Academy Exchange

 View Only
  • 1.  DEXA Guidelines

    Posted 10-26-2022 18:06
    Anyone has the link to DEXA guidelines: age, frequency for PWH ? 

    Thanks.

    ------------------------------
    Zosima Inton
    Vacaville CA
    ------------------------------


  • 2.  RE: DEXA Guidelines

    Posted 10-27-2022 15:28
    https://www.uspreventiveservicestaskforce.org/uspstf/draft-update-summary/osteoporosis-screening-prevent-fractures

    USPSTF has just updated these for the general population but not yet formally published. Last update was in 2018
    these of course are NOT specific for PWH - I will let someone else address that I as am not convinced there is adequate data/evidence for
    a separate CPG for persons with HIV on this topic although I now our colleagues have promoted more aggressive screening for PWH.

    ------------------------------
    Jeffrey Kirchner
    Lancaster PA
    ------------------------------



  • 3.  RE: DEXA Guidelines

    Posted 10-27-2022 20:05
    Thank you for checking. I tried looking but cannot seem to find one specific for PWH. The recent Ryan White Conference was talking about DEXA and some were doing it every 3-4 years if no Osteoporosis.

    ------------------------------
    Zosima Inton
    Vacaville CA
    ------------------------------



  • 4.  RE: DEXA Guidelines

    Posted 10-28-2022 15:42
    Clin Infect Dis. 2015 Apr 15; 60(8): 1242–1251. 

    This is from HIVMA but to my knowledge has not been updated since its publication in CID in 2015

    ------------------------------
    Jeffrey T. Kirchner, DO, FAAFP, AAHIVS
    Lancaster PA
    ------------------------------



  • 5.  RE: DEXA Guidelines

    Posted 10-30-2022 23:20
    The National HIV Curriculum has a really nice and detailed summary of this: https://www.hiv.uw.edu/go/basic-primary-care/primary-care-medical-management/core-concept/all#osteoporosis

    ------------------------------
    Aliza Norwood
    Austin TX
    ------------------------------