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一个新的FRAX型号为巴西
B H Albergaria1,2, C A F Zerbini3, M Lazaretti-Castro4
1Osteoporosis Research and Diagnosis Center - CEDOES, Vitoria, Brazil.
巴西更新的骨折风险评估 (FRAX) 模型显示,骨折概率低于原始模型. 尽管有变化,但更新后的模型对骨质疏松症风险排名的影响最小.
科学领域:
- 骨质疏松症的研究研究.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 最近的流行病学数据表明,巴西的关节骨折风险比最初估计的要低.
- 巴西的原始骨折风险评估 (FRAX) 模型可能高估了骨折概率.
研究的目的:
- 为了描述巴西的关节骨折流行病学.
- 为巴西合成一个更新的FRAX模型.
- 为了比较原始和更新的FRAX模型之间的断裂概率.
主要方法:
- 来自巴西三座城市的关节骨折率,按地区人口加权.
- 估计其他主要骨质疏松性骨折发生率,使用瑞典部与主要骨折的比率.
- 使用了联合国关于巴西的死亡率数据.
主要成果:
- 更新后的FRAX模型在所有年龄段的男性和女性中产生了持续较低的10年骨折概率.
- 在原始和更新模型概率之间观察到高相关性 (r > 0.99).
- 对FRAX模型的修订对骨折风险的排名顺序的影响很小.
结论:
- 当骨折流行病学发生重大变化时,更新国家特定的FRAX模型至关重要.
- 更新的巴西FRAX模型提供了对骨折风险的更为最新的评估.
- 持续的流行病学监测对于准确预测骨质疏松症风险至关重要.
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