The effectiveness and cost-effectiveness of clinical fracture-risk assessment tools in reducing future osteoporotic fractures among older adults: a structured scoping review
Authors' conclusion
According to the available evidence to date, using clinical fracture-risk assessment screening tools was not more effective than usual care in preventing all osteoporosis-related fractures. However, using those screening tools positively influenced women's perspectives on osteoporosis, may have reduced hip fracture risk, and could potentially be cost-effective.
Study context
- Population
- Older adults (RCTs in older women); CINAHL, Medline and Embase searched until June 29, 202114 studies
- Comparison
- Clinical fracture-risk assessment screening tools vs usual care
- Outcome
- Reduction in future osteoporotic fractures
Methodological detailsArksey and O'Malley framework, quality appraisal of included studies
- Arksey and O'Malley framework
- Quality appraisal of included studies
Main finding
As reported in the abstract
All osteoporotic fractures (4 RCTs)
- No statistically significant reduction in osteoporotic fracture risk vs usual care
Further findings
Hip fractures (additional analyses of 2 trials)
- Trend toward reducing hip fractures; might be clinically significant
Other health outcomes (4 studies)
- Participants reported positive results
Cost-effectiveness (8 simulation studies)
- Majority showed significant potential savings
Original publication
The effectiveness and cost-effectiveness of clinical fracture-risk assessment tools in reducing future osteoporotic fractures among older adults: a structured scoping review. Osteoporos Int. Published 4 January 2023. doi:10.
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