Research Article

Potential Extensions of the US FRAX Algorithm

Table 3

First major osteoporotic fractures observed among Rochester, MN women and men compared to numbers predicted by revised US FRAX (FN BMD), by age at baseline and quartile of full 10-year fracture probability (%).


Quartileb
≥40 years old at baseline≥60 years old at baseline
ObservedPredictedSIR (95% CI)aObservedPredictedSIR (95% CI)a

Women
 Q1 (0 to <4.7)21.71.2 (0.2–4.4)0cN.A.
 Q2 (4.7 to <10.4)54.51.1 (0.4–2.6)42.61.5 (0.4–3.9)
 Q3 (10.4 to <17.9)157.62.0 (1.1–3.3)136.32.0 (1.1–3.5)
 Q4 (17.9 to 44.9)2215.51.5 (0.95–2.3)2214.31.5 (0.96–2.3)
 Subtotal4428.21.6 (1.1–2.1)3923.31.7 (1.2–2.3)

Men
 Q1 (0 to <3.6)31.32.2 (0.5–6.6)10.2 5.6 (0.1–31)
 Q2 (3.6 to <5.2)22.50.8 (0.1–2.9)21.51.4 (0.2–4.9)
 Q3 (5.2 to <8.1)73.12.3 (0.9–4.7)52.42.1 (0.7–5.0)
 Q4 (8.1 to 29.8)66.40.9 (0.4–2.1)65.41.1 (0.4–2.4)
 Subtotal1813.21.4 (0.8–2.2)149.41.5 (0.8–2.5)

Total6241.51.5 (1.2–1.9)5332.71.6 (1.2–2.1)

aStandardized incidence ratio (SIR) and 95% confidence interval (CI).
bQuartiles (Q) defined using all ages.
cNo subjects in this group.