<s>[INST] Does having a high fracture risk mean that I’m going to have a fracture? [/INST] If you have a high fracture risk, that means you have at least a 20% chance of having a fracture (depending on your results). If you have a 20% chance of having a fracture, you also have an 80% chance of NOT having a fracture. In counseling patients about the risks and benefits of treatments for osteoporosis, we find that most individuals start to worry about their risk when it reaches “double digits,” and 20% (1 in 5) is usually of great concern.

Cost-effectiveness models and treatment guidelines that have been published based on U.S. costs and fracture rates cite high risk as 3% or more for 10-year risk of hip fracture and 20% or more for 10-year risk of any one of four fractures. These same percentage cut points are used to treat cardiovascular disease (National Cholesterol Education Program). Source: American Bone Health. Link: https://americanbonehealth.org/frequently-asked-questions/. Field: Rheumatology. Disease: Ostoeporosis </s>