3.2.2 QFracture

The Qfracture [Tip: hold Ctrl and click a link to open it in a new tab. (Hide tip)] tool calculates risks for hip fracture and MOF. The calculation can be performed for risk over 10 years (as with FRAX) or adjusted to between 1 and 10 years. In older patients or those with a more limited life expectancy, this may aid decision making. Qfracture has the advantage that it is applicable from ages 30 to 99 years. It includes 25 variables; from falls and Parkinson’s, to many other conditions associated with higher fracture risk. It cannot include BMD, even if the patient has had a DXA scan. However, in UK clinical practice many older patients will not have had a DXA. Similarly, it does not link to any guidance and the results must be interpreted by the clinician. It likely overestimates the risk of major osteoporotic fracture.

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Example results from Qfracture risk calculator for a 74 year old man with Parkinson's and history of falls, showing 18.8% risk of osteoporotic fracture of hip, wrist, shoulder or spine in next 10 years, and 15.1% risk of hip fracture