Automated link to national intervention guidance helps doctors interpret FRAX results

This is a sample calculation for 70-year old woman in Lebanon. Credit: FRAX

The fracture risk assessment tool FRAX, promoted and supported by the International Osteoporosis Foundation (IOF), has become an important aid in the clinical assessment of osteoporotic fracture risk in patients aged 40 to 90 years. However, while a FRAX calculation is quick and simple, interpretation of the results in order to make treatment decisions can be a challenge for physicians.

The UK FRAX calculator pioneered an automated link to its national NOGG guidance in 2008. Now, doctors in Finland and Lebanon will also benefit from an automated link to their respective national intervention guidance.

FRAX co-developer Dr. Eugene McCloskey, Professor in Adult Bone Disease and Honorary Consultant at the Metabolic Bone Centre, University of Sheffield UK, stated, "Treatment decisions should always be based on good clinical judgment, which includes an assessment of individual . Successful use of FRAX in clinical practice is enhanced by the automated link to the respective national intervention and assessment guidance. We hope that more countries will work with us to integrate their FRAX calculators with the respective national assessment recommendations."

The FRAX output gives a patient's 10-year probability of a hip fracture and of a major osteoporotic fracture (hip, clinical vertebral, humerus or wrist fracture) based on specific clinical risk factors, with or without bone mineral density (BMD). When linked automatically to guidance pages, the output is then plotted on country-specific intervention threshold graphs. The colour coded graph can indicate a number of actions including whether to treat, undertake a testing or to simply give lifestyle advice and reassurance.

This is an assessment threshold graph showing results for 70-year old woman in Lebanon based on national guidance. Credit: FRAX

Dr Heikki Kröger, Professor, Department of Surgery/Orthopaedics Kuopio University Hospital stated, "We are very pleased that doctors in Finland will now have national guidance at their fingertips as this will aide in decision making in the course of a for fracture risk. Osteoporotic fractures cost our health care system more than € 383 million annually – not counting the immense cost to the patients in terms of lost quality of life and long-term disability. It is therefore important that doctors identify and treat high-risk individuals before debilitating fractures occur."

"FRAX Lebanon was launched on-line in September 2009 and has become an important tool for physicians in our country", stated Dr. Ghada El-Hajj Fuleihan, Professor of Medicine, Director of the Calcium Metabolism and Osteoporosis Program & WHO Collaborating Center for Metabolic Bone Disorders, American University of Beirut, Lebanon.

She added, "This tool has had a great impact on addressing the heavy toll incurred by the steady increase in in our country. It has allowed the development of FRAX-based national osteoporosis guidelines, that were unanimously endorsed by eight concerned national scientific societies, the Lebanese national task force for osteoporosis, and health authorities. Having our national FRAX linked to our FRAX-based guidelines will greatly enhance their application and substantially optimize patient care, targeting therapy to high risk individuals."

More information: FRAX is available as a free online calculator at www.shef.ac.uk/FRAX , as an iPhone App itunes.apple.com/us/app/frax/id847593214?ls=1&mt=8 and as a Desktop application www.who-frax.org/

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Dengue fever strikes models in Japan

1 hour ago

A worsening outbreak of dengue fever in Japan has claimed its first celebrities—two young models sent on assignment to the Tokyo park believed to be its source.

Japanese researchers develop 30-minute Ebola test

1 hour ago

Japanese researchers said Tuesday they had developed a new method to detect the presence of the Ebola virus in 30 minutes, with technology that could allow doctors to quickly diagnose infection.

Senegal monitors contacts of 1st Ebola patient

13 hours ago

Senegalese authorities on Monday were monitoring everyone who was in contact with a student infected with Ebola who crossed into the country, and who has lost three family members to the disease.

Cerebral palsy may be hereditary

19 hours ago

Cerebral palsy is a neurological developmental disorder which follows an injury to the immature brain before, during or after birth. The resulting condition affects the child's ability to move and in some ...

19 new dengue cases in Japan, linked to Tokyo park

Sep 01, 2014

Japan is urging local authorities to be on the lookout for further outbreaks of dengue fever, after confirming another 19 cases that were contracted at a popular local park in downtown Tokyo.

User comments