BMD T Score 3% or 10 year probability of a major osteoporotic fracture >20%.Prescence of a hip or vertebral (spine) fracture.The new guidelines recommend that your physician consider FDA approved osteoporosis medical therapies in post menopausal women and men age 50 and older based on:

Use of age, height, weight, and risk factors such as family history, presence of inflammatory arthritis, previous fractures, steroid use, smoking and alcohol allows the calculation of 10 year fracture risk.ДЇRAX has been incorporated into the updated National Osteoporosis Foundation (NOF) US osteoporosis treatment guidelines.

The FRAX tool is based on 250,000 patient years of follow-up and has been validated in several large studies. To address this issue the World Health Organization (WHO) has developed the FRAX (fracture risk calculator which incorporates femoral neck (hip) BMD and other important risk factors to provide estimates of the 10 year probability of developing a hip or other (wrist, arm, spine) osteoporotic fractures in an individual patient. We need to identify and focus on those patientsВ at the greatest risk of osteoporotic fracture and offer them treatment. Treating every one of these patients would prevent many more fractures but it isВ neither practical nor desirable from a cost/benefit risk perspective. However, 80% of osteoporotic fractures occur in patients consideredВ to be osteopenic by BMD testing. Patients with normal bone densityВ without fractures do not benefit from treatment. Historically weВ have depended on the findings of osteoporosis by bone mineral density (BMD) or osteopenia with additional risk factorsВ or the presence of an osteoporotic fracture to determine who needs pharmacologic treatment.Patients with osteoporosisВ and/or osteoporotic fractures certainly benefit from pharmacologic treatment. Since 1995 we have had effective FDA approved therapies to reduce the risk of osteoporotic fractures. The role of FRAX and the new NOF guidelines Arthritis and Rheumatism Associates, P.C.

Ostopenia calculation tool