By vgreene, 4 October, 2016 If starting tx, ✓biochemical markers of bone turnover at 3-6mo + ✓BMD w/ DXA @ hip + spine q1-2y (NOF,18 AACE19)
By vgreene, 4 October, 2016 If low trauma hip/vertebral fx, T-score ≤−2.5, or T-score −1.0 to−2.5 + FRAX® 10-yr hip fx probability ≥3%/10-yr major osteoporosis-related fx probability ≥20%
By vgreene, 4 October, 2016 If specific risk factors (eg, low trauma fx, long-term glucocorticoid tx,7 ht loss8): ✓vertebral imaging (NOF,9 ISCD,10 AACE11)
By vgreene, 4 October, 2016 Use FRAX tool to estimate osteoporosis assoc fx risk need for tx NOF 9 ACOG10
By vgreene, 4 October, 2016 Assess address low bone density fx risk factors 1 4 including for transgender and gender nonconforming individuals 5 consider vertebral imaging