Osteoporosis SCORE estimation

by Mark Morgan, MD on March 12, 2012

in Gynecology

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Osteoporosis SCORE estimation[html]<br /> <strong>Summary:</strong> Tool for osteoporosis risk assessment.<br /> <strong>Reference:</strong> <a href="http://www.ncbi.nlm.nih.gov/pubmed/10179905" target="_blank">Lydick (1998) Am J Manag Care. 4:37-48. </a><br /> <strong>Links:</strong><br /> <a href="http://www.ncbi.nlm.nih.gov/pubmed/21242341" target="_blank">USPSTF recommends</a> screening for osteoporosis in women 65 years or older, and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors.<br /> <a href="http://www.fpnotebook.com/rheum/exam/OstprsScrEstmtn.htm" target="_blank">FPNotebook page</a><br /> <strong>See also:</strong> <a href="http://www.soapnote.org/women/osteoporosis-self-assessment-tool/" target="_blank">Osteoporosis Self-Assessment Tool</a><br /> [/html]
[select name="race" value="African American (0 points)=0|Not African American (5 points)=5"] <-- Race
[select name="rheum" value="no (0 points)=0|yes (4 points)=4"] <-- Rheumatoid Arthritis
[select name="fracture" value="none (0 points)=0|one (4 points)=4|two (8 points)=8|three (12 points)=12"] <-- Fracture after age 45 of wrist, hip or rib (4 points per Fracture)
[select name="age" value="65 or younger (0 points)=0|66 to 69 (18 points)=18|70 to 79 (21 points)=21|80 to 89 (24 points)=24|90 to 99 (27 points)=27"] <-- Age over 65 (3 points per decade if above 65)
[text name="weight" default=150] <-- Weight (subtract 1 point for every 10 points)
[select name="estro" value="ever used (0 points)=0|never used (1 point)=1"] <-- Estrogen therapy ever
Score --> [calc memo="number" value="score1=((race)+(rheum)+(fracture)+(age)+((weight)/(-10))+(estro)).toFixed(0)"] points
Interpretation –> [calc memo="recommendation" value="score2=(race)+(rheum)+(fracture)+(age)+((weight)/(-10))+(estro);score2>5?'Associated with T-Score below -2, Osteoporosis testing with DEXA Scan is recommended':'Osteoporosis testing not recommended based on this screen'"]

Osteoporosis SCORE estimation
Summary: Tool for osteoporosis risk assessment.
Reference: Lydick (1998) Am J Manag Care. 4:37-48.
Links:
USPSTF recommends screening for osteoporosis in women 65 years or older, and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors.
FPNotebook page
See also: Osteoporosis Self-Assessment Tool

<-- Race
<-- Rheumatoid Arthritis
<-- Fracture after age 45 of wrist, hip or rib (4 points per Fracture)
<-- Age over 65 (3 points per decade if above 65)
<-- Weight (subtract 1 point for every 10 points)
<-- Estrogen therapy ever
Score --> numberscore1=((race)+(rheum)+(fracture)+(age)+((weight)/(-10))+(estro)).toFixed(0) points
Interpretation --> recommendationscore2=(race)+(rheum)+(fracture)+(age)+((weight)/(-10))+(estro);score2>5?'Associated with T-Score below -2, Osteoporosis testing with DEXA Scan is recommended':'Osteoporosis testing not recommended based on this screen'
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