Country: US (Caucasian) Name/ID: About the risk factors. What is FRAX FRAX is a tool used to estimate fracture risk. Objective: risk factors, severity, prognosis, stage, selection.
Specialty: Orthopedic Surgery, Endocrinology, Nutrition. Above the upper age limits defined by the tools, consider people to be at high risk.ġ.5 Interpret the estimated absolute risk of fracture in people aged over 80 years with caution, because predicted 10-year fracture risk may underestimate their short-term fracture risk.ġ.6 Do not routinely measure BMD to assess fracture risk without prior assessment using FRAX (without a BMD value) or QFracture.ġ.7 Following risk assessment with FRAX (without a BMD value) or QFracture, consider measuring BMD with DXA in people whose fracture risk is in the region of an intervention threshold for a proposed treatment, and recalculate absolute risk using FRAX with the BMD value.ġ.8 Consider measuring BMD with DXA before starting treatments that may have a rapid adverse effect on bone density (for example, sex hormone deprivation for treatment for breast or prostate cancer).ġ.9 Measure BMD to assess fracture risk in people aged under 40 years who have a major risk factor, such as history of multiple fragility fracture, major osteoporotic fracture, or current or recent use of high-dose oral or high-dose systemic glucocorticoids (more than 7.5 mg prednisolone or equivalent per day for 3 months or longer).ġ. Please answer the questions below to calculate the ten year probability of fracture with BMD. Purpose: To estimate a patients 10-year risk for osteoporotic fracture based on the FRAX WHO fracture risk assessment tool of Kanis et al. 1.3 Estimate absolute risk when assessing risk of fracture (for example, the predicted risk of major osteoporotic or hip fracture over 10 years, expressed as a percentage).ġ.4 Use either FRAX (without a bone mineral density value if a dual-energy X-ray absorptiometry scan has not previously been undertaken) or QFracture, within their allowed age ranges, to estimate 10-year predicted absolute fracture risk when assessing risk of fracture.
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