Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ®
Osteoporosis is a serious worldwide epidemic. Increased risk of fractures is the hallmark of the disease and is associated with increased morbidity, mortality and economic burden.FRAX ® is a web-based tool developed by the Sheffield WHO Collaborating Center team, that integrates clinical risk factor...
Published in: | Journal of Clinical Densitometry |
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Format: | Article in Journal/Newspaper |
Language: | English |
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Elsevier BV. The Journal's web site is located at http://www.iscd.org/Visitors/publications/journal.cfm
2011
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Online Access: | https://doi.org/10.1016/j.jocd.2011.05.015 http://hdl.handle.net/10722/163388 |
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ftunivhongkonghu:oai:hub.hku.hk:10722/163388 2023-05-15T16:17:15+02:00 Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® Hanley, DA Cauley, JA ElHajj Fuleihan, G Arabi, A Fujiwara, S RagiEis, S Calderon, A Chionh, SB Chen, Z Curtis, JR Danielson, ME Kroger, H Kung, AWC Lesnyak, O Nieves, J Pluskiewicz, W El Rassi, R Silverman, S Schott, AM Rizzoli, R Luckey, M 2011 https://doi.org/10.1016/j.jocd.2011.05.015 http://hdl.handle.net/10722/163388 eng eng Elsevier BV. The Journal's web site is located at http://www.iscd.org/Visitors/publications/journal.cfm Netherlands Journal of Clinical Densitometry http://www.scopus.com/mlt/select.url?eid=2-s2.0-79960904962&selection=ref&src=s&origin=recordpage Journal Of Clinical Densitometry, 2011, v. 14 n. 3, p. 240-262 doi:10.1016/j.jocd.2011.05.015 262 WOS:000293989900012 1094-6950 3 21810532 eid_2-s2.0-79960904962 240 http://hdl.handle.net/10722/163388 14 Osteoporotic Fractures - Diagnosis - Ethnology African Continental Ancestry Group Asian Continental Ancestry Group Bone Density Diagnosis Computer-Assisted Femur Neck - Pathology - Radiography Hip Fractures - Diagnosis - Ethnology Hispanic Americans Humans Risk Assessment Article 2011 ftunivhongkonghu https://doi.org/10.1016/j.jocd.2011.05.015 2023-01-14T15:48:26Z Osteoporosis is a serious worldwide epidemic. Increased risk of fractures is the hallmark of the disease and is associated with increased morbidity, mortality and economic burden.FRAX ® is a web-based tool developed by the Sheffield WHO Collaborating Center team, that integrates clinical risk factors, femoral neck BMD, country specific mortality and fracture data and calculates the 10 year fracture probability in order to help health care professionals identify patients who need treatment. However, only 31 countries have a FRAX ® calculator at the time paper was accepted for publication. In the absence of a FRAX ® model for a particular country, it has been suggested to use a surrogate country for which the epidemiology of osteoporosis most closely approximates the index country. More specific recommendations for clinicians in these countries are not available.In North America, concerns have also been raised regarding the assumptions used to construct the US ethnic specific FRAX ® calculators with respect to the correction factors applied to derive fracture probabilities in Blacks, Asians and Hispanics in comparison to Whites. In addition, questions were raised about calculating fracture risk in other ethnic groups e.g., Native Americans and First Canadians.In order to provide additional guidance to clinicians, a FRAX ® International Task Force was formed to address specific questions raised by physicians in countries without FRAX ® calculators and seeking to integrate FRAX ® into their clinical practice. The main questions that the task force tried to answer were the following:1.What is the evidence supporting ethnic and sex specific adjustments for fracture incidence rates in Blacks, Hispanics and Asians-2.What data exist for other groups, e.g., Native Americans, First Nations Canadians-3.Are there secular changes in fracture rates-4.What are the requirements for the construction of a FRAX ® calculator? And what are the desirable/optimal characteristics of the data-5.What do I do if my country does not have a ... Article in Journal/Newspaper First Nations University of Hong Kong: HKU Scholars Hub Sheffield Journal of Clinical Densitometry 14 3 240 262 |
institution |
Open Polar |
collection |
University of Hong Kong: HKU Scholars Hub |
op_collection_id |
ftunivhongkonghu |
language |
English |
topic |
Osteoporotic Fractures - Diagnosis - Ethnology African Continental Ancestry Group Asian Continental Ancestry Group Bone Density Diagnosis Computer-Assisted Femur Neck - Pathology - Radiography Hip Fractures - Diagnosis - Ethnology Hispanic Americans Humans Risk Assessment |
spellingShingle |
Osteoporotic Fractures - Diagnosis - Ethnology African Continental Ancestry Group Asian Continental Ancestry Group Bone Density Diagnosis Computer-Assisted Femur Neck - Pathology - Radiography Hip Fractures - Diagnosis - Ethnology Hispanic Americans Humans Risk Assessment Hanley, DA Cauley, JA ElHajj Fuleihan, G Arabi, A Fujiwara, S RagiEis, S Calderon, A Chionh, SB Chen, Z Curtis, JR Danielson, ME Kroger, H Kung, AWC Lesnyak, O Nieves, J Pluskiewicz, W El Rassi, R Silverman, S Schott, AM Rizzoli, R Luckey, M Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® |
topic_facet |
Osteoporotic Fractures - Diagnosis - Ethnology African Continental Ancestry Group Asian Continental Ancestry Group Bone Density Diagnosis Computer-Assisted Femur Neck - Pathology - Radiography Hip Fractures - Diagnosis - Ethnology Hispanic Americans Humans Risk Assessment |
description |
Osteoporosis is a serious worldwide epidemic. Increased risk of fractures is the hallmark of the disease and is associated with increased morbidity, mortality and economic burden.FRAX ® is a web-based tool developed by the Sheffield WHO Collaborating Center team, that integrates clinical risk factors, femoral neck BMD, country specific mortality and fracture data and calculates the 10 year fracture probability in order to help health care professionals identify patients who need treatment. However, only 31 countries have a FRAX ® calculator at the time paper was accepted for publication. In the absence of a FRAX ® model for a particular country, it has been suggested to use a surrogate country for which the epidemiology of osteoporosis most closely approximates the index country. More specific recommendations for clinicians in these countries are not available.In North America, concerns have also been raised regarding the assumptions used to construct the US ethnic specific FRAX ® calculators with respect to the correction factors applied to derive fracture probabilities in Blacks, Asians and Hispanics in comparison to Whites. In addition, questions were raised about calculating fracture risk in other ethnic groups e.g., Native Americans and First Canadians.In order to provide additional guidance to clinicians, a FRAX ® International Task Force was formed to address specific questions raised by physicians in countries without FRAX ® calculators and seeking to integrate FRAX ® into their clinical practice. The main questions that the task force tried to answer were the following:1.What is the evidence supporting ethnic and sex specific adjustments for fracture incidence rates in Blacks, Hispanics and Asians-2.What data exist for other groups, e.g., Native Americans, First Nations Canadians-3.Are there secular changes in fracture rates-4.What are the requirements for the construction of a FRAX ® calculator? And what are the desirable/optimal characteristics of the data-5.What do I do if my country does not have a ... |
format |
Article in Journal/Newspaper |
author |
Hanley, DA Cauley, JA ElHajj Fuleihan, G Arabi, A Fujiwara, S RagiEis, S Calderon, A Chionh, SB Chen, Z Curtis, JR Danielson, ME Kroger, H Kung, AWC Lesnyak, O Nieves, J Pluskiewicz, W El Rassi, R Silverman, S Schott, AM Rizzoli, R Luckey, M |
author_facet |
Hanley, DA Cauley, JA ElHajj Fuleihan, G Arabi, A Fujiwara, S RagiEis, S Calderon, A Chionh, SB Chen, Z Curtis, JR Danielson, ME Kroger, H Kung, AWC Lesnyak, O Nieves, J Pluskiewicz, W El Rassi, R Silverman, S Schott, AM Rizzoli, R Luckey, M |
author_sort |
Hanley, DA |
title |
Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® |
title_short |
Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® |
title_full |
Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® |
title_fullStr |
Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® |
title_full_unstemmed |
Official Positions for FRAX ® Clinical Regarding International Differences. From Joint Official Positions Development Conference of the International Society for Clinical Densitometry and International Osteoporosis Foundation on FRAX ® |
title_sort |
official positions for frax ® clinical regarding international differences. from joint official positions development conference of the international society for clinical densitometry and international osteoporosis foundation on frax ® |
publisher |
Elsevier BV. The Journal's web site is located at http://www.iscd.org/Visitors/publications/journal.cfm |
publishDate |
2011 |
url |
https://doi.org/10.1016/j.jocd.2011.05.015 http://hdl.handle.net/10722/163388 |
geographic |
Sheffield |
geographic_facet |
Sheffield |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
Journal of Clinical Densitometry http://www.scopus.com/mlt/select.url?eid=2-s2.0-79960904962&selection=ref&src=s&origin=recordpage Journal Of Clinical Densitometry, 2011, v. 14 n. 3, p. 240-262 doi:10.1016/j.jocd.2011.05.015 262 WOS:000293989900012 1094-6950 3 21810532 eid_2-s2.0-79960904962 240 http://hdl.handle.net/10722/163388 14 |
op_doi |
https://doi.org/10.1016/j.jocd.2011.05.015 |
container_title |
Journal of Clinical Densitometry |
container_volume |
14 |
container_issue |
3 |
container_start_page |
240 |
op_container_end_page |
262 |
_version_ |
1766003092233388032 |