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. 2014 Apr;14(2):187-91.
doi: 10.7861/clinmedicine.14-2-187.

Osteoporosis and fracture risk in older people

Tara Coughlan  1 , Frances Dockery
Affiliations

Osteoporosis and fracture risk in older people

Tara Coughlan et al. Clin Med (Lond). 2014 Apr.
No abstract available

Keywords: Alendronate; bisphosphonates; bone mineral; calcium; density; falls; fractures; older people; osteoporosis.

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Figures

Fig 1.
Fig 1.
Fracture risk vs fracture probability. BMI = body mass index; SD = standard deviation. Adapted with permission from Kanis et al (2012).
Fig 2.
Fig 2.
Assessing fracture risk in older people. *Dual-energy X-ray absorptiometry (DXA) may still be appropriate, especially for younger people and as a baseline before pharmacological treatment. †Option 1 may undertreat if the patient has osteopenia; option 2 may overtreat depending on the fixed threshold; and option 3 may undertreat older people. Clinical judgement should be used in deciding the best option for individual patients. The falls risk is not accounted for in the FRAX® tool, so this risk factor should be borne in mind when evaluating the benefits of treatment. BMD = bone mineral density; NICE = National Institute for Health and Care Excellence; NOGG = National Osteoporosis Guideline Group, TAG = technology appraisal guidance.
See this image and copyright information in PMC

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