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This review examines whether current tools adequately meet patients' informational needs and identifies critical gaps in fracture risk communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recent Findings<\/jats:title>\n                    <jats:p>Most patients want fracture risk information, but only approximately half actually receive it. Research consistently shows that patients globally prefer visual over numerical formats, yet existing tools do not communicate the consequences of fracture, including mortality, subsequent fracture risk, and loss of independence, nor do they contextualise risk within available treatment options. Three critical gaps are identified: the consequence gap (what fracture means for survival and function), the controllability gap (how treatment modifies risk), and the format gap (how risk is presented and understood).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Moving fracture risk communication beyond a single number requires integrating consequence, context, and format. The digital platform BONEcheck addresses these gaps by incorporating mortality risk, refracture risk, skeletal age, treatment contextualisation, and multi-format presentation including icon arrays. Future research, clinical practice, and guideline development should prioritise a more complete, actionable, and patient-centred approach to fracture risk communication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11914-026-00974-1","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T07:22:25Z","timestamp":1782804145000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Fracture Probability: Communicating the Full Consequences of Fracture and Contextualization"],"prefix":"10.1007","volume":"24","author":[{"given":"Tuan V.","family":"Nguyen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"issue":"4","key":"974_CR1","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1007\/s00198-007-0543-5","volume":"19","author":"JA Kanis","year":"2008","unstructured":"Kanis JA, Johnell O, Oden A, Johansson H, McCloskey E. 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The development of BONEcheck was supported in part by funding from Amgen and the National Health and Medical Research Council. The funders had no role in the design of the tool, development of the underlying algorithms, interpretation of results, or preparation of this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Conflict of Interest"}},{"value":"All reported data coming from human studies performed by the authors have been previously published and complied with all applicable ethical standards including the Helsinki declaration and its amendments, institutional\/national research committee standards and guidelines.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and Animal Rights"}},{"value":"I am a developer of BONEcheck, an AI-powered tool for personalized fracture risk assessment.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"27"}}