2016 Factsheet FRAX A4
2016 Factsheet FRAX A4
2016 Factsheet FRAX A4
WHY SHOULD DOCTORS USE FRAX TO ASSESS THE BONE HEALTH STATUS OF THEIR PATIENTS?
The ultimate aim of the clinician in the management of osteoporosis should be to reduce the risk of
fractures. Treatment decisions must be made through good clinical judgment and through improved
identification of patients at high risk.
Although bone mineral density is a strong predictor of fracture risk, the majority of fractures occur in people
with BMD above the osteoporosis threshold. Extensive research has taken place to identify risk factors that are
significant contributors to osteoporotic fracture risk, over and above that provided by BMD, age and gender.
The different contribution of the following risk factors is taken into account in the 10-year fracture probabilities
in FRAX:
• low body mass index • current smoking
• previous fragility fracture • alcohol intake (3 or more units per day)
• parental history of hip fracture • rheumatoid arthritis
• glucocorticoid treatment • other secondary causes of osteoporosis
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