Who are the individuals at high fracture risk on the average GP’s list?

The average number of patients per GP Practice in the UK is 7,183 (according to the Health and Social Care Information Centre's General Practice Trends in the UK to 2015). Many of those patients will present to the GP with a potential risk factor for fragility fracture and/or osteoporosis.

NICE gives the following as being the groups of patients that GPs should target their risk assessment (taken from NICE Clinical Guidance CG146): 

1.1 Consider assessment of fracture risk:

  • In all women aged 65 years and over and all men aged 75 years and over

  • in women aged under 65 years and men aged under 75 years in the presence of risk factors, for example: 

    • previous fragility fracture

    • current use or frequent recent use of oral or systemic glucocorticoids

    • history of falls

    • family history of hip fracture

    • other causes of secondary osteoporosis[7]

    • low body mass index (BMI) (less than 18.5 kg/m2)

    • smoking

    • alcohol intake of more than 14 units per week for women and more than 21 units per week for men.

     

1.2 Do not routinely assess fracture risk in people aged under 50 years unless they have major risk factors (for example, current or frequent recent use of oral or systemic glucocorticoids, untreated premature menopause or previous fragility fracture), because they are unlikely to be at high risk.

 

More information for you and your patients

Encourage your patients to take our 'Stop At One' test to find out if they are at risk of osteoporosis. 

Stop At One Quiz

Next section: Initiation

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