The U.S. Preventive Services Task Force is considering whether to broaden the group of women it recommends to get routine screening for osteoporosis, and it wants physician input.
The proposed recommendations suggest that younger women who have fracture risks equal to or greater than 65-year-old women should be screened for the disease. Currently the task force, an independent panel of nonfederal medical experts in prevention and evidence-based medicine, says women 65 and older, and those 60 or older at higher risk for fractures, should be tested. The guidelines were updated last in 2002.
"That is a significant change. We found women as young as age 50 where screening would be appropriate," said Ned Calonge, MD, MPH, task force chair, and the Colorado Dept. of Public Health and Environment's chief medical officer.
Physicians and others can comment on the draft recommendations through 5 p.m. EST Aug. 3 online (www.ahrq.gov/clinic/draftix.htm).
Dr. Calonge, a family and preve ...
American hospitals have made extensive improvements in delivering faster heart attack care in the last five years, and the death rate for heart attack patients is falling.
Those are the findings in a study in the July 20 Journal of the American College of Cardiology. Researchers found that 88% of patients with ST-segment elevation acute myocardial infarction received artery-clearing balloon angioplasties within 90 minutes of arriving at one of the 959 hospitals studied in 2009.
The "door-to-balloon" time should be 90 minutes or less, according to guidelines adopted in 2004 by the American College of Cardiology and the American Heart Assn. The ACC launched an initiative called the D2B Alliance to help hospitals better their performance by taking steps such as requiring their entire cath lab team to arrive within 20 minutes of being contacted. By 2007, 64% of patients with STEMI were getting angioplasties within the 90-minute time frame, and the figure improved to 75% by mid-2008.