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The U.S. Preventive Services Task Force recommends that women over the age of 65 should get a DXA scan. [3] The age when men should be tested is uncertain, [3] but some sources recommend age 70. [4] At risk women should consider getting a scan when their risk is equal to that of a normal 65-year-old woman.
Primary, or involuntary osteoporosis, can further be classified into Type I or Type II. [1] Type I refers to postmenopausal osteoporosis and is caused by the deficiency of estrogen. [1] While senile osteoporosis is categorized as an involuntary, Type II, and primary osteoporosis, which affects both men and women over the age of 70 years.
Osteoporosis can affect nearly 1 in 3 women and the bone loss is the most rapid within the first 2–3 years after menopause. This can be prevented by menopause hormone therapy or MHT, which is meant to prevent bone loss and the degradation of the bone microarchitecture and is noted to reduce the risk of fractures in bones by 20-30%.
See also osteoporosis. In June 1992, the World Health Organization defined osteopenia. [48] [34] An osteoporosis epidemiologist at the Mayo Clinic who participated in setting the criterion in 1992 said "It was just meant to indicate the emergence of a problem", and noted that "It didn't have any particular diagnostic or therapeutic significance ...
At the spine, a volumetric BMD measurement is made using QCT and rather than using T-Scores, it should be compared to guideline thresholds from the American College of Radiology (ACR): [16] a BMD < 80 mg/cm3 indicates osteoporosis; a BMD < 120 mg/cm3 and > 80 mg/cm3 indicates osteopenia; and a BMD above 120 mg/cm3 is considered normal.
This year U.S. News expanded their common procedures and conditions list to 9 individual measures, and Mayo was one of fewer than 70 hospitals to score High Performing in every category. [20] Additionally, Mayo was the only hospital on the 2016–2017 honor roll to also receive 5 stars from CMS. [ 21 ]
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