骨折风险评估工具在临床实践中的应用以及骨折风险评估工具的未来发展方向。

Rahfa Zerikly, Emily Wood Demetriou
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引用次数: 0

摘要

骨折风险评估工具是一种免费的在线骨折风险计算器,可用于预测 50 岁以上女性和男性的 10 年骨折风险。它结合了七种临床风险因素和骨密度,给出了重大骨质疏松性骨折和髋部骨折的 10 年风险。这一动态工具可在床边与患者一起使用,帮助指导治疗决策。骨折风险评估工具有一些局限性,其中最主要的局限性是输入值是二进制的。为了完善骨折风险评估工具,使其能更准确地预测风险,人们做了大量研究,本文介绍了根据临床情况(如糖皮质激素的使用剂量、是否患有糖尿病等)调整骨折风险评估工具的数据。最近,新开发的 FRAXplus 工具解决了上述许多问题,将来可能会取代旧的骨折风险评估工具。目前,该工具还处于测试阶段。
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Use of Fracture Risk Assessment Tool in clinical practice and Fracture Risk Assessment Tool future directions.

Fracture Risk Assessment Tool is a free, online fracture risk calculator which can be used to predict 10-year fracture risk for women and men over age 50 years. It incorporates seven clinical risk factors and bone density to give a 10-year risk of major osteoporotic fracture and hip fracture. This dynamic tool can be used with patients at the bedside to help guide treatment decisions. There are some limitations to Fracture Risk Assessment Tool, with the most central limitation being the fact that inputs are binary. Much research has been done to try to refine Fracture Risk Assessment Tool to allow for more accurate risk prediction, and this article describes the data for adjusting Fracture Risk Assessment Tool depending on the clinical scenario such as the dose of glucocorticoid use, presence of diabetes and others. Recently, the new FRAXplus tool has been developed to address many of these concerns and will likely replace the old Fracture Risk Assessment Tool in the future. At the current time, it is available in beta form.

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