Primary screening for increased fracture risk by the FRAX® questionnaire—uptake rates in relation to invitation method
(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.
(Less)
- author
- Moberg, Louise M.E. LU ; Nilsson, Peter M. LU ; Holmberg, Anna H. LU ; Samsioe, Göran LU and Borgfeldt, Christer LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Fracture risk, FRAX, Screening, Women
- in
- Archives of Osteoporosis
- volume
- 14
- article number
- 51
- publisher
- Springer
- external identifiers
-
- pmid:31069544
- 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
- 2024-03-03 11:34:04
@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>}},
author = {{Moberg, Louise M.E. and Nilsson, Peter M. and Holmberg, Anna H. and Samsioe, Göran and Borgfeldt, Christer}},
issn = {{1862-3522}},
keywords = {{Fracture risk; FRAX; Screening; Women}},
language = {{eng}},
publisher = {{Springer}},
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}},
doi = {{10.1007/s11657-019-0603-4}},
volume = {{14}},
year = {{2019}},
}