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September 15, 2009
You may have heard recent media reports about a new fracture risk assessment tool called FRAX®,
developed by the World Health Organization (WHO). FRAX® is a system for determining absolute
fracture risk. Different FRAX® tools are needed for each country since fracture rates are very
different, even between the United States and Canada. Currently, no Canadian FRAX®
tool exists. Therefore, Osteoporosis Canada does not recommend the use of FRAX in Canada at this
time and has initiated a plan to evaluate all available fracture risk methods. Until assessment completion,
it is recommended that fracture risk continue to be determined using the 2005 Canadian Association of
Radiologists/Osteoporosis Canada document summarized in To treat or
not to treat.
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