[A brief reference to this item appears in: Dementia and Elderly Care: the Latest Evidence Newsletter (RWHT), Volume 3 Issue 3, October 2012].
This article covers a prospective cohort study which was designed to develop and validate an updated version of the QFracture algorithm for estimating the risk of people sustaining osteoporotic fractures or hip fractures in primary care. The authors updated the QFracture algorithm to predict risk of hip fracture and osteoporotic fracture (vertebral, distal radius, proximal humerus, or hip).
The updated algorithms now include chronic obstructive airways disease, chronic renal disease, cancer, dementia, epilepsy (diagnosed or prescribed anticonvulsants), Parkinson’s disease, previous fragility fracture, and care home residency (men only). The updated algorithms also include ethnic origin, prescription of any class of antidepressants, systemic lupus erythematosus and type 1 diabetes. These updated algorithms should be more effective at identifying patients at high risk of fracture in primary care.
Hippisley-Cox, J. Coupland, C. (2012). Derivation and validation of updated QFracture algorithm to predict risk of osteoporotic fracture in primary care in the United Kingdom: prospective open cohort study. BMJ (Clinical research ed.), July 7th 2012, Vol.344(7864), e3427. (Click here to view the PubMed abstract).