When should a patient be screened for osteoporosis using a Dexa scan?

Screening for osteoporosis using a DEXA scan is generally recommended for women starting at age 65 and for men starting at age 70 due to their higher risk of developing osteoporosis-related fractures. The recommendation for screening every two years after age 65 aligns with the guidelines set by organizations such as the U.S. Preventive Services Task Force and the National Osteoporosis Foundation. Routine screening helps identify individuals at risk, allowing for early intervention and treatment.

Performing a DEXA scan every year after age 65 may not be necessary unless there are significant changes in clinical status or risk factors, as osteoporosis often develops gradually and lifestyle modifications or medications do not typically need frequent adjustments. Screening at age 50 may be preemptive, as most guidelines emphasize starting at an older age, although individuals with risk factors may warrant earlier screening. Limiting screening to only those with risk factors could lead to missed cases in those without obvious risk factors but who may still have underlying issues contributing to osteoporosis. Thus, the correct recommendation is to screen every two years after age 65.