Osteoporosis & bone health

Development and external validation of prediction models for major osteoporotic fracture and hip fracture in people with intellectual disability

Osteoporos IntPublished Prediction model development and external validation study

Authors' conclusion

IDFracture has potential as a screening tool in clinical practice to identify people with ID who are at increased risk of MOF and HF.

Study context

Population
People with ID aged 30–79 years
Outcome
10-year risk of HF and MOF
Follow-up
10 years
Methodological detailsCox regression, bootstrapping to adjust for overfitting, temporal validation
  • Cox regression
  • Bootstrapping to adjust for overfitting
  • Temporal validation

Performance

As reported in the abstract

Discrimination (C statistic), external validation

C statistic, major osteoporotic fracture (MOF)

0.775

C statistic, hip fracture (HF)

0.839

Further findings

OutcomeDevelopmentExternal validation
Fracture events within 10 years
MOFs10452420
HFs3601001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Development and external validation of prediction models for major osteoporotic fracture and hip fracture in people with intellectual disability. Osteoporos Int. Published 20 April 2026. doi:10.1007/s00198-026-07848-3

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