OBJECTIVE: To evaluate the efficacy of the World Health Organization Fracture Risk Assessment Tool, excluding bone mineral density (pre- @entity1555 FRAX), in identifying Taiwanese postmenopausal @entity1 needing dual-energy X-ray absorptiometry (DXA) examination for further treatment. MATERIALS AND METHODS: The pre- @entity1555 FRAX score was calculated for 231 postmenopausal @entity1 who participated in public health education workshops in the local Keelung community, Taiwan. DXA scanning and vertebral @entity174 assessment (VFA) were arranged for @entity1 classified as intermediate or high risk for @entity174 using the pre- @entity1555 FRAX @entity174 probability. RESULTS: Pre- @entity1555 FRAX classified 26 @entity1 as intermediate risk and 37 as having high risk for @entity174 . Subsequent DXA scans for these 63 @entity1 showed that 36 were @entity3604 , 19 were @entity6092 , and eight had normal bone density. Concurrent VFA revealed 25 spine factures in which 14 were @entity3604 , seven were @entity6092 , and four had normal bone density. The efficacy of the pre- @entity1555 FRAX score to identify those @entity1 with low bone mass by DXA was 87.3% (55/63). When VFA was combined with @entity1555 to identify those @entity1 with high risk ( @entity2331 , @entity170 , or @entity174 ), the efficacy of the pre- @entity1555 score increased to 93.7% (59/63). According to the National @entity170 Foundation, the overall concordance between pre- @entity1555 FRAX and @entity1555 , expressed through the kappa index, was 0.967. Compared with the evaluation when @entity1555 was used alone, there was a significant increase in efficacy in identifying @entity1 who need treatment using @entity1555 plus VFA or FRAX plus @entity1555 . Furthermore, the highest efficacy was achieved when FRAX with @entity1555 and VFA was used. CONCLUSION: The pre- @entity1555 FRAX score not only efficiently predicts postmenopausal @entity1 who are potentially at risk and might require treatment but also reduces unnecessary DXA use. Concurrent VFA during DXA use increases spine @entity174 detection. This improvement in diagnostic efficacy allows clinicians to provide the most appropriate therapeutic recommendation.

Application of the World Health Organization Fracture Risk Assessment Tool to predict need for dual-energy X-ray absorptiometry scanning in postmenopausal XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity3604 :: ('MESH:D058866', 'Disease') :: ['osteoporotic'] @entity174 :: ('MESH:D050723', 'Disease') :: ['spinal fracture', 'fracture'] @entity170 :: ('MESH:D010024', 'Disease') :: ['Osteoporosis', 'osteoporosis'] @entity1555 :: ('MESH:D020388', 'Disease') :: ['BMD'] @entity2331 :: ('MESH:D001851', 'Disease') :: ['osteopenia'] @entity6092 :: ('MESH:C567172', 'Disease') :: ['osteopenic']
@entity1 :: (9606,Species) :: ['women']
