Division of Endocrinology and Diabetes, Department of Internal Medicine, Maine Medical Center, Scarborough, ME, USA.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241231387. doi: 10.1177/17455057241231387.
Fracture Risk Assessment Tool is a free, online fracture risk calculator which can be used to predict 10-year fracture risk for women and men over age 50 years. It incorporates seven clinical risk factors and bone density to give a 10-year risk of major osteoporotic fracture and hip fracture. This dynamic tool can be used with patients at the bedside to help guide treatment decisions. There are some limitations to Fracture Risk Assessment Tool, with the most central limitation being the fact that inputs are binary. Much research has been done to try to refine Fracture Risk Assessment Tool to allow for more accurate risk prediction, and this article describes the data for adjusting Fracture Risk Assessment Tool depending on the clinical scenario such as the dose of glucocorticoid use, presence of diabetes and others. Recently, the new FRAXplus tool has been developed to address many of these concerns and will likely replace the old Fracture Risk Assessment Tool in the future. At the current time, it is available in beta form.
骨折风险评估工具是一款免费的在线骨折风险计算器，可用于预测 50 岁以上女性和男性的 10 年骨折风险。它结合了 7 个临床风险因素和骨密度，以预测 10 年主要骨质疏松性骨折和髋部骨折的风险。这个动态工具可以在床边用于帮助指导治疗决策。骨折风险评估工具存在一些局限性，最主要的局限性在于输入是二进制的。为了更准确地预测风险，已经进行了大量的研究来改进骨折风险评估工具，本文描述了根据临床情况（如糖皮质激素使用剂量、糖尿病等）调整骨折风险评估工具的数据。最近，新的 FRAXplus 工具已经开发出来，以解决许多这些问题，并且可能在未来取代旧的骨折风险评估工具。目前，它处于测试阶段。
