Clinical and demographic factors determining patient fracture risk decision point (FRDP): The improving risk communication in osteoporosis (RICO) project
Authors' conclusion
Most patients were willing to accept an osteoporosis medication prescription at a hypothetical FRAX probability that was even lower than that of their nationally recommended treatment threshold. Literacy scores had a significant influence on FRDP whereas age and fracture history did not.
Study context
- Population
- Postmenopausal women at risk of fracture, nine countries, 2022–2023
- Participants
- 332 women
- Exposure
- Higher numeric literacy vs Lower numeric literacy
- Outcome
- FRDP: lowest probability of major osteoporotic fracture at which participants would accept an osteoporosis medication, given eight hypothetical 10-year FRAX scores
Methodological detailsmultinational (nine countries), hypothetical FRAX scenarios
- Multinational (nine countries)
- Hypothetical FRAX scenarios
Main finding
As reported in the abstract
FRDP at or below national treatment threshold
FRDP at or below respective threshold (collectively)
79.2%
Observational data: associations, not effects.
Further findings
Median
| Outcome | Higher numeric literacy | Lower numeric literacy | P value |
|---|---|---|---|
| Median FRDP by numeric literacy | 10% | 5% | P < 0.001 |
Original publication
Clinical and demographic factors determining patient fracture risk decision point (FRDP): The improving risk communication in osteoporosis (RICO) project. Osteoporos Int. Published 21 October 2024. doi:10. 1007/ s00198-024-07264-5
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