Fracture-risk calculators: has their time come?
Mark J. Bolland has written this editorial in the Canadian Medical journal published this month. CMAJ 2011 183: 171-172
It results from the publication of a recent study from The Canadian Multicentre Osteoporosis Study Research Group titled: "Independent external validation of nomograms for predicting risk of low-trauma fracture and hip fracture" The group assessed the discrimination and calibration of nomograms based on the Dubbo Osteoporosis Epidemiology Study, which predict the five- and ten-year absolute risk of fracture using age, bone mineral density and history of falls and low-trauma fracture. They have concluded that the published nomograms provide good fracture-risk discrimination in a representative sample of the Canadian population.
Full text at http://www.cmaj.ca/cgi/reprint/183/2/E107