MPP is a joint venture partnership between the McLaren Healthcare System and our Physician members. Our focus is on providing resources to physician offices which provide value and assist with engagement, clinical integration, contracting and quality.
We are dedicated to our members’ success. It is the reason why our physicians are Michigan’s leaders in care and excellence. Experience the many benefits of MPP membership.
MPP is responsible for the negotiation, development and administration of a variety of managed care contracts for our network of physicians, ancillary facilities and hospitals. We serve as a liaison between the McLaren Healthcare System, health plans, employers, physicians, and patients.
DEXA for Osteoporosis
The USPSTF recommends screening for osteoporosis in women aged 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors1.
Limited evidence from good-quality studies found no benefit in predicting fractures from repeating bone measurement testing 4 to 8 years after initial screening2.
RISK FACTORS
RECOMMENDATIONS
Fracture from minor trauma
Adequate calcium and vitamin D intake
Low body mass index
Weight bearing exercises
Corticosteroid Use
Smoking cessation
Physical inactivity
Moderation of alcohol intake
Alcohol use or smoking history
Fall prevention strategies
Endocrine disorder
120-300 minutes of moderate aerobic activity / week
Secondary causes of osteoporosis
Dual-energy X-ray absorptiometry (DEXA) screening is not recommended for women under age 65 or men under 70 with no known risk factors, and the USPSTF found there is still insufficient evidence on screening for osteoporosis in men.
The USPSTF and Choosing Wisely does not address how often to have a bone density test after the initial screening.
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