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Department of Orthopedics, KKU

Osteoporosis Risk Categorization

1. Patient Details
Sex
Age (years)
2. Evaluations
BMD T-score
Note: Lowest T-score at lumbar spine*, femoral neck*, total hip, or 1/3 radius ( if hip/spine cannot interpreted, hyperparathyroidism, obese patient ).
10-year probability of hip fracture (FRAX for Thai) %
Note: You can calculate the FRAX score for Thai patients here: FRAX Thailand Tool ↗
3. Critical Indicators
History of fragility fracture ?
Hip
Timeframe:
Vertebral body Moderate(26-40%) to severe(>40%) deformity based on the Genant classification
Timeframe:
Proximal humerus
Pelvis
Distal forearm
Multiple fractures ≥ 3 times or ≥ 3 sites
On osteoporosis therapy for ≥ 2 years
Secondary cause of osteoporosis ?
Recommended to evaluate CBC, calcium, phosphate, Cr, eGFR, alkaline phosphatase, albumin, globulin, 25-hydroxy vitamin D level, parathyroid and thyroid hormone
Assessment Result & Categorization
Risk Category Stratum
Analyzing patient profile on the left. The risk stratification and medical decision directives will adapt in real-time.
Pharmacological Information
Contact : y.yonradee@gmail.com