@article{Saber_Aly_Amer_2020, title={Can we make treatment decisions by applying FRAX without BMD in Egypt?}, volume={69}, url={https://www.jgerontology-geriatrics.com/article/view/335}, DOI={10.36150/2499-6564-462}, abstractNote={<p><strong>Background &amp; aims</strong>. FRAX is used to calculate the 10-year absolute risk for hip or “any major” fracture. It can be applied with/without DXA scores, in countries like Egypt where there is no calculator available, a neighboring country calculator is used. Our aim was to determine whether FRAX without DXA scores was reliable for calculating fracture risk, and which neighboring population was closest to ours.<br><strong>Methods</strong>. A hospital based convenient sample study was conducted on patients referred to the outpatient radiology department for DXA over 12 months from Nov 2018 - Dec 2019. 395 patients, aging from 40-90 years, were included. Fracture risk probability was calculated using 9 calculators (Abu Dhabi, Iran, Jordan, Kuwait, Lebanon, Morocco, Palestine, Syria, Tunisia). This was done with and without BMD femoral neck obtained from DXA scan.<br><strong>Results</strong>. There were 71 men and 324 women. There was a considerable agreement between the calculated risk and treatment decisions using FRAX tool with or without inclusion of BMD. Regarding sensitivity and specificity for which country calculator to base treatment decisions on; the sensitivity was relatively low with the highest sensitivity (17%) using Kuwait, Lebanon and Syria and the lowest using Tunisia (0%). The specificity was much higher with the highest specificity (100%) using Jordan, Kuwait, Morocco and Palestine and the lowest specificity using Lebanon (98.6%).<br><strong>Conclusions</strong>. We can use FRAX without BMD scores for treatment decisions, but there is a need for population studies about hip fractures in Egypt to formulate our own FRAX.</p&gt;}, number={1}, journal={JOURNAL OF GERONTOLOGY AND GERIATRICS}, author={Saber, Heba G. and Aly, Menna A.E.G. and Amer, Mohamed}, year={2020}, month={Dec.}, pages={26-31} }