A szakellátásban megjelenő osteoporosisos nők 10 éves csonttöréskockázata a FRAX® alapján

Abstract

INTRODUCTION: Identification of patients with high fracture risk is a key-point in osteoporosis care. AIM: To assess the fracture risk among osteoporotic women attending osteoporosis care in Hungary. METHOD: A cross-sectional survey was conducted in 2009 in 11 centres among women with osteoporosis aged >/=50 years. Main risk factors were recorded and 10-year fracture risk was calculated using the FRAX((R)) for Hungary. Health status was assessed by EQ VAS. RESULTS: 1301 patients with mean age of 68.5 (SD = 8.3) years and EQ VAS of 62.0 (SD = 17.2) participated, of whom 690 (53.0%) have already had previous fracture. Major osteoporotic and hip fracture FRAX((R)) scores were 20.1 (SD = 13.9) and 10.6 (SD = 12.5), respectively (by 10-year age groups, mean: 18.5/9.3; 16.2/6.7; 23/13.5; 28.9/18.3). Patients with previous fracture had significantly higher scores (p<0.05). CONCLUSIONS: Similar rate of patients attend osteoporosis care for primary and secondary prevention. FRAX((R)) score was higher than 7% in the majority of patients. The findings provide inputs for cost-effectiveness analyses and development of intervention thresholds in Hungary. Orv. Hetil., 2016, 157(4), 146-153.