Fracture Risk Assessment Calculator (FRAC-HIV)
Developing, validating, and disseminating a Fracture Risk Assessment Calculator that incorporates HIV-relevant risk factors to calculate fracture probability among persons living with HIV.

About
Fragility fractures among persons living with HIV (PWH) account for $99 million in excess costs each year in the United States. Research has shown a significantly higher annual rate of fractures among PWH compared with uninfected individuals (2.0% vs 1.4%). Such fractures are associated with increased rates of hospitalization, nursing home admissions, and long-term disability.
This project develops the FRAC-HIV calculator — a clinical decision support tool that integrates HIV-specific risk factors (antiretroviral medications, immune status, inflammation biomarkers) into fracture risk prediction, enabling providers to accurately identify PWH at elevated risk.



