WHO fracture risk calculator (FRAX) in the assessment of obese patients with osteoporosis.

Abstract:

INTRODUCTION:Recently, a new fracture risk-assessment calculator (FRAX) has been introduced. The aim of this study was to assess its usefulness for the re-assessment of fracture risk in obese patients and re-assignment to treatment. MATERIAL AND METHODS:350 obese female patients were included. In all of them, 10-year fracture risk was calculated using FRAX (with and without T score value). RESULTS:If major osteoporotic fracture risk was calculated with BMD, it was low in most of the patients (in 82.1% of those treated, and in 95.9% of those not treated it was below 10%). Mean risk values were significantly higher in the treated (7.7 [3;39]%) than in the non-treated group (4.6 [2.1;14]%). The reason for start of treatment in 95 out of 106 patients was a sustained low-energy fracture, low BMD, or both. CONCLUSIONS:The WHO fracture risk calculator may be a useful tool in treated obese females with osteoporosis. The information regarding 10-year fracture risk may change the treatment strategy at least for those in whom the decision of treatment was based solely on low BMD.

journal_name

Endokrynol Pol

journal_title

Endokrynologia Polska

authors

Franek E,Wichrowska H,Gozdowski D,Puzianowska-Kuźnicka M

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

82-7

issue

2

eissn

0423-104X

issn

2299-8306

journal_volume

60

pub_type

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