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Table 1 Summary of criteria described for clinical decision rules to predict low bone mineral density applied in a cohort of 127 post-menopausal women with rheumatoid arthritis.

From: The utility of clinical decision tools for diagnosing osteoporosis in postmenopausal women with rheumatoid arthritis

Guideline/Rule Selection Cut Point Scoring system
Simple Calculated Osteoporosis Risk Estimation (SCORE)(6) Score ≥ 6 Points for: Race: 5 if not black
Rheumatoid arthritis: 4 if present
Personal history of minimal trauma fracture after age 45 yrs years: 4 each fracture of the wrist, hip, or rib to a maximum of 12
Age: 3 times first digit of age in yrs
Estrogen therapy: 1 if never used
Weight: -1 times weight in lb divided by 10 and truncated to integer
Osteoporosis Risk Assessment Instrument (ORAI)(4) Score ≥ 9 Points for: Age: 15 if 75 yrs or older, 9 if 65–74 yrs, 5 if 55–64 yrs
Weight: 9 if <60 kg, 3 if 60.0–69.9 kg
Estrogen use: 2 if not currently taking estrogen
Age, Body Size, No Estrogen (ABONE)(23) Score ≥ 2 Points for: Age: 1 if > 65 yrs
Weight: if <63.5 kg
Estrogen use: 1 if never used oral contraceptives or estrogen therapy for at least 6 months
Body weight criterion(22)   If Weight <70 kg
Osteoporosis Self Assessment Tool (OST)(8) Score < 2 Sum of: (Weight – Age) * 0.2 truncated to an integer
Study of Osteoporotic Fractures (SOFSURF)(7) Score ≥ 1 Sum of: (Age – 65) * 0.2
Plus 1 point each for
Weight less than 68 kg
Current smoker
Personal history of postmenopausal fracture
Plus 2 points if Weight < 59 kg.
National Osteoporosis Foundation (NOF)(21) Score ≥ 1 One point each for: Age ≥ 65 yrs
Personal history of minimal trauma fracture >40 yrs
Family history of fracture
Current cigarette smoking
Amsterdam rheumatologists score(15) Score ≥ 2 Points for: Disease activity (mean CPR > 20 mg/l or persistent ESR > 20 mm for the 1st hour
Age: women > 50 yrs
Immobility: ARA score = 3 or HAQ score ≥ 1.25.
Modified Amsterdam(24) Score ≥ 3 As per Amsterdam rheumatologist algorithm, with an additional point for each of
Weight: <60 kg
Any previous steroid use