Table 1.
Risk factors assessed by 2 tools available for the evaluation of a patient’s 10-year absolute risk of osteoporosis-related fracture*
Risk factor assessed | Tool developed by Siminoski et al15 | Fracture Risk Assessment Tool (FRAX)† |
---|---|---|
Sex | Yes | Yes |
Age, yr | 50–85 | 40–90 |
Body mass index | No | Yes |
Measurement of bone mineral density | Lowest T score | T score for femoral neck |
Prevalent fractures | After age 40 | No age cut-off |
Use of corticosteroids | ≥ 3 mo in last year | Current use, or > 3 mo at dose of ≥ 5 mg/d of prednisolone or equivalent |
Alcohol intake (> 3 drinks daily‡) | No | Yes |
Parent with fractured hip | No | Yes |
Current smoking | No | Yes |
Presence of rheumatoid arthritis | No | Yes |
Secondary osteoporosis | No | Yes |
Both tools predict the 10-year absolute risk of major osteoporotic fractures for individuals who are not receiving pharmacologic therapy.
Tool developed by the World Health Association.17
One drink is equivalent to 285 mL of beer, 120 mL of wine or 30 mL of spirits.