Evaluating Osteoporotic Fracture Risk in Latin American Countries

Enrique López Gavilánez, Angel Segale Bajana
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Abstract

The epidemiology of osteoporosis (OP) has been extensively studied especially in countries of the northern hemisphere (USA, Europe), while in Latin America (LA) data is scarce in relation to the North American or European populations [1-5]. Hip fracture (HF), although it is the least frequent (<20%) of all osteoporotic fractures, is considered an appropriate model for the epidemiological study of OP, since patients who suffer from it practically always enter a hospital for their attention [6] which allows the epidemiological registration of them. In contrast, patients with humerus or distal radius fractures are usually treated outside the hospital and therefore are underreported. The recording of the rate of clinical vertebral fractures is even more complex because the definitions vary, and it is difficult to distinguish recent painful vertebral fractures from the most common radiological vertebral deformities detected in patients with back pain [6].
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拉丁美洲国家骨质疏松性骨折风险评估
骨质疏松症(OP)的流行病学已得到广泛研究,尤其是在北半球国家(美国、欧洲),而在拉丁美洲(LA),与北美或欧洲人群相关的数据很少[1-5]。髋部骨折(HF)虽然是所有骨质疏松性骨折中最不常见的(<20%),但被认为是OP流行病学研究的合适模型,因为患有HF的患者实际上总是进入医院寻求关注[6],这允许对他们进行流行病学登记。相比之下,肱骨或桡骨远端骨折的患者通常在医院外接受治疗,因此报告不足。临床脊椎骨折发生率的记录更为复杂,因为定义各不相同,而且很难将近期疼痛性脊椎骨折与背痛患者中最常见的放射学脊椎畸形区分开来[6]。
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