SCORE (Osteoporosis Risk)
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Select Race African-American Caucasian (White) Asian Hispanic Other
Does patient have rheumatoid arthritis? Yes No
Does the patient have history of non-traumatic fractures after age 45 year
☐Hip
☐Rib
☐Wrist
Enter patient's current age
Does the patient currently take or in the past has ever took estrogen? Yes No
Weight type Pounds Kgs
Weight
R e s u l t s
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SCORE (Osteoporosis Risk)

The Simple Calculated Osteoporosis Risk Estimation (SCORE) was developed looking at women >=45 years of age who were post-menopausal. In this population, 89% were Caucasian and 38% had low BMD at the hip and 24% of the spine (T score <=-2 SD from mean).

This tool asks the following 6 questions:

  1. Race
    - If race is "Not Black" then 5 points are given
  2. Rheumatoid arthritis (RA)
    - If RA is present, 4 points are given
  3. History of fractures
    - This applies to each type (forearm/wrist, hip or rib) of non-traumatic fracture that occurred after age 45 years; each fracture receives 4 points (maximum 12 points)
  4. Age
    - The first digit of the age is multiplied by 3 to get the total points (e.g. 48 would be 4 × 3 = 12 points)
  5. Estrogen
    - If the women have never received estrogen therapy, 1 point is scored
  6. Weight
    - Body weight in pounds is divided by 10 and multiplied by -1 (e.g. 160 lbs would be score -16 points)

The score is the sum of all points from these 6 questions. A score of 6 or higher is felt to indicate significant risk of Osteoporosis. Sensitivity was 89%, Specificity 50%.

Reference:

  • Ben Sedrine W, Devogelaer JP, Kaufman JM, et al. Evaluation of the simple calculated osteoporosis risk estimation (SCORE) in a sample of white women from Belgium. Bone. 2001;29(4):374-80.
  • Chan SP, Teo CC, Ng SA, et al. Validation of various osteoporosis risk indices in elderly Chinese females in Singapore. Osteoporos Int. 2006;17(8):1182-8.
  • Lydick E, Cook K, Turpin J, et al. Development and validation of a simple questionnaire to facilitate identification of women likely to have low bone density. Am J Manag Care. 1998;4(1):37-48.