A 67-year-old has no prior fracture but DXA shows a femoral-neck T-score of −3.6. Secondary causes have been assessed. What risk-pathway decision

Question

A 67-year-old has no prior fracture but DXA shows a femoral-neck T-score of −3.6. Secondary causes have been assessed. What risk-pathway decision follows NOGG?

Accepted Answer

Refer to an osteoporosis specialist as very high risk

Answer

Use calcium and vitamin D alone unless FRAX exceeds the upper age limit

Answer

Repeat DXA in 5 years before deciding whether treatment is indicated

Answer

Start a drug holiday because the T-score is below −3.5

Answer

Reassure because specialist referral requires a previous hip fracture

DXA interpretation — SCE Rheumatology MCQ

A 67-year-old has no prior fracture but DXA shows a femoral-neck T-score of −3.6. Secondary causes have been assessed. What risk-pathway decision follows NOGG?