Skip to main content

Table 1 Risk factors for fractures according to the Dutch guideline for general practitioners (GP) for primary osteoporosis

From: Design of the SALT Osteoporosis Study: a randomised pragmatic trial, to study a primary care screening and treatment program for the prevention of fractures in women aged 65 years or older

Risk factor Risk score
Vertebral fracture 4
Recent fracture (<2 years) after the age of 50 years 4a
Age ≥ 70 years 1
Age ≥ 60 years 1
Non recent fracture after the age of 50 years 1
Additional non recent fracture after the age of 50 years at a separate occasion 1
Parental hip fracture 1
Body weight < 60 kg 1
Severe immobility or 1 fall or more in the last year 1
  1. Bone densitometry and morphological assessment of vertebral fractures (unless a vertebral x-ray has already been performed) is indicated if the total risk score is ≥4 points. Subsequently bisphosphonate treatment for 5 years is advised if the bone mineral density (BMD) of either femoral neck or lumbar spine shows a T-score ≤ −2.5 or if a prevalent vertebral fracture (≥25% height reduction) is presenta
  2. aIn October 2012, when the trial had already started, the Dutch guidelines for GP’s for primary osteoporosis were updated [11]. In the previous guidelines, the treatment threshold of BMD (femoral neck or spine) was a T- score < −2.5 for patients aged <70 years, or a Z-score ≤ −1 for patients aged ≥70 years