer pharmacologic treatment with alendronate, risedronate, zoledronic acid, or denosumab to reduce the risk for hip and vertebral fractures in women who have known osteoporosis. (SH)
565
ACP recommends that clinicians treat osteoporotic women with pharmacologic therapy for 5 years. (WL)
565
ACP recommends that clinicians offer pharmacologic treatment with bisphosphonates to reduce the risk for vertebral fracture in men who have clinically recognized osteoporosis. (WL)
565
ACP recommends against bone density monitoring during the 5-year pharmacologic treatment period for osteoporosis in women. (WL)
565
ACP recommends against using menopausal estrogen therapy or menopausal estrogen plus progestogen therapy or raloxifene for the treatment of osteoporosis in women. (SM)
565
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. (WL)
565
Recommendation Grading
Overview
Title
Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women
Authoring Organization
American College of Physicians
Endorsing Organization
American Academy of Family Physicians
Publication Month/Year
June 6, 2017
Last Updated Month/Year
January 17, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient
Intended Users
Physician assistant, physician, occupational therapist, nurse, nurse practitioner
Scope
Prevention, Management, Treatment
Diseases/Conditions (MeSH)
D010024 - Osteoporosis, D058866 - Osteoporotic Fractures
Keywords
osteoporosis, Osteoporosis, low bone density, bone fractures, fracture prevention
Methodology
Number of Source Documents
387
Literature Search Start Date
January 2, 2005
Literature Search End Date
June 3, 2011