Open AccessFRAX® Türkiye Modeli Yeterli mi? Türk Toplumunda FRAX® ile Osteoporotik Kırık Riski Analizi
Author(s) -
Ahmet Aslan,
Mehmet Nuri Konya,
Şule Yağcı,
Özgür Karakoyun
Publication year - 2014
Publication title -
türk osteoporoz dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 5
ISSN - 2146-3816
DOI - 10.4274/tod.28247
Subject(s) - frax , gynecology , medicine , osteoporotic fracture , bone mineral , osteoporosis
Objectives: In this study, we aimed to evaluate the effectiveness of Turkish FRAX model in the prediction of osteoporotic fracture risk and\udto determine the factors that may affect the results in this model.\udMaterial and Methods: Data of 104 patients with hip fracture who had underwent bone densitometry scan between 2009-2012, in\udKastamonu and Afyon cities in Turkey, were assessed in this study. Patients were divided into 3 groups. Group-1; patients with osteoporotic\udhip fractures (n=36), Group-2; patients with other osteoporotic bone fractures (n=33), Group-3; patients with no osteoporotic fracture history\ud(n=35). The recent osteoporotic fractures in patients were ruled out and by noting the former fractures and previously determined risk\udfactors, fracture risks were calculated by Frax method. The groups were compared on the basis of fracture risks, t-scores and demographical\udcharacteristics.\udResults: A statistically significant difference was found between the patients with major osteoporotic fracture (MOF) in Group-1 and Group-2\udand patients with no MOF history in Group-3 (p<0.05). When t-scores were compared between the groups, there was difference between\udGroup-1 and Group-3 (p<0.05), there was no difference between Group-2 and 3 (p>0.05). With respect to average age in patients, a\udsignificant difference was found between Group-1 and 3(p<0.05), however, no statistical difference between Group-2 and Group-3 (p>0.05).\udAlso, no statistically meaningful difference with regard to other risk factors was found between the groups (p>0.05).\udConclusion: Results of this study: previous MOFs, advanced age and a remarkable decrease in t-scores are the main risk factors in osteoporotic\udfractures. Turkish FRAX® model may be useful in the prediction of fracture risk in patients with increased risk factors in Turkish population.\udHowever, this study may not be adequate to rule out the concerns that Turkish Frax model must be revised to fulfill the expectations in\uddetermining osteoporotic fracture risk. (Turkish Journal of Osteoporosis 2014;20: 21-5