Fracture Risk Assessment Strategies

Strategy 3 used a one-time DXA scan for everyone aged 40 years and older. Strategy 2 applied IDFracture to adults with intellectual disabilities and referred people above risk thresholds for DXA. Strategy 1 represented current UK practice…

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Strategy 3 used a one-time DXA scan for everyone aged 40 years and older. Strategy 2 applied IDFracture to adults with intellectual disabilities and referred people above risk thresholds for DXA. Strategy 1 represented current UK practice using QFracture and selective DXA scanning. The study compared three lifetime fracture risk assessment strategies from the NHS direct healthcare cost perspective. The study evaluated assessment strategies rather than prediction tools alone because policy decisions must choose whole pathways.