Screening for Osteoporosis in Men: A Clinical Practice Guideline from

guideline to present the available evidence on risk factors and screening tests for osteoporosis in men. Methods: Published literature on this topic was identified by using MEDLINE (1990 to July 2007). Reference mining was done on the retrieved articles, references of previous reviews, and solicited arti-cles from experts. The inclusion criteria for the studies were mea-suring risk factors for low bone mineral density or osteoporotic fracture in men or comparing 2 different methods of assessment for the presence of osteoporosis in men. This guideline grades the evidence and recommendations by using the American College of Physicians ’ clinical practice guidelines grading system. Recommendation 1: The American College of Physicians recom-mends that clinicians periodically perform individualized assessment of risk factors for osteoporosis in older men (Grade: strong recom-mendation; moderate-quality evidence). Recommendation 2: The American College of Physicians recom-mends that clinicians obtain dual-energy x-ray absorptiometry for men who are at increased risk for osteoporosis and are candidates for drug therapy (Grade: strong recommendation; moderate-quality evidence). Recommendation 3: The American College of Physicians recom-mends further research to evaluate osteoporosis screening tests in men. Ann Intern Med. 2008;148:680-684. www.annals.or