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UMHS Home/Logo Consult Request Guidelines

for Osteoporosis

   
Osteoporosis
Suggested Pre-Referral Evaluation and Management Guidelines Postmenopausal osteoporosis

Criteria for referral (at least one of the following)
  • T score < -2.5 or -1.0 to -2.5 with history of fragility fracture
  • Failed bisphosphonate treatment
  • Secondary osteoporosis
Tests for referral
  • DXA within last 2 years
  • PTH, serum calcium, 25Vitamin D, 24 h urine for calcium and creatinine, comprehensive metabolic panel
Men >50 years of age with osteoporosis OR history of fragility fracture

Criteria for referral (at least of the following)
  • T score < -2.5 or -1.0 to -2.5 with history of fragility fracture
  • Failed bisphosphonate treatment
  • Secondary osteoporosis
Tests for referral
  • DXA within last 2 years
  • PTH, serum calcium, 25Vitamin D, 24 h urine for calcium and creatinine, comprehensive metabolic panel
  • 8 AM total or bioavailable (if BMI > 30) testosterone
Premenopausal women or men younger than 50 years

Criteria for referral (at least of the following)
  • Z score < -2.0
  • Z score > -2.0 with history of fragility fracture
  • Secondary osteoporosis (eg. Amenorrhea, Cushing?s syndrome or glucocorticoid use, rheumatoid arthritis, lupus, lactation-induced bone loss with fracture)
Tests for referral
  • DXA
  • PTH, serum calcium, 25Vitamin D, 24 h urine for calcium and creatinine, comprehensive metabolic panel
Suggested Additional Test/Management Prior to Specialty Visit UMHS Clinical Care Guideline
Patient Education/Information (includes preps) http://www.uofmhealth.org/health-library/hw131419
Appointment Timeframe Routine. If expedited referral needed, referring physician should explain reason for request
How to Get Results to Consultant UMHS Patients: See CareWeb
External Patients: Hand carry non-UM records to visit
Clinic Contact Information Physicians: 800 962-3555
Patients: 866 266-5211
Clinic Location Sites Domino's Farms
Brighton Health Center
Chelsea Health Center
East Ann Arbor Health Center
Northville Health Center
Saline Health Center

Patients are also seen in the Bone Clinic
UM Consulting Physician MEND Faculty
Revised on: 04/22/2016