What is considered a good FRAX score?
greater than -1: normal. -1 to -2.5: low bone mass (called osteopenia, a potential precursor condition to osteoporosis) less than -2.5: typically indicates osteoporosis.
What is considered a high risk FRAX score?
The National Osteoporosis Foundation recommends treating patients with FRAX 10-year risk scores of ‘greater than or equal to 3 percent’ for hip fracture or ‘greater than or equal to 20 percent’ for a major osteoporotic fracture to reduce fracture risk.
When should you not use FRAX?
Concurrent Treatment FRAX® is intended to identify patients for treatment. Thus, FRAX® is unnecessary in patients for whom treatment is clearly indicated (e.g. an elderly patient with multiple fragility fractures) [180].
What does FRAX 10-year probability of fracture?
Introduction: We determined the agreement between a FRAX designation of high risk of fracture [defined as 10-year major osteoporotic fracture probability (≥ 20%) or hip fracture probability (≥ 3%)] and the WHO categorizations of bone mineral density according to T-score.
What is FRAX assessment?
The Fracture Risk Assessment Tool (FRAX) (1) is a fracture risk calculator that estimates an individual’s 10-year probability of incurring a hip or other major osteoporotic fracture.
What is FRAX osteoporosis?
The FRAX® tool, an osteoporosis risk assessment test, uses information about your bone density and other risk factors for breaking a bone to estimate your 10-year fracture risk.
What are the limitations of FRAX?
FRAX is further limited by the exclusion of variables known to be associated with fracture risk, lack of dose-response relationships for variables, increased subsequent fracture risk after initial fracture, restriction to only one bone mineral density site, racial and ethnic differences that may influence fracture risk …
Who osteoporosis diagnostic criteria?
T-score of -2.5 or less at the spine or hip as determined by dual-energy x-ray absorptiometry (DXA) Hip fracture, with or without bone mineral density (BMD) testing. Vertebral; proximal humerus; pelvis; or, in some cases, distal forearm fracture in the setting of low bone mass (osteopenia) confirmed by DXA.
What is FRAX backed by?
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What are the Universal recommendations for the treatment of osteoporosis?
Universal recommendations Counsel on the risk of osteoporosis and related fractures. Advise on a diet that includes adequate amounts of total calcium intake (1000 mg/day for men 50–70; 1200 mg/day for women 51 and older and men 71 and older), incorporating dietary supplements if diet is insufficient.
Does Frax reduce the risk of hip fractures?
In addition, a population-based UK study of screening for high hip fracture risk using FRAX showed an overall 28% reduction in hip fractures, despite half of the treated group having hip BMD above the osteoporosis range [18].
Which bones are included in the FRAX® tool?
Other major bones include the spine, hip, forearm and shoulder. The FRAX® tool can be used to guide treatment decisions in people who meet the following three conditions: If you have low bone density (osteopenia), your DXA report may include your FRAX® score along with your bone density.
What is the FDA indication for osteoporosis treatment?
Pharmacologic Therapies for Osteoporosis Class/medication FDA indication Fracture type Typical dosage and monthly cost27,28 Adverse effects and contraindications NNT (to prevent one fracture)29