Commonly used tool found to be suboptimal in predicting osteoporosis fracture risk in younger post-menopausalwomen JAMAInternalMed
post-menopausal women
aged 50 to 64 years in each of four racial/ethnic categories: Asian, Black, Latino and white. Both tools are among those recommended by the U.S. Preventive Services Task Force to identify women within the younger age group who should undergo bone mineral density testing. The FRAX calculator requires the user to select one of those four racial/ethnic categories, but their inclusion in clinical risk prediction tools is controversial and the subject of much debate.
Between May and August 2022 the researchers examined 10 years of follow-up data from nearly 67,200 younger postmenopausal participants in the Women's Health Initiative for major osteoporotic fractures of the hip, spine, forearm and shoulder. Of those women, nearly 5,600 experienced a fracture. The team assessed a subset of 4,600 participants for bone mineral density. The study is published inThe U.S.
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