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  1. Risk factors for osteoporosis and fracture in patients attending rheumatology outpatient clinics.

    Article - En anglais

    Background 

    Bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA) scanning is the best predictor of osteoporotic fracture but may not be cost effective for all patient groups.

    Risk factors (RF) other than BMD may be useful for fracture prediction.

    Aim 

    To assess the prevalence of RF for osteoporosis (OP) and fracture in patients attending a public hospital rheumatology clinic and to document physician awareness of these RF.

    Methods 

    Two hundred and twenty rheumatology outpatients completed a self-administered questionnaire pertaining to known RF for OP and fracture.

    Initiatives were documented by the treating rheumatologist.

    Results 

    One hundred and fifty-four females and 66 males completed questionnaires : 57% had an inflammatory disorder and 32% had received significant glucocorticoid therapy.

    Forty-five (68%) males and 126 (82%) females had three or more RF for OP and fracture.

    Diagnosis of rheumatoid arthritis or connective tissue disorder (CTD) was the variable most significantly associated with increasing numbers of RF.

    Anti-osteoporotic medication (AOM) use at assessment (64/219,29.2%) was accounted for primarily by the use of hormone replacement therapy in females between 45-54 years.

    Prednisolone use predicted intervention in 103 (48%) patients.

    Conclusion 

    Many rheumatology outpatients have multiple RF for OP and fracture. (...)

    Mots-clés Pascal : Ostéoporose, Fracture, Epidémiologie, Facteur risque, Prévalence, Association morbide, Australie, Océanie, Homme, Système ostéoarticulaire pathologie, Ostéopathie, Traumatisme

    Mots-clés Pascal anglais : Osteoporosis, Fracture, Epidemiology, Risk factor, Prevalence, Concomitant disease, Australia, Oceania, Human, Diseases of the osteoarticular system, Bone disease, Trauma

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0271866

    Code Inist : 002B30A01A2. Création : 16/11/1999.