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)

Pinheiro, Marcelo M.; Neto, E.T. Reis; Machado, Flávia Soares; Omura, Felipe; Szejnfeld, Jacob; Szejnfeld, Vera Lúcia

doi:10.1007/s00198-011-1722-y

Cited by 15 publications

(23 citation statements)

References 38 publications

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“…The Brazilian population has a high degree of miscegenation unlike the rest of the world, and miscegenation is especially evident in Sao Paulo City . The main ethnic groups represented in the city are European (Caucasian), African and Asian populations .…”

Section: Discussionmentioning

confidence: 99%

Osteoporotic alterations in a group of different ethnicity Brazilian postmenopausal women: An observational study

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Osteoporotic alterations in a group of different ethnicity Brazilian postmenopausal women: An observational study

et al. 2018

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“…The use of zoledronic acid has proved to be costeffective in the prevention of proximal femur fracture in that spe cific setting; however, these data cannot be extrapolated to the public system or to other sites of osteoporotic fractures. Additionally, the use of new tools enabling the calculation of individual risks of fracture based on clini cal estimators, such as FRAX Brazil (Fractures Risk As sessment) and SAPORI (São Paulo Osteoporosis Risk Index), could contribute to a more effective use of the available diagnostic and therapeutic resources (55).…”

Section: Direct Costs Related To the Management Of Osteoporosis: The mentioning

confidence: 99%

The burden of osteoporosis in Brazil

Marinho

Guerra

Drummond³

et al. 2014

Arq Bras Endocrinol Metab

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Osteoporotic fractures impose severe physical, psychosocial, and financial burden both to the patient and the society. Studies on the prevalence of osteoporosis and fragility fractures in Brazil show a wide variation, due to differences in sample size, the population studied, and methodologies. Few studies have been conducted in Brazil about the cost-effectiveness analyses of different intervention options aimed at the diagnosis and treatment of osteoporosis. Investigation and treatment strategies based on cost-effectiveness and scientific evidence are essential in the preparation of public health policies with the ultimate goal of reducing the incidence of fractures and, consequently, the direct and indirect costs associated with them. This article reviews the Brazilian burden of osteoporosis in terms of the prevalence and fractures attributable to the disease, the costs related to the investigation and management, as well as the impact of osteoporosis on the population as a whole and on affected individuals. Arq Bras Endocrinol Metab. 2014;58(5):434-43Keywords Expenses; osteoporosis; Brazil RESUMOFraturas osteoporóticas impõem graves entraves físicos, psicossociais e financeiros, tanto para o paciente quanto para a sociedade. Estudos sobre a prevalência de osteoporose e fraturas por fragilidade no Brasil mostram uma grande variação, em decorrência das diferenças no tamanho das amostras, da população estudada e da metodologia empregada. Poucos estudos têm sido realizados no Brasil sobre a análise de custo-efetividade das diferentes opções de intervenção que visam ao diagnóstico e ao tratamento da osteoporose. Estratégias de investigação e de tratamento com base na relação custo-eficácia e evidências científicas são essenciais para a elaboração de políticas de saúde pública, com o objetivo final de reduzir a incidência de fraturas e, consequentemente, os custos diretos e indiretos associados a elas. Este artigo faz uma revisão sobre o ônus da osteoporose no Brasil em termos de prevalência e fraturas atribuí-veis à doença, de custos relacionados com a investigação, tratamento da osteoporose, bem como seu impacto na população como um todo e em indivíduos afetados. Arq Bras Endocrinol Metab.

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“…14,15 Several screening tools for low BMD have been developed in different countries aiming to detect individuals at significant risk of bone fractures or with a low BMD. 16 Due to the fact that osteoporosis affects mainly postmenopausal women, 17 different screening tolls have been developed in Europe, Asia and America.…”

Section: Introductionmentioning

confidence: 99%

“…19 A Brazilian screening tool was also developed and published in 2012. 16 The São Paulo Osteoporosis Risk Index (Sapori) was created to identify women at higher low BMD risk. 16 Brazilian population is very mixed and heterogeneous, primarily due to past mass immigration, with unique ethnic characteristics.…”

Section: Introductionmentioning

confidence: 99%

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Correlation between MCI/Sapori screening tools and DXA results and between MCI/Sapori and Frax tool for estimating fracture risk

et al. 2019

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| Background: Peripheral Dual-energy X-ray absorptiometry (DXA) can be applied to identify low bone mineral density (BMD) patients, however, DXA is not sufficiently available in many countries. Thus, the use of simpler and cheaper screening tools than DXA to detect low BMD become indispensable. Objectives: The objective of this study was to correlate São Paulo osteoporosis risk index (Sapori) and mandibular cortical index (MCI) screening tools with the femur DXA results of patients in our sample of Brazilian women. A secondary objective was to assess which of these screening tools better correlates with the results of the Frax tool. Material and Methods: Exams of women who had undergone panoramic radiographic examination at the beginning of dental treatment and peripheral DXA for screening osteoporosis from 2010 to 2014 were included. The MCI was evaluated, and Sapori and Frax were calculated with their available online software tools. Spearman correlation was performed to analyse the level of correlation between femur T-scores (and MCI and Sapori values, as well to perform the level of correlation between Frax and MCI and Sapori values. Results: The spearman correlation comparing the numerical T-score values and the categorical values of MCI (rs=-0.274), and of Sapori (rs=-0.470), showed a statistically significant inverse correlation for both equations (p<0.01). The Spearman equation comparing the values obtained with Frax and MCI did not show a statistically signifcant correlation (p>0.01). But the equation comparing the values obtained with Frax and Sapori showed a positive, moderate and statistically significant correlation between them (rs=0.460). Conclusion: MCI is not a reliable screening tool to identify women with low BMD or Osteoporosis, whereas more optimistic results were observed for the Sapori.

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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)

Abstract: The SAPORI is a simple, useful, fast, practice, and valid tool for identifying women at higher risk for low bone density and osteoporotic fractures.

Cited by 15 publications

References 38 publications

Osteoporotic alterations in a group of different ethnicity Brazilian postmenopausal women: An observational study

Osteoporotic alterations in a group of different ethnicity Brazilian postmenopausal women: An observational study

The burden of osteoporosis in Brazil

Correlation between MCI/Sapori screening tools and DXA results and between MCI/Sapori and Frax tool for estimating fracture risk

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