FRAX Information and Resources

FRAX - WHO Fracture Risk Assessment Tool

General Information about FRAX
FRAX iPhone/iPad Application
IOF FRAX Teaching Slide Kit
FRAX Desktop 
FRAX Pad
FRAX Position Papers and Reviews

General Information about FRAX® 

FRAX WHO Fracture Risk Assessment website screenshotFRAX is a scientifically validated risk assessment tool, endorsed by the World Health Organization and now integrated into an increasing number of national osteoporosis guidelines around the world. It is a major milestone in helping health professionals to improve identification of patients at high risk of fracture. The web-based FRAX calculator assesses the ten-year risk of osteoporosis fracture based on individual risk factors, with or without BMD values. IOF supports the maintenance and development of the tool and promotes its worldwide use.

ACCESS THE FREE FRAX CALCULATOR ONLINE
FRAX is available in 58 models for 53 countries and in multiple languages.  Learn how country models are developed.

FRAX® iPhone/iPad Application

FRAX iPhone App The tool is also accessible via iPhone or iPad application and increasingly integrated directly into bone densitometry technology.

Download the new and updated FRAX App – launched on April 2, 2014

Notice FRAX App version 1.x through 3.x is no longer up-to-date and we kindly ask you to download the new App to ensure that you have the most current version (see side box for more information). 
 

IOF FRAX® Teaching Slide Kit

FRAX Teaching Slide-kitLetter of Introduction (PDF, 121.2 KB)

IOF FRAX® Instructions (PDF, 123.8 KB)

IOF FRAX® Slides (PPT, 11.13 MB)

IOF FRAX® Slide Annotations (PDF, 2.84 MB)

Reference List for Further Reading (PDF, 131.1 KB)

The slide kit may only be used for educational presentations and not for commercial purposes.

FRAX® Desktop for Offline Use

FRAX DesktopFRAX is now more accessible than ever before!

A newly launched FRAX Desktop application can be downloaded to any personal computer where it operates without internet access.

Two convenient subscription models are available at http://who-frax.org/index.php

Individual Entry
This individual entry system mimics the front end of the current web version of FRAX. It can be used to assess an unlimited number of individual patients in any healthcare setting. The license can run for six or twelve months (download will expire after the subscription period). Each time the license is renewed, the subscriber receives the updated version of FRAX.

License fees* are CHF 25 for 6 months / CHF 45 for 12 months.

Multi-Patient Entry
This version of FRAX is designed for researchers and handles multi-patient entries (analyses of large cohorts) in a single operation. The license is for a period of one month.

Please consult http://who-frax.org/index.php for license fees* and further details.

*License fees have been applied in order to cover the maintenance costs of the websites and the development of future versions of FRAX. Use of the online FRAX tool remains free of charge.

FRAX® Pad

FRAX PadThis one-page (two-sided) questionnaire in easy tear-sheet form is a time saving tool. The questionnaire can be completed by a patient waiting in a doctor’s office, by a practice nurse or by the physician themselves.  Order bulk quantities using the order and permission form (PDF, 109.4 KB). Languages currently available:

English (PDF, 489.4 KB)
Chinese (PDF, 654 KB)              
Finnish (PDF, 487.4 KB)
French (PDF, 496.3 KB)
German (PDF, 498.5 KB)
Greek (PDF, 515.6 KB)
Italian (PDF, 493.1 KB)
Japanese (PDF, 486.8 KB)
Spanish (PDF, 498.3 KB)
Swedish (PDF, 335.6 KB)

FRAX® Position Papers and Reviews

The IOF and the International Society for Clinical Densitometry (ISCD) established a joint Task Force that met in November 2011 for the ‘ISCD IOF FRAX Initiative’ meeting. The objective was to make recommendations on how to improve FRAX and better inform clinicians using the tool. Below is a list of the positions and review papers which have resulted from this initiative:

Interpretation and Use of FRAX® in Clinical Practice - brochure (PDF)

Interpretation and use of FRAX in clinical practice. Osteoporosis International 2011.
DOI: 10.1007/s00198-011-1713-z.

Official Positions for FRAX Clinical Regarding International Differences From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX.
Cauley JA, El-Hajj Fuleihan G, Arabi A, Fujiwara S, Ragi-Eis S, Calderon A, Chionh SB, Chen Z, Curtis JR, Danielson ME, Hanley DA, Kroger H, Kung AW, Lesnyak O, Nieves J, Pluskiewicz W, El Rassi R, Silverman S, Schott AM, Rizzoli R, Luckey M; FRAX Position Conference Members.
J Clin Densitom. 2011 Jul-Sep;14(3):240-62.

FRAX International Task Force of the 2010 Joint International Society for Clinical Densitometry & International Osteoporosis Foundation Position Development Conference.
Cauley JA, El-Hajj Fuleihan G, Luckey MM; FRAX Position Development Conference Members.
J Clin Densitom. 2011 Jul-Sep;14(3):237-9.

Official Positions for FRAX Bone Mineral Density and FRAX Simplification From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX.
Lewiecki EM, Compston JE, Miller PD, Adachi JD, Adams JE, Leslie WD, Kanis JA, Moayyeri A, Adler RA, Hans DB, Kendler DL, Diez-Perez A, Krieg MA, Masri BK, Lorenc RR, Bauer DC, Blake GM, Josse RG, Clark P, Khan AA; FRAX Position Development Conference Members.
J Clin Densitom. 2011 Jul-Sep;14(3):226-36.

FRAX Bone Mineral Density Task Force of the 2010 Joint International Society for Clinical Densitometry & International Osteoporosis Foundation Position Development Conference.
Lewiecki EM, Compston JE, Miller PD, Adachi JD, Adams JE, Leslie WD, Kanis JA; FRAX Position Development Conference Members.
J Clin Densitom. 2011 Jul-Sep;14(3):223-5.

FRAX Clinical Task Force of the 2010 Joint International Society for Clinical Densitometry & International Osteoporosis Foundation Position Development Conference.
McCloskey EV, Binkley N; FRAX Position Development Conference Members.
J Clin Densitom. 2011 Jul-Sep;14(3):181-3.

Joint Official Positions of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX Executive Summary of the 2010 Position Development Conference on Interpretation and Use of FRAX in Clinical Practice.
Hans DB, Kanis JA, Baim S, Bilezikian JP, Binkley N, Cauley JA, Compston JE, Cooper C, Dawson-Hughes B, El-Hajj Fuleihan G, Leslie WD, Lewiecki EM, Luckey MM, McCloskey EV, Papapoulos SE, Poiana C, Rizzoli R; FRAX Position Development Conference Members.
J Clin Densitom. 2011 Jul-Sep;14(3):171-80.