Application of Osteorisk to postmenopausal patients with osteoporosis

Abstract

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. RESUMOCONTEXTO E OBJETIVO: A identificação de mulheres com risco para fratura está ficando cada vez menos dependente da avaliação da densidade mineral óssea com a valorização dos fatores clínicos de risco. O objetivo deste estudo foi avaliar a sensibilidade da ferramenta clínica Osteorisk em identificar mulheres menopausadas e com osteoporose quando comparada com a densitometria óssea. TIPO DE ESTuDO E lOCAl: Estudo observacional do tipo transversal realizado na Faculdade de Medicina do ABC.MéTODO: Foram avaliadas retrospectivamente informações de 812 mulheres na pós-menopausa e com osteoporose por meio dos prontuários clínicos.Elas foram divididas nos grupos etários 50-59, 60-69, 70-79 e mais de 80 anos e os resultados da ferramenta clínica Osteorisk, que utiliza apenas a idade e o peso, foram comparados com os valores de T-scores da densitometria óssea.RESulTADOS: Houve correlação entre os resultados da ferramenta clínica Osteorisk e da densitometria óssea, em relação à coluna lombar (P = 0,027) e quadril (P < 0,001), mostrando assim uma relação não-arbitrária. A sensibilidade geral do Osteorisk para identificar mulheres com "alto risco de osteoporose" foi 86,5% e superior para identificar osteoporose de quadril (97,2%) do que para a coluna lombar (85,8%). A sensibilidade foi maior nas mulheres idosas.CONCluSãO: Osteorisk parece apresentar boa sensibilidade para identificar mulheres na pós-menopausa em risco de osteoporose. Deveria ser usado quando a densitometria óssea não é facilmente disponível ou como um meio d...

Development and validation of a tool for identifying women with low bone mineral density and low-impact fractures: the São Paulo Osteoporosis Risk Index (SAPORI)

“…For instance, the ABONE study (age, bulk, or never estrogens) found that bone densitometry should be prioritized for patients over 61 years of age, weight below 63.5 kg, and those that had never taken the pill or estrogens for more than 6 months [4,5]. Retrospectively, assessing 812 postmenopausal women, Steiner et al reported that the Osteorisk index exhibited good sensitivity (86.5%) regarding identifying those at higher risk for osteoporosis, especially in the hip (97.2%) and more elderly women [38]. However, based on the SAPORI, we have observed more clinical risk factors need to be added in the Comparing the performance of different tools such as simple calculated osteoporosis estimation (SCORE), ORAI, and Osteoporosis Self-assessment Tool (OST) on a sample of just over 2,000 healthy postmenopausal women from the Danish Osteoporosis Prevention Study, Rud et al observed variable ranging of sensitivity and specificity (from 18% to 92% and 66% to 85%, respectively).…”

Development of an app as a tool to support research and the prevention of osteoporosis

“…Individuals are considered low risk when the result of the calculation is greater than 1, medium risk when the value is between -2 and 1 and high risk when the value is less than -2. This tool performs well, as shown in the work of Sen et al 11 and Steiner et al 12 , with sensitivity of 86.5% in the identification of women at high risk for osteoporosis.…”

Interações entre organizações coletivas na promoção do desenvolvimento local

“…As redes sociais podem ser entendidas como formas de interação social que permitem a diferentes atores interatuarem entre si, provocando o contato e a constituição de relações duradouras. Rede social é um instrumento que permite descrever e analisar as interações entre os indivíduos, as relações interorganizacionais e intraorganizacionais (STEINER, 2006).…”