Rheumatology Book


Osteoporosis SCORE Estimation

Aka: Osteoporosis SCORE Estimation, Simple Calculated Osteoporosis Risk Estimation
  1. See Also
    1. Osteoporosis Risk Assessment
    2. Osteoporosis Self-Assessment Tool (OST Score)
  2. Indications
    1. Osteoporosis Risk Assessment
  3. Background
    1. See Osteoporosis Risk Assessment for additional risk factors
    2. Majority of Osteoporosis risk is predicted by age, weight and ethnicity
      1. Consider OST Score instead for estimating risk in white or asian patients without other risks
      2. For those with prior Fractures or Rheumatoid Arthritis, use this SCORE tool or FRAX Calculator
  4. Criteria
    1. Race not black: 5 points
    2. Rheumatoid Arthritis: 4 points
    3. Fracture after age 45 of wrist, hip or rib: 4 points per Fracture
    4. Age over 65: Calculate 3 x (1st digit of age)
      1. Example for age 70: 21
    5. Weight: Calculate (-1 x weight in pounds)/10
      1. Example for weight 200 pounds: -20
    6. Estrogen therapy never used: 1 point
  5. Interpretation
    1. Score of 6 or above is associated with T-Score below -2
    2. Osteoporosis testing with DEXA Scan is recommended if Score of 6 or above
  6. Efficacy
    1. Test Sensitivity: 91%
    2. Test Specificity: 40%
  7. References
    1. Lydick (1998) Am J Manag Care 4(1): 37-48 [PubMed]

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