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Differences between Subjects Who Require Treatment According to the Fracture Risk Assessment Tool (FRAX®) and the Existing Treatment Guidelines for Osteoporosis Koichi KANAYA 1 , Yoshiharu KATO 1 , Syuji SHIMAMOTO 1 , Hiroyoshi WADA 1 , Chiharu ISHII 1 1Department of Orthopaedic Surgery, Tokyo Women's Medical University Keyword: 骨折リスク評価ツール , FRAX® , fracture risk assessment tool , 骨粗鬆症治療ガイドライン , guideline for treatment of osteoporosis , 椎体骨折 , vertebral fracture pp.201-205
Published Date 2011/3/25
DOI https://doi.org/10.11477/mf.1408101923
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 The differences between the subjects who require treatment based on the fracture risk assessment tool (FRAX®) and the existing treatment guidelines for osteoporosis were reviewed. A self-report-style questionnaire based on the FRAX® was used, and 253 replies were received. Osteoporotic fracture risk was calculated on the basis of the body mass index alone by FRAX® ver.1. It was suggested that a fracture risk greater than 15% according to the FRAX® included some seniors who had no prevalent radiographic evidence of a vertebral fracture and who had high bone mineral density (BMD), and that it excluded women in the early stage of menopose who were treated according to the existing treatment guidelines for osteoporosis. Radiographically detected vertebral fractures should be checked in the case of FRAX® use, because only clinical fractures could be understood in the questionnaire. FRAX® excluded many patients with steroid use, because FRAX® does not consider quantity and period of internal steroid. You should obey the existing guideline for steroid-induced osteoporosis.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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