FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS
Aim. To determine an absolute risk of fractures in patients with rheumatoid arthritis (RA) with the FRAX procedure (fracture risk assessment tool) for choice of further prophylactic, therapeutic and rehabilitative measures. Material and methods. The trial included 611 RA females over 49 years of age...
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"Consilium Medicum" Publishing house
2012-05-01
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doaj-866dcf0ea682407b9aed0c8312cb87bb2020-11-25T03:19:53Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422012-05-01845182428031FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITISM M Podvorotova0I S Dydykina1T N Gavva2K A Maslova3E L Nasonov4Research Institute of Rheumatology of the Russian Academy of Medical SciencesResearch Institute of Rheumatology of the Russian Academy of Medical SciencesResearch Institute of Rheumatology of the Russian Academy of Medical SciencesResearch Institute of Rheumatology of the Russian Academy of Medical SciencesResearch Institute of Rheumatology of the Russian Academy of Medical SciencesAim. To determine an absolute risk of fractures in patients with rheumatoid arthritis (RA) with the FRAX procedure (fracture risk assessment tool) for choice of further prophylactic, therapeutic and rehabilitative measures. Material and methods. The trial included 611 RA females over 49 years of age of 834 RA patients from 2004 data base RA entrees. All the patients were assessed for fracture risk with FRAX basing on clinical data without densitometry. Distribution into fracture risk groups was made by a graphic age-risk scheme. Results. High or moderate fracture risk was registered in 58.6 % RA examinees. These patients were older than those with a low fracture risk, they had lower body mass index, longer menopause, higher disease activity, more often had extra-articular manifestations of the disease. Therefore, duration of their glucocorticosteroid treatment was longer. Patients with high and moderate fracture risks more frequently had functional insufficiency of the third degree, fractures of skeletal bones in the past. Conclusion. The FRAX method for assessment of an absolute fracture risk in RA patients detects subjects with elevated risk of fractures. This facilitates timely and qualitative administration of medical care, lowers costs of examination, improves treatment and rehabilitation of patients with osteoporosis and its complications.https://ter-arkhiv.ru/0040-3660/article/view/31015fraxrheumatoid arthritisfracture riskfrax |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
M M Podvorotova I S Dydykina T N Gavva K A Maslova E L Nasonov |
spellingShingle |
M M Podvorotova I S Dydykina T N Gavva K A Maslova E L Nasonov FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS Терапевтический архив frax rheumatoid arthritis fracture risk frax |
author_facet |
M M Podvorotova I S Dydykina T N Gavva K A Maslova E L Nasonov |
author_sort |
M M Podvorotova |
title |
FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS |
title_short |
FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS |
title_full |
FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS |
title_fullStr |
FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS |
title_full_unstemmed |
FRAX-ASSISTED PREDICTION OF FRACTURES IN PATIENTS WITH RHEUMATOID ARTHRITIS |
title_sort |
frax-assisted prediction of fractures in patients with rheumatoid arthritis |
publisher |
"Consilium Medicum" Publishing house |
series |
Терапевтический архив |
issn |
0040-3660 2309-5342 |
publishDate |
2012-05-01 |
description |
Aim. To determine an absolute risk of fractures in patients with rheumatoid arthritis (RA) with the FRAX procedure (fracture risk assessment tool) for choice of further prophylactic, therapeutic and rehabilitative measures. Material and methods. The trial included 611 RA females over 49 years of age of 834 RA patients from 2004 data base RA entrees. All the patients were assessed for fracture risk with FRAX basing on clinical data without densitometry. Distribution into fracture risk groups was made by a graphic age-risk scheme. Results. High or moderate fracture risk was registered in 58.6 % RA examinees. These patients were older than those with a low fracture risk, they had lower body mass index, longer menopause, higher disease activity, more often had extra-articular manifestations of the disease. Therefore, duration of their glucocorticosteroid treatment was longer. Patients with high and moderate fracture risks more frequently had functional insufficiency of the third degree, fractures of skeletal bones in the past. Conclusion. The FRAX method for assessment of an absolute fracture risk in RA patients detects subjects with elevated risk of fractures. This facilitates timely and qualitative administration of medical care, lowers costs of examination, improves treatment and rehabilitation of patients with osteoporosis and its complications. |
topic |
frax rheumatoid arthritis fracture risk frax |
url |
https://ter-arkhiv.ru/0040-3660/article/view/31015 |
work_keys_str_mv |
AT mmpodvorotova fraxassistedpredictionoffracturesinpatientswithrheumatoidarthritis AT isdydykina fraxassistedpredictionoffracturesinpatientswithrheumatoidarthritis AT tngavva fraxassistedpredictionoffracturesinpatientswithrheumatoidarthritis AT kamaslova fraxassistedpredictionoffracturesinpatientswithrheumatoidarthritis AT elnasonov fraxassistedpredictionoffracturesinpatientswithrheumatoidarthritis |
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