Risk Scores-FRAX

Question 1

What is the purpose of FRAX score?

Answer 1

A risk assessment tool for estimating 10-yr risk of osteoporotic fracture in untreated patients

Question 2

What personal information would we need?

Answer 2

Age
Sex
weight
height
femoral neck BMD (bone mineral density)

Question 3

What past medical history would we need?

Answer 3

Rheumatoid arthritis

Secondary osteoporosis (caused by medical condition or treatment)

Question 4

what medical conditions can cause secondary osteoporosis?

Answer 4

kidney failure
Cushings(a tumour of the pituitary gland)
Coeliac
MS
hyperparathyroidism
Hyperthyroidism
Diabetes

Previous fracture

Question 5

What drug history would we want?

Answer 5

glucocorticoids
lithium
barbiturates (central nervous depressants)

Question 6

What family history to ask?

Answer 6

parental fracture hips

Question 7

What social history to ask?

Answer 7

smoking

drinking (>3 units)

Question 8

What is T-score?

Answer 8

how much your bone density is higher or lower than that of a healthy 30 year old adult

Question 9

Given a T-core value what do they mean?

Answer 9

-1 and above: normal bone density (don’t need osteoporosis medications)

between -1 and -2.5: osteopenia, should consider medication when they have certain risks

-2.5 and below: osteoporosis, should consider taking osteoporosis medicine–> bisphosphonates

Question 10

What is a Z-score?

Answer 10

it compares the condition of your bone with someone of your age, sex, weight ethnic orgin