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. Author manuscript; available in PMC: 2020 Jul 12.
Published in final edited form as: J Bone Miner Res. 2019 Jan 15;34(4):607–615. doi: 10.1002/jbmr.3636

Table 5.

Proportion of Women with Major Osteoporotic Fractures during 10-year Follow-up who are Identified for Treatment under the NOF and Canadian Strategies*

Strategy Age Group Total n Identified for treatment, n (%) MOF Events, n (%) Sensitivity (95% CI) Specificity (95% CI) Positive Predictive Value (95% CI)
NOF All Participants 7926 2184 (28%) 1034 (13%) 50.3 (47.2, 53.3) 75.9 (74.8, 76.9) 23.8 (22.0, 25.6)
50–54 1255 93 (7%) 79 (6%) 10.1 (3.3, 16.9) 92.8 (91.3, 94.3) 8.6 (2.8, 14.4)
55–59 1660 234 (14%) 138 (8%) 29.0 (21.3, 36.7) 87.3 (85.6, 88.9) 17.1 (12.2, 22.0)
60–64 1794 412 (23%) 189 (11%) 37.6 (30.6, 44.5) 78.8 (76.8, 80.8) 17.2 (13.6, 20.9)
65–69 1729 604 (35%) 256 (15%) 50.0 (43.8, 56.2) 67.7 (65.3, 70.1) 21.2 (17.9, 24.5)
70–74 1100 553 (50%) 250 (23%) 68.8 (63.0, 74.6) 55.2 (51.8, 58.5) 31.1 (27.2, 35.0)
75–79 388 288 (74%) 122 (31%) 82.8 (76.0, 89.6) 29.7 (24.2, 35.2) 35.1 (29.5, 40.6)
Canadian All Participants 7926 826 (10%) 1034 (13%) 24.7 (22.0, 27.3) 91.7 (91.1, 92.4) 30.9 (27.7, 34.0)
50–54 1255 6 (<1%) 79 (6%) 1.3 (0.0, 3.8) 99.6 (99.2, 99.9) 16.7 (0.0, 59.5)
55–59 1660 29 (2%) 138 (8%) 4.3 (0.9, 7.8) 98.5 (97.9, 99.1) 20.7 (5.0, 36.4)
60–64 1794 119 (7%) 189 (11%) 14.8 (9.7, 19.9) 94.3 (93.2, 95.5) 23.5 (15.8, 31.3)
65–69 1729 269 (16%) 256 (15%) 27.0 (21.5, 32.4) 86.4 (84.7, 88.2) 25.7 (20.4, 30.9)
70–74 1100 261 (24%) 250 (23%) 35.2 (29.2, 41.2) 79.6 (76.9, 82.4) 33.7 (27.9, 39.5)
75–79 388 142 (37%) 122 (31%) 51.6 (42.6, 60.6) 70.3 (64.8, 75.8) 44.4 (36.1, 52.6)
*

Major osteoporotic fractures (MOF) are defined as adjudicated hip fracture or self-report fracture of lower arm/wrist, spine/back, or upper arm/shoulder. NOF denotes National Osteoporosis Foundation