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Osteoporosis International
Erschienen in:

03.07.2024 | Position Paper

Race-specific FRAX models are evidence-based and support equitable care: a response to the ASBMR Task Force report on Clinical Algorithms for Fracture Risk

verfasst von: John A. Kanis, Nicholas C. Harvey, Mattias Lorentzon, Enwu Liu, Marian Schini, Bo Abrahamsen, Jonathan D. Adachi, Majed Alokail, Fredrik Borgstrom, Olivier Bruyère, John J. Carey, Patricia Clark, Cyrus Cooper, Elizabeth M. Curtis, Elaine M. Dennison, Manuel Díaz-Curiel, Hans P. Dimai, Daniel Grigorie, Mickael Hiligsmann, Patricia Khashayar, Willem Lems, E. Michael Lewiecki, Roman S. Lorenc, Alexandra Papaioannou, Jean-Yves Reginster, René Rizzoli, Eric Shiroma, Stuart L. Silverman, Eleanor Simonsick, Manuel Sosa-Henríquez, Pawel Szulc, Kate A. Ward, Noriko Yoshimura, Helena Johansson, Liesbeth Vandenput, Eugene V. McCloskey, on behalf of the Board of IOF, and the IOF Working Group on Epidemiology and Quality of Life

Erschienen in: Osteoporosis International | Ausgabe 9/2024

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Abstract

Task Force on ‘Clinical Algorithms for Fracture Risk’ commissioned by the American Society for Bone and Mineral Research (ASBMR) Professional Practice Committee has recommended that FRAX® models in the US do not include adjustment for race and ethnicity. This position paper finds that an agnostic model would unfairly discriminate against the Black, Asian and Hispanic communities and recommends the retention of ethnic and race-specific FRAX models for the US, preferably with updated data on fracture and death hazards. In contrast, the use of intervention thresholds based on a fixed bone mineral density unfairly discriminates against the Black, Asian and Hispanic communities in the US. This position of the Working Group on Epidemiology and Quality of Life of the International Osteoporosis Foundation (IOF) is endorsed both by the IOF and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO).
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Metadaten
Titel
Race-specific FRAX models are evidence-based and support equitable care: a response to the ASBMR Task Force report on Clinical Algorithms for Fracture Risk
verfasst von
John A. Kanis
Nicholas C. Harvey
Mattias Lorentzon
Enwu Liu
Marian Schini
Bo Abrahamsen
Jonathan D. Adachi
Majed Alokail
Fredrik Borgstrom
Olivier Bruyère
John J. Carey
Patricia Clark
Cyrus Cooper
Elizabeth M. Curtis
Elaine M. Dennison
Manuel Díaz-Curiel
Hans P. Dimai
Daniel Grigorie
Mickael Hiligsmann
Patricia Khashayar
Willem Lems
E. Michael Lewiecki
Roman S. Lorenc
Alexandra Papaioannou
Jean-Yves Reginster
René Rizzoli
Eric Shiroma
Stuart L. Silverman
Eleanor Simonsick
Manuel Sosa-Henríquez
Pawel Szulc
Kate A. Ward
Noriko Yoshimura
Helena Johansson
Liesbeth Vandenput
Eugene V. McCloskey
on behalf of the Board of IOF, and the IOF Working Group on Epidemiology and Quality of Life
Publikationsdatum
03.07.2024
Verlag
Springer London
Erschienen in
Osteoporosis International / Ausgabe 9/2024
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-024-07162-w

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