Table 4.
Sensitivity, specificity, positive predictive value, and negative predictive value for FRAX® MOFP and FRAX® HFP thresholds of 6.3% and 1.63% (i.e., FRAX® probabilities equivalent to that of a 65-year-old Singaporean woman of average BMI and no clinical risk factors) to identify osteoporosis on DXA scan in women <65 years old.
Threshold | Sensitivity (95% CI) | Specificity (95% CI) | PPV (95% CI) | NPV (95% CI) |
---|---|---|---|---|
FRAX® MOFP score ≥ 6.3% | 0.17 (0.11–0.24) | 0.95 (0.93,0.96) | 0.39 (0.26–0.52) | 0.85 (0.83–0.88) |
FRAX® HFP score ≥ 1.63% | 0.19 (0.12–0.28) | 0.95 (0.93–0.96) | 0.33 (0.21–0.47) | 0.89 (0.87–0.91) |
MOFP, Major Osteoporotic Fracture Probability; HFP, Hip Fracture Probability; BMI, body mass index; DXA, dual energy X-ray absorptiometry; CI, confidence interval; PPV, positive predictive value; NPV, negative predictive value.