Application of Osteorisk to postmenopausal patients with osteoporosis

São Paulo Medical Journal

Rodolfo Strufaldi¹  Sérgio Peixoto¹  Luciano de Melo Pompei¹  César Eduardo Fernandes¹  Everaldo Cunha Porto¹  Marcelo Luis Steiner¹ 

[1] Faculdade de Medicina do ABC;

关键词: Bone mineral density;    Densitometry;    Menopause;    Osteoporosis;    Risk factors;   

DOI  :  10.1590/S1516-31802010000100006

来源: DOAJ

【 摘 要 】

CONTEXT AND OBJECTIVE: Identification of women at risk of bone fracture is becoming less dependent on evaluating bone mineral density through placing greater value on clinical risk factors. The aim of this study was to evaluate the sensitivity of the Osteorisk clinical tool for identifying Brazilian postmenopausal women with osteoporosis, compared with bone densitometry. DESIGN AND SETTING: Cross-sectional observational study at Faculdade de Medicina do ABC. METHOD: Information on 812 postmenopausal osteoporotic women was retrospectively evaluated from medical records. The women were divided into the age groups 50-59, 60-69, 70-79 and over 80 years. The results from the Osteorisk clinical tool, which uses only age and weight, were compared with bone densitometry T-scores. RESULTS: There were significant correlations between the results from the Osteorisk clinical tool and from bone densitometry, in relation to the lumbar spine (P = 0.027) and hip (P < 0.001), thus showing a non-arbitrary relationship. The overall sensitivity of Osteorisk for identifying women with "high risk of osteoporosis" was 86.5%, and it was higher for hip osteoporosis alone (97.2%) than for lumbar spine osteoporosis (85.8%). The sensitivity was better among older women. CONCLUSION: Osteorisk seems to present good sensitivity for identifying postmenopausal women at risk of osteoporosis. It should be used when bone densitometry is not easily available or as a means of selecting individuals for referral for bone densitometry.

【 授权许可】

Unknown