This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Qfracture score

Authoring team

Q FractureScore

This is a new prediction algorithm which estimates the 10 year absolute risk of osteoporotic fractures and hip fractures in men and women (1)

  • specifically developed by doctors and academics for use in the UK (2)
  • it extends the age range and also takes into account additional variables than compared to FRAX, such as falls, type 2 diabetes, cardiovascular disease, use of HRT, menopausal symptoms, and use of tricyclic antidepressants
  • does not require any laboratory testing or clinical measurements hence can be used in primary care

The factors used in QFracture score in men and women include

  • age
  • body mass index
  • smoking status (non smoker, ex smoker, light, moderate, heavy)
  • alcohol use
  • rheumatoid arthritis
  • cardiovascular disease
  • type 2 diabetes
  • asthma
  • use of tricyclic antidepressants (at least 2 scripts in last 6 months)
  • use of corticosteroids (at least 2 scripts in last 6 months)
  • history of falls
  • chronic liver disease

Additional factors are used in women:

  • use of Hormone Replacement Therapy
  • parental history of hip fracture/osteoporosis
  • menopausal symptoms (vaginal dryness, hot sweats)
  • gastrointestinal absorption (including Crohns disease, ulcerative colitis, celiac disease, steatorrhoea, blind loop syndrome)
  • other endocrine disorders (thyrotoxicosis, primary or secondary hyperparathyroidism, Cushings syndrome) (2)

The web based risk calculator is available at the QFracture website.

Reference:


Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.