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%.