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Osteoporosis Risk Assessment Instrument (ORAI)

Selects postmenopausal women for bone densitometry.

Osteoporosis Risk Assessment Instrument (ORAI)
Age
Body weight
Current estrogen use
Result2 points

Score < 9 — densitometry lower yield by this instrument.

When to use

  • Identifying postmenopausal women likely to have low bone mineral density.

Formula

Points: age (0/5/9/15), weight (0/3/9 for ≥70 / 60–69 / <60 kg), not on estrogen (+2). Score ≥ 9 selects for densitometry.

References

  1. Cadarette SM, et al. CMAJ. 2000;162(9):1289-94.