TY - JOUR
T1 - Race-specific FRAX models are evidence-based and support equitable care
T2 - a response to the ASBMR Task Force report on Clinical Algorithms for Fracture Risk
AU - Kanis, John A.
AU - Harvey, Nicholas C.
AU - Lorentzon, Mattias
AU - Liu, Enwu
AU - Schini, Marian
AU - Abrahamsen, Bo
AU - Adachi, Jonathan D.
AU - Alokail, Majed
AU - Borgstrom, Fredrik
AU - Bruyère, Olivier
AU - Carey, John J.
AU - Clark, Patricia
AU - Cooper, Cyrus
AU - Curtis, Elizabeth M.
AU - Dennison, Elaine M.
AU - Díaz-Curiel, Manuel
AU - Dimai, Hans P.
AU - Grigorie, Daniel
AU - Hiligsmann, Mickael
AU - Khashayar, Patricia
AU - Lems, Willem
AU - Lewiecki, E. Michael
AU - Lorenc, Roman S.
AU - Papaioannou, Alexandra
AU - Reginster, Jean Yves
AU - Rizzoli, René
AU - Shiroma, Eric
AU - Silverman, Stuart L.
AU - Simonsick, Eleanor
AU - Sosa-Henríquez, Manuel
AU - Szulc, Pawel
AU - Ward, Kate A.
AU - Yoshimura, Noriko
AU - Johansson, Helena
AU - Vandenput, Liesbeth
AU - McCloskey, Eugene V.
AU - Board of IOF, and the IOF Working Group on Epidemiology and Quality of Life
AU - Gregson, Celia L .
AU - Lau, Edith
AU - Lips, Paul
AU - Ortolani, Sergio
AU - Dawson-Hughes, Bess
AU - Jiwa, Famida
PY - 2024/9
Y1 - 2024/9
N2 - Task Force on 'Clinical Algorithms for Fracture Risk' commissioned by the American Society for Bone and Mineral Research (ASBMR) Professional Practice Committee has recommended that FRAX® models in the US do not include adjustment for race and ethnicity. This position paper finds that an agnostic model would unfairly discriminate against the Black, Asian and Hispanic communities and recommends the retention of ethnic and race-specific FRAX models for the US, preferably with updated data on fracture and death hazards. In contrast, the use of intervention thresholds based on a fixed bone mineral density unfairly discriminates against the Black, Asian and Hispanic communities in the US. This position of the Working Group on Epidemiology and Quality of Life of the International Osteoporosis Foundation (IOF) is endorsed both by the IOF and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO).
AB - Task Force on 'Clinical Algorithms for Fracture Risk' commissioned by the American Society for Bone and Mineral Research (ASBMR) Professional Practice Committee has recommended that FRAX® models in the US do not include adjustment for race and ethnicity. This position paper finds that an agnostic model would unfairly discriminate against the Black, Asian and Hispanic communities and recommends the retention of ethnic and race-specific FRAX models for the US, preferably with updated data on fracture and death hazards. In contrast, the use of intervention thresholds based on a fixed bone mineral density unfairly discriminates against the Black, Asian and Hispanic communities in the US. This position of the Working Group on Epidemiology and Quality of Life of the International Osteoporosis Foundation (IOF) is endorsed both by the IOF and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO).
KW - Fracture probability
KW - FRAX adjustment
KW - Race and ethnicity
KW - Racism
UR - http://www.scopus.com/inward/record.url?scp=85202905793&partnerID=8YFLogxK
U2 - 10.1007/s00198-024-07162-w
DO - 10.1007/s00198-024-07162-w
M3 - Article
C2 - 38960982
AN - SCOPUS:85202905793
SN - 1433-2965
VL - 35
SP - 1487
EP - 1496
JO - Osteoporosis international : with other metabolic bone diseases
JF - Osteoporosis international : with other metabolic bone diseases
IS - 9
ER -
