Comparison of 10-year fracture risk estimates reported in osteoporosis clinic charts (calculated using FRAX) and estimates presented on bone mineral density reports (calculated using CAROC) for 190 patients after menopause
| BMD report, no. (%)*† | Total discordant | ||||
|---|---|---|---|---|---|
| Low risk‡ n = 26 | Moderate risk‡ n = 130 | High risk‡ n = 34 | |||
| Osteoporosis clinic chart, no. (%)*† | Low risk,‡ n = 81 | 19 (10.0) | 57 (30.0) | 5 (2.6) | 62 (32.6) |
| Moderate risk,‡ n = 72 | 5 (2.6) | 55 (28.9) | 12 (6.3) | 17 (8.9) | |
| High risk,‡ n = 37 | 2 (1.1) | 18 (9.5) | 17 (8.9) | 20 (10.5) | |
| Total discordant | 7 (3.7) | 75 (39.4) | 17 (8.9) | 99 (52.1) | |
Note: BMD = bone mineral density, CAROC = Canadian Association of Radiologists and Osteoporosis Canada, FRAX = Fracture Risk Assessment Tool.
↵* Percentages represent the proportion of the total cohort (n = 190).
↵† Shaded cells represent patients whose BMD reports and osteoporosis clinic assessments provided discordant fracture risk classifications (i.e., the 2 estimates placed the patient in different risk categories).
↵‡ Low risk = 10-year osteoporotic fracture risk < 10.0%; moderate risk = 10.0%–19.9%; high risk = ≥ 20.0%.