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Fragility Fracture Decision Aid

Estimate 10-year risk of major osteoporotic and hip fractures using published hazard ratios. Visualize the impact of bisphosphonate treatment and explore CTFPHC screening recommendations for shared decision-making.

Demographics

BMI25.4 kg/m²

Clinical Risk Factors

Previous FracturePrior fragility fracture in adult life
Parent Hip FractureHistory of hip fracture in mother or father
Current SmokerCurrently smokes tobacco
Glucocorticoids≥5mg prednisolone/day for ≥3 months
Rheumatoid ArthritisConfirmed RA diagnosis
Secondary OsteoporosisType I DM, osteogenesis imperfecta, untreated hyperthyroidism, hypogonadism, chronic malnutrition, malabsorption, chronic liver disease
Alcohol ≥3 units/day3 or more units of alcohol daily

10-year risk

25.4%Major Osteoporotic
8.7%Hip Fracture

Out of 100 people like this patient over 10 years:

25 will have a fractureNo fracture

Treatment Effect

e.g., Alendronate, Risedronate, Zoledronic acid

Contraindicated in esophageal disorders, hypocalcemia, severe renal impairment (eGFR <30–35)

CTFPHC Screening Context

Risk assessment–first screening recommended for females ≥65 years. If pharmacotherapy is considered, request BMD (DXA femoral neck) and re-estimate risk.

Screening not recommended for females 40–64 or males ≥40 (CTFPHC 2023).

Use results to facilitate shared decision-making about potential benefits and harms of preventive pharmacotherapy.

Clinical decision support only. Approximation based on published hazard ratios — not the official FRAX® tool. See CTFPHC 2023 Guideline | Official FRAX®. Not a substitute for clinical judgment.