Otherwise enter no (see also notes on risk factors).Įnter yes if the patient has a disorder strongly associated with osteoporosis. Enter yes or no.Įnter yes or no depending on whether the patient currently smokes tobacco (see also notes on risk factors).Įnter yes if the patient is currently exposed to oral glucocorticoids or has been exposed to oral glucocorticoids for more than 3 months at a dose of prednisolone of 5mg daily or more (or equivalent doses of other glucocorticoids) (see also notes on risk factors).Įnter yes where the patient has a confirmed diagnosis of rheumatoid arthritis. This enquires for a history of hip fracture in the patient's mother or father. Enter yes or no (see also notes on risk factors). If ages below or above are entered, the programme will compute probabilities at 40 and 90 year, respectively.Ī previous fracture denotes more accurately a previous fracture in adult life occurring spontaneously, or a fracture arising from trauma which, in a healthy individual, would not have resulted in a fracture. The model accepts ages between 40 and 90 years. If the field is left blank, then a "no" response is assumed. Clinicians judgment and/or patient preferences may indicate treatment for people with 10-year fracture probabilities above or below these levelsįor the clinical risk factors a yes or no response is asked for.Low bone mass (T-score between -1.0 and -2.5 at the femoral neck or spine) and a 10-year probability of a hip fracture ≥ 3% or a 10-year probability of a major osteoporosis-related fracture ≥ 20% based on the US-adapted WHO algorithm.T-score ≤ -2.5 at the femoral neck or spine after appropriate evaluation to exclude secondary causes.A hip or vertebral (clinical or morphometric) fracture. Consider FDA-approved medical therapies in postmenopausal women and men aged 50 years and older, based on the following:
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