The Effects of Race, Ethnicity, and Underlying Medical Diseases on Osteoporosis Are Still Unguided Territory for Internists
Authors: Brittany Bohinc, John E. Snyder
Journal: Annals of Internal Medicine (2008)

Letters7 October 2008The Effects of Race, Ethnicity, and Underlying Medical Diseases on Osteoporosis Are Still Unguided Territory for InternistsBrittany Bohinc, MD and John E. Snyder, MS, MDBrittany Bohinc, MDFrom New Hanover Regional Medical Center, Wilmington, NC 28401, and University of North Carolina School of Medicine at Chapel Hill, Chapel Hill, NC 27599. and John E. Snyder, MS, MDFrom New Hanover Regional Medical Center, Wilmington, NC 28401, and University of North Carolina School of Medicine at Chapel Hill, Chapel Hill, NC 27599.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-7-200810070-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We were pleased to read the recently published American College of Physicians (ACP) clinical guidelines (1) and systematic review (2) on screening for osteoporosis in men. These articles represent closure of a substantial gap in previous guidelines issued to general internists, and we commend the authors and ACP for undertaking this project. Currently, Medicare coverage for bone mass measurements is limited to at-risk women with estrogen deficiency, individuals with vertebral radiographs suggestive of underlying osteoporosis, individuals receiving prolonged glucocorticoid therapy, patients with primary hyperparathyroidism, and those already taking osteoporosis medication (3). Hopefully, the new ACP guidelines will ...References1. Qaseem A, Snow V, Shekelle P, Hopkins R, Forciea MA, Owens DK; Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Screening for osteoporosis in men: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2008;148:680-4. [PMID: 18458281] LinkGoogle Scholar2. Liu H, Paige NM, Goldzweig CL, Wong E, Zhou A, Suttorp MJ; et al.. Screening for osteoporosis in men: a systematic review for an American College of Physicians guideline. Ann Intern Med. 2008;148:685-701. [PMID: 18458282] LinkGoogle Scholar3. Center for Medicare & Medicaid Services. CMS Manual System. Medicare Benefit Policy, Pub 100-02 on Bone Mass Measurements. Accessed at www.cms.hhs.gov/transmittals/downloads/R70BP.pdf on 26 August 2008. Google Scholar4. Looker AC, Orwoll ES, Johnston CC, Lindsay RL, Wahner HW, Dunn WL; et al.. Prevalence of low femoral bone density in older U.S. adults from NHANES III. J Bone Miner Res. 1997;12:1761-8. [PMID: 9383679] CrossrefMedlineGoogle Scholar5. Lane NE. Epidemiology, etiology, and diagnosis of osteoporosis. Am J Obstet Gynecol. 2006;194:S3-11. [PMID: 16448873] CrossrefMedlineGoogle Scholar6. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001;285:785-95. [PMID: 11176917] CrossrefMedlineGoogle Scholar7. Karga H, Papapetrou PD, Korakovouni A, Papandroulaki F, Polymeris A, Pampouras G. Bone mineral density in hyperthyroidism. Clin Endocrinol (Oxf). 2004;61:466-72. [PMID: 15473879] CrossrefMedlineGoogle Scholar8. Seeman E, Melton LJ, O'Fallon WM, Riggs BL. Risk factors for spinal osteoporosis in men. Am J Med. 1983;75:977-83. [PMID: 6650552] CrossrefMedlineGoogle Scholar9. American College of Rheumatology Ad Hoc Committee on Glucocorticoid-Induced Osteoporosis. Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis: 2001 update. Arthritis Rheum. 2001;44:1496-503. [PMID: 11465699] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From New Hanover Regional Medical Center, Wilmington, NC 28401, and University of North Carolina School of Medicine at Chapel Hill, Chapel Hill, NC 27599.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Osteoporosis in Men: A Clinical Practice Guideline from the American College of Physicians Amir Qaseem , Vincenza Snow , Paul Shekelle , Robert Hopkins Jr. , Mary Ann Forciea , Douglas K. Owens , and Screening for Osteoporosis in Men: A Systematic Review for an American College of Physicians Guideline Hau Liu , Neil M. Paige , Caroline L. Goldzweig , Elaine Wong , Annie Zhou , Marika J. Suttorp , Brett Munjas , Eric Orwoll , and Paul Shekelle The Effects of Race, Ethnicity, and Underlying Medical Diseases on Osteoporosis Are Still Unguided Territory for Internists Hau Liu , Paul Shekelle , Amir Qaseem , and Eric Orwoll Metrics Cited byAssociation of vitamin D receptor gene polymorphism with the occurrence of low bone density, osteopenia, and osteoporosis in patients with type 2 diabetesTNFRSF11B gene polymorphisms, bone mineral density, and fractures in Slovak postmenopausal womenVitamin D receptor gene polymorphisms, bone mineral density and fractures in postmenopausal women with osteoporosis 7 October 2008Volume 149, Issue 7Page: 514-515KeywordsBoneGlucocorticoid therapyHyperthyroidismMedicareOsteoporosisRheumatologyScreening guidelinesSteroid therapySystematic reviews ePublished: 7 October 2008 Issue Published: 7 October 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...