Who algorithm for osteoporosis?
The World Health Organization fracture-risk algorithm (FRAX) was developed to calculate the 10-year probability of a hip fracture and the 10-year probability of any major osteoporotic fracture (defined as clinical spine, hip, forearm, or humerus fracture) in a given patient.
What should FRAX score cure?
The current National Osteoporosis Foundation Guide recommends treating patients with FRAX 10-year risk scores of > or = 3% for hip fracture or > or = 20% for major osteoporotic fracture, to reduce their fracture risk.
What are the guidelines for osteoporosis?
The ACOG recommends measurement of BMD (DXA) in: Women age 65 and older. Women under age 65 with additional clinical risk factors for fracture. Alternatively, women under age 65 with FRAX 10-year risk of major osteoporotic fracture of 9.3% or higher.
When do you use FRAX score?
A FRAX score indicates the risk of a fracture in a person with osteoporosis. Doctors can use it to determine the best measures to prevent fractures and treat the condition.
What is az score for bone density?
What is a Z-score and what does it mean? A Z-score compares your bone density to the average values for a person of your same age and gender. A low Z-score (below -2.0) is a warning sign that you have less bone mass (and/or may be losing bone more rapidly) than expected for someone your age.
What is the first-line treatment for osteoporosis?
For persons with osteoporosis diagnosed by dual energy x-ray absorptiometry or previous fragility fracture, effective first-line treatment consists of fall prevention, adequate intake of calcium (at least 1,200 mg per day) and vitamin D (at least 700 to 800 IU per day), and treatment with a bisphosphonate.
What are NOF guidelines?
The NOF recommends therapy to reduce fracture risk in women with a bone mineral density T score below -2.0 in the absence of risk factors, and in women with a T score below -1.5 if other risk factors are present.
What is T-score and Z-score in osteoporosis?
DEXA scores are reported as “T-scores” and “Z-scores.” The T-score is a comparison of a person’s bone density with that of a healthy 30-year-old of the same sex. The Z-score is a comparison of a person’s bone density with that of an average person of the same age and sex.
What is a normal Z-score?
In most large data sets, 99% of values have a Z-score between -3 and 3, meaning they lie within three standard deviations above and below the mean.
How do you interpret the FRAX score?
According to the National Osteoporosis Foundation, the scores fall into the following categories:
- 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 the age range for the RACGP hip and knee algorithm?
This algorithm applies to adults aged more than 18 years presenting with suspected hip or knee osteoarthritis. Refer to RACGP Clinical guidelines for musculoskeletal diseasesfor more information on recommendations and grading of evidence www.racgp.org.au/guidelines/musculoskeletaldiseases
Is there an algorithm for osteoporosis care?
We present an algorithm to help streamline the work of busy clinicians so they can efficiently provide state-of-the-art care to patients with osteoporosis. MeSH terms Age Factors Aged Algorithms
Should absolute fracture risk calculators be used in the treatment of osteoporosis?
If a patient does not qualify on PBS criteria for antiresorptive therapy, the RACGP and Osteoporosis Australia guidelines recommend use of absolute fracture risk calculators to guide decisions on treatment. Figure 1. Clinical guidelines flowchart3.
Do the RACGP and Frax (Australia) risk calculators include BMD?
The RACGP and Osteoporosis Australia guidelines include BMD as a necessary element in the algorithm, so risk calculation without BMD was not included although both calculators do provide it. The study found that Garvan consistently predicted a higher absolute fracture risk than FRAX (Australia).