There is no single, universal cut-off point for FRAX score treatment. The decision to start treatment for osteoporosis is based on a combination of factors, including:
- FRAX score: This score estimates your 10-year risk of fracture.
- Bone mineral density (BMD): Measured using a DXA scan, BMD helps assess bone strength.
- Clinical risk factors: These include age, sex, family history of osteoporosis, and certain medical conditions.
- Lifestyle factors: Smoking, alcohol consumption, and lack of physical activity can increase fracture risk.
- Patient preferences: Ultimately, the decision to start treatment is a collaborative one between the patient and their doctor.
Here are some general guidelines:
- High FRAX score: A higher FRAX score generally indicates a higher risk of fracture, making treatment more likely.
- Low BMD: A low BMD reading may also trigger treatment recommendations.
- Previous fracture: Having a previous fracture increases the risk of future fractures, making treatment more likely.
- Multiple risk factors: Patients with several risk factors may be more likely to be treated, even if their FRAX score is not extremely high.
It's important to note that FRAX scores are just one piece of the puzzle. Your doctor will consider all of these factors to determine the best course of action for you.
