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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2023

Open Access 01-12-2023 | Osteoporosis | Original Article

Patients’ thoughts about assessment of fracture risk in a dental setting using FRAX—a qualitative interview study

Authors: Charlotta Elleby, Pia Skott, Holger Theobald, Sven Nyrén, Helena Salminen

Published in: Archives of Osteoporosis | Issue 1/2023

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Abstract

Summary

FRAX is a tool based on questions that identifies persons at risk of fragility fractures. We interviewed patients about their thoughts on doing FRAX in a dental setting. They were generally positive but had some concerns that need to be considered before introducing FRAX in a dental setting.

Purpose

To investigate patients’ thoughts about assessing the risk of fragility fractures using the FRAX tool in a dental setting. Sweden has a high incidence of fragility fractures, but many of these are preventable. The most common method for identifying persons with a high risk of sustaining fragility fractures is FRAX, a validated instrument for assessing the risk of suffering fragility fractures within 10 years. In the Nordic countries, most of the adult population has regular contact with their dentist, which could be useful in identifying high-risk individuals.

Methods

A qualitative inductive approach to content analysis, with individual semi-structured interviews, was used. Seven women and three men, aged 65–75 years, were interviewed and assessed with FRAX.

Results

An overarching theme was that patients considered a FRAX assessment in the dental setting a good service but doubted that the dentists would have the interest, time, and knowledge to do it. The patients had little knowledge and experience of osteoporosis and fragility fractures. They were positive towards assessing the fracture risk with the FRAX instrument. If they were found to have a high fracture risk, they expected the dentist to send a referral for further investigation and to collaborate in the risk assessment with their family physician. They thought risk assessment in a dental context would be a good service if the fee was the same as that in primary care.

Conclusion

Most participants were positive about having FRAX and other health assessments done in the dental clinic, but this study shows that patients have concerns that need to be addressed before introducing FRAX in this context.
Appendix
Available only for authorised users
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Metadata
Title
Patients’ thoughts about assessment of fracture risk in a dental setting using FRAX—a qualitative interview study
Authors
Charlotta Elleby
Pia Skott
Holger Theobald
Sven Nyrén
Helena Salminen
Publication date
01-12-2023
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-023-01259-1

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