Qaseem Amir, Snow Vincenza, Shekelle Paul, Hopkins Robert, Forciea Mary Ann, Owens Douglas K
American College of Physicians and University of Pennsylvania, Philadelphia, Pennsylvania 19106, USA.
Ann Intern Med. 2008 May 6;148(9):680-4. doi: 10.7326/0003-4819-148-9-200805060-00008.
The American College of Physicians developed this guideline to present the available evidence on risk factors and screening tests for osteoporosis in men.
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 articles from experts. The inclusion criteria for the studies were measuring 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 recommends that clinicians periodically perform individualized assessment of risk factors for osteoporosis in older men (Grade: strong recommendation; moderate-quality evidence). RECOMMENDATION 2: The American College of Physicians recommends 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 recommends further research to evaluate osteoporosis screening tests in men.
美国医师协会制定本指南，以展示关于男性骨质疏松症风险因素及筛查测试的现有证据。
通过使用MEDLINE（1990年至2007年7月）检索关于该主题的已发表文献。对检索到的文章、先前综述的参考文献以及向专家征集的文章进行参考文献挖掘。纳入研究的标准为测量男性低骨密度或骨质疏松性骨折的风险因素，或比较评估男性骨质疏松症存在情况的两种不同方法。本指南使用美国医师协会的临床实践指南分级系统对证据和推荐进行分级。
推荐1：美国医师协会建议临床医生定期对老年男性的骨质疏松症风险因素进行个体化评估（分级：强烈推荐；中等质量证据）。
推荐2：美国医师协会建议临床医生为骨质疏松症风险增加且适合药物治疗的男性进行双能X线吸收测定（分级：强烈推荐；中等质量证据）。
推荐3：美国医师协会建议开展进一步研究以评估男性骨质疏松症筛查测试。
