Table 3. Category of fracture risk groups.
| Risk category | Inclusion criteria | |
|---|---|---|
| Low risk | Must meet all of the following | |
| No history of fragility fractures (hip, vertebral, or other major fractures) | ||
| Bone mineral density T-score ≥ –1.0 | ||
| FRAX® 10-year probability of major osteoporotic fracture < 20% and hip fracture < 3% | ||
| Moderate risk | Must meet all of the following | |
| No history of fragility fractures (hip, vertebral, or other major fractures) | ||
| Bone mineral density T-score greater than −2.5 and less than −1.0 | ||
| FRAX® 10-year probability of major osteoporotic fracture < 20% and hip fracture < 3% | ||
| High risk | Meets any of the following | |
| Previous fragility fracture (hip, vertebral, or other major fracture) | ||
| Bone mineral density T-score ≤ –2.5 | ||
| FRAX® 10-year probability of major osteoporotic fracture ≥ 20% or hip fracture ≥ 3% | ||
| Very high risk | Meets any of the following | |
| Fragility fracture (hip, vertebral, or other) within the last 12 months | ||
| Fracture occurring while on anti-osteoporotic treatment | ||
| Multiple fractures | ||
| Fracture while receiving medications that negatively affect bone (e.g., glucocorticoids) | ||
| Bone mineral density T-score < –3.0 | ||
| Severe trauma or high-risk fall associated with fracture | ||
| FRAX® 10-year probability of major osteoporotic fracture ≥ 30% or hip fracture ≥ 4.5% | ||
Reproduced from the Korean Academy of Medical Sciences. Evidence-based recommendations for osteoporosis in primary care. 2024 [15].