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Primary screening for increased fracture risk by the FRAX® questionnaire—uptake rates in relation to invitation method

Moberg, Louise M.E. LU ; Nilsson, Peter M. LU ; Holmberg, Anna H. LU ; Samsioe, Göran LU and Borgfeldt, Christer LU (2019) In Archives of Osteoporosis 14.
Abstract

Summary: The aim of the study was to evaluate the feasibility and most efficient way of offering middle-aged Swedish women a primary fracture screening program via a questionnaire. Two out of five invited women returned the FRAX questionnaire and those contacted directly by mail were most prone to respond. Purpose: Osteoporosis and its associated fractures are increasing, and this study aims to explore ways to identify women at an increased risk of fracture using the FRAX® algorithm. Methods: Three thousand middle-aged women were invited and presented a questionnaire distributed by three different methods–by mail, at routine mammography, or internet-based. Results: In total, 1120 (37.3%) women responded to the questionnaire and agreed... (More)

Summary: The aim of the study was to evaluate the feasibility and most efficient way of offering middle-aged Swedish women a primary fracture screening program via a questionnaire. Two out of five invited women returned the FRAX questionnaire and those contacted directly by mail were most prone to respond. Purpose: Osteoporosis and its associated fractures are increasing, and this study aims to explore ways to identify women at an increased risk of fracture using the FRAX® algorithm. Methods: Three thousand middle-aged women were invited and presented a questionnaire distributed by three different methods–by mail, at routine mammography, or internet-based. Results: In total, 1120 (37.3%) women responded to the questionnaire and agreed to participate. The response rates for the mail, mammography, and internet-based groups were 39.1%, 35.7%, and 25.2% respectively. Women in the mammography group weighed more, were slightly older than the other women, and also had a higher BMI than women from the mail and internet-based groups. No difference was observed between the groups regarding previous fracture, family history for fracture, current smoking, glucocorticoid use, and alcohol usage. The mammography group had a higher median (interquartile range) major osteoporotic FRAX® score (10.0% (7.8–17.0)) than the mail group (9.7% (7.1–15.0); p = 0.005) and the internet-based group (8.7% (6.7–14.0); p = 0.001). Conclusions: Two out of five early postmenopausal women returned the questionnaire and women contacted directly by mail were more prone to respond. Out of the participants, 26.6% had a 10-year fracture risk score ≥ 15% according to the FRAX® algorithm.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Fracture risk, FRAX, Screening, Women
in
Archives of Osteoporosis
volume
14
publisher
Springer London
external identifiers
  • scopus:85065718828
ISSN
1862-3522
DOI
10.1007/s11657-019-0603-4
language
English
LU publication?
yes
id
b9117a8f-7b92-41cd-8d93-73b671d4edee
date added to LUP
2019-05-27 15:57:13
date last changed
2019-06-19 04:13:40
@article{b9117a8f-7b92-41cd-8d93-73b671d4edee,
  abstract     = {<p>Summary: The aim of the study was to evaluate the feasibility and most efficient way of offering middle-aged Swedish women a primary fracture screening program via a questionnaire. Two out of five invited women returned the FRAX questionnaire and those contacted directly by mail were most prone to respond. Purpose: Osteoporosis and its associated fractures are increasing, and this study aims to explore ways to identify women at an increased risk of fracture using the FRAX® algorithm. Methods: Three thousand middle-aged women were invited and presented a questionnaire distributed by three different methods–by mail, at routine mammography, or internet-based. Results: In total, 1120 (37.3%) women responded to the questionnaire and agreed to participate. The response rates for the mail, mammography, and internet-based groups were 39.1%, 35.7%, and 25.2% respectively. Women in the mammography group weighed more, were slightly older than the other women, and also had a higher BMI than women from the mail and internet-based groups. No difference was observed between the groups regarding previous fracture, family history for fracture, current smoking, glucocorticoid use, and alcohol usage. The mammography group had a higher median (interquartile range) major osteoporotic FRAX® score (10.0% (7.8–17.0)) than the mail group (9.7% (7.1–15.0); p = 0.005) and the internet-based group (8.7% (6.7–14.0); p = 0.001). Conclusions: Two out of five early postmenopausal women returned the questionnaire and women contacted directly by mail were more prone to respond. Out of the participants, 26.6% had a 10-year fracture risk score ≥ 15% according to the FRAX® algorithm.</p>},
  articleno    = {51},
  author       = {Moberg, Louise M.E. and Nilsson, Peter M. and Holmberg, Anna H. and Samsioe, Göran and Borgfeldt, Christer},
  issn         = {1862-3522},
  keyword      = {Fracture risk,FRAX,Screening,Women},
  language     = {eng},
  publisher    = {Springer London},
  series       = {Archives of Osteoporosis},
  title        = {Primary screening for increased fracture risk by the FRAX® questionnaire—uptake rates in relation to invitation method},
  url          = {http://dx.doi.org/10.1007/s11657-019-0603-4},
  volume       = {14},
  year         = {2019},
}