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Fracture risk assessment: state of the art, methodologically unsound, or poorly reported?
Univ Oxford, Ctr Stat Med, Wolfson Coll Annexe, Oxford OX2 6UD, England.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.
2012 (English)In: Current osteoporosis reports, ISSN 1544-2241, Vol. 10, no 3, 199-207 p.Article in journal (Refereed) Published
Abstract [en]

Osteoporotic fractures, including hip fractures, are a global health concern associated with significant morbidity and mortality as well as a major economic burden. Identifying individuals who are at an increased risk of osteoporotic fracture is an important challenge to be resolved. Recently, multivariable prediction tools have been developed to assist clinicians in the management of their patients by calculating their 10-year risk of fracture (FRAX, QFracture, Garvan) using a combination of known risk factors. These prediction models have revolutionized the way clinicians assess the risk of fracture. Studies evaluating the performance of prediction models in this and other areas of medicine have, however, been characterized by poor design, methodological conduct, and reporting. We examine recently developed fracture prediction models and critically discuss issues in their design, validation, and transparency.

Place, publisher, year, edition, pages
2012. Vol. 10, no 3, 199-207 p.
Keyword [en]
Osteoporosis, Hip fracture, Fracture risk assessment, Clinical prediction models, FRAX, QFracture, Garvan, Validation, Discrimination, Calibration
National Category
Orthopedics
Identifiers
URN: urn:nbn:se:uu:diva-188773DOI: 10.1007/s11914-012-0108-1ISI: 000209181700003PubMedID: 22688862OAI: oai:DiVA.org:uu-188773DiVA: diva2:579114
Available from: 2012-12-19 Created: 2012-12-19 Last updated: 2017-02-20Bibliographically approved

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Michaëlsson, Karl

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