**Osteoporosis SCORE Estimation**, Simple Calculated Osteoporosis Risk Estimation

- Indications

- Background

- See Osteoporosis Risk Assessment for additional risk factors
- Majority of Osteoporosis risk is predicted by age, weight and ethnicity
- Consider OST Score instead for estimating risk in white or asian patients without other risks
- For those with prior Fractures or Rheumatoid Arthritis, use this SCORE tool or FRAX Calculator

- Criteria

- Race not black: 5 points
- Rheumatoid Arthritis: 4 points
- Fracture after age 45 of wrist, hip or rib: 4 points per Fracture
- Age over 65: Calculate 3 x (1st digit of age)
- Example for age 70: 21

- Weight: Calculate (-1 x weight in pounds)/10
- Example for weight 200 pounds: -20

- Estrogen therapy never used: 1 point

- Interpretation

- Score of 6 or above is associated with T-Score below -2
- Osteoporosis testing with DEXA Scan is recommended if Score of 6 or above

- Efficacy

- Test Sensitivity: 91%
- Test Specificity: 40%