ArticleAIDS research and human retroviruses2025
Adherence to Bone Mineral Density Screening Recommendations in Older Adults with HIV.
Article in AIDS research and human retroviruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
HIV guidelines recommend bone mineral density (BMD) screening by dual-energy x-ray absorptiometry (DXA) for all postmenopausal women and all men ≥50 years, but uptake of these recommendations has been low. We conducted a retrospective cross-sectional analysis of people with HIV (PWH) aged ≥65 or older engaged in routine care to determine DXA completion. We reviewed records of 300 patients (243 men; 57 women). 48% had a DXA scan ordered, and 85% of those with a DXA order had results available within the electronic record. Of those screened, 13% of women and 27% of men had normal BMD; 45% of women and 53% of men had osteopenia; and 42% of women and 20% of men had osteoporosis. Older PWH at the highest fracture risk were under-screened for low BMD, per current HIV guidelines. Improved fracture risk screening is needed for this high-risk patient population.
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