title: How many high risk korean patients with osteopenia could overlook treatment eligibility?
abstract: METHODS
  Retrospective study.
  
  
  OBJECTIVE
  To determine the prevalence of high risk patient with osteopenia requiring pharmacologic treatment and investigate the difference of 10-year fracture probability whether bone mineral density (BMD) include or not in Korean FRAX model.
  
  
  BACKGROUND
  Many people with the fracture have osteopenia rather than osteoporosis, and BMD alone could be considered as a chance to prevent fracture.
  
  
  METHODS
  Three hundred sixty-nine patients who was diagnosed as osteopenia were divided into two groups according to age (group 1, under 65 years; group 2, over 65 years), and 10-year fracture probabilities were calculated by FRAX algorithm with and without femur neck T-score.
  
  
  RESULTS
  The high risk patients of the fracture who had above 3% of 10-year hip fracture probability were 15 cases in group 1 and 121 cases in group 2. In 193 patients of group 1, the mean 10-year fracture probability with BMD was significantly higher than the results without BMD (hip fracture: p=0.04, major osteoporotic fracture: p=0.01). Unlike the results of the group 1, the mean 10-year fracture probability without BMD was significantly higher than the results with BMD in 176 patients of group 2 (hip fracture: p=0.01, major osteoporotic fracture: p=0.01).
  
  
  CONCLUSIONS
  Total of 136 cases (36.8%) as a high risk of the fracture with osteopenia could be overlooked treatment eligibility in Korean. The Korean FRAX model without BMD could be effective in predicting fracture risk especially in the individuals who were over 65 years.
authors.affiliation: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Dae-Hyun
authors.initials: DH
authors.lastname: Yoon
authors.affiliation: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Dong-Hyuk
authors.initials: DH
authors.lastname: Choi
authors.affiliation: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Hyun-Gyun
authors.initials: HG
authors.lastname: Jung
authors.affiliation: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Ju-Young
authors.initials: JY
authors.lastname: Heo
authors.affiliation: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Young-Jae
authors.initials: YJ
authors.lastname: Jang
authors.affiliation: Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
authors.forename: Yong-Soo
authors.initials: YS
authors.lastname: Choi
keywords: Bone mineral density; FRAX; Osteopenia; Risk assessment