Clinicians described several strategies for treating osteoporosis while acknowledging that commonly used quality assessments need work.
Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit.An ACP committee evaluated six quality metrics for osteoporosis used by the Centers for Medicaid & Medicaid Services ; if physicians meet benchmarks on these measures, they receive incentive payments.
"Screening becomes a little bit trickier in younger women and also in men, because we don't really have good guidelines for them," said Maryam Sattari, MD, MS, an internal medicine physician at University of Florida Health in Gainesville. Sattari said she would consider DXA screening for younger women withwhose medication history may have weakened their bones; people who have taken steroids chronically; or men who have had a fracture after a fall from standing height or less.
Sometimes patients are averse to taking pills, Sattari said, or they have specific concerns about bisphosphonates.that have been reported," Sattari said, such as necrosis of the jaw. Sattari explains the rarity of these events to her patients and the benefits of bisphosphonates while respecting that the decision of which therapy to use lies with the patient.
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