THE USE OF INNOVATIVE FRAX TECHNIQUE FOR FRACTURE RISK EVALUATION IN ELDERLY PATIENTS NOT PREVIOUSLY EXAMINED AND TREATED WITH ANTI-OSTEOPOROTIC THERAPY BENEFITS AND POSSIBLE RISKS

To compare the effectiveness of fracture risk assessment standard survey methods and FRAX innovative technique FRAX in the elderly, 3152 women members of the Veterans’ Council" of Moscow, not previously examined, and not receiving anti-osteoporotic therapy were examined. Densitometry has been performed to assess bone density as well as testing with FRAX method. 32.4% of patients have a history of atraumatic fractures, and 56.4% - osteoporosis, diagnosed by standard methods of the survey, 72.7% require medical intervention according to testing by the method of FRAX. The sensitivity of FRAX patients requiring treatment according to standard techniques (in patients with osteoporosis without pathological fractures, with osteoporosis in the presence of low-energy fractures and osteopenia in the presence of a pathological fracture) 70.3%, 71.5% and 24.3% respectively. Thus, among the majority of women aged 65-75 years who have not been previously examined and not receiving osteoporosis therapy, revealed violations of bone turnover, fracture history. According to this FRAX method is not always the method of choice for assessing fracture risk in these patients.

FRAX, osteoporosis, FRAX, densitometry