加拿大骨质疏松症学会 2010 年骨折风险评估指南。
Osteoporosis Canada 2010 guidelines for the assessment of fracture risk.
机构信息
Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada.
出版信息
Can Assoc Radiol J. 2011 Nov;62(4):243-50. doi: 10.1016/j.carj.2011.05.001.
Abstract
Osteoporosis Canada's 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada focus on the clinical impact of fragility fractures, and on the assessment and management of women and men at high risk for fragility fracture. These guidelines now integrate a 10-year absolute fracture risk prediction into an overall management approach by using validated risk assessment tools. There currently is a large gap between optimal practices and those that are now being provided to Canadians with osteoporosis. These guidelines are part of a concerted effort to close this gap. Key changes from the 2002 guidelines of interest and relevance to radiologists are highlighted in this report.
摘要
加拿大骨质疏松症学会 2010 年临床实践指南专注于脆性骨折的临床影响，以及对高脆性骨折风险的女性和男性的评估和管理。这些指南现在通过使用经过验证的风险评估工具，将 10 年绝对骨折风险预测纳入整体管理方法中。目前，最佳实践与加拿大骨质疏松症患者所接受的实践之间存在很大差距。本指南是缩小这一差距的协同努力的一部分。本报告重点介绍了与放射科医生有关的、与 2002 年指南相比的关键变化。
相似文献
1
Osteoporosis Canada 2010 guidelines for the assessment of fracture risk.加拿大骨质疏松症学会 2010 年骨折风险评估指南。
Can Assoc Radiol J. 2011 Nov;62(4):243-50. doi: 10.1016/j.carj.2011.05.001.
2
Fracture risk assessment in long-term care: a survey of long-term care physicians.长期护理中的骨折风险评估：对长期护理医生的调查。
BMC Geriatr. 2013 Oct 18;13:109. doi: 10.1186/1471-2318-13-109.
3
Screening, prevention and management of osteoporosis among Canadian adults.加拿大成年人骨质疏松症的筛查、预防和管理。
Health Promot Chronic Dis Prev Can. 2018 Dec;38(12):445-454. doi: 10.24095/hpcdp.38.12.02.
4
The osteoporosis care gap in men with fragility fractures: the Canadian Multicentre Osteoporosis Study.脆性骨折男性骨质疏松症护理缺口：加拿大多中心骨质疏松症研究
Osteoporos Int. 2008 Apr;19(4):581-7. doi: 10.1007/s00198-007-0483-0. Epub 2007 Oct 9.
5
Simplified 10-year absolute fracture risk assessment: a comparison of men and women.简化的 10 年绝对骨折风险评估：男女比较。
J Clin Densitom. 2010 Apr-Jun;13(2):141-6. doi: 10.1016/j.jocd.2010.02.002.
6
Management of osteoporosis in men: an update and case example.男性骨质疏松症的管理：最新进展及病例示例
CMAJ. 2007 Jan 30;176(3):345-8. doi: 10.1503/cmaj.050816.
7
Implications of absolute fracture risk assessment for osteoporosis practice guidelines in the USA.绝对骨折风险评估对美国骨质疏松症诊疗指南的影响。
Osteoporos Int. 2008 Apr;19(4):449-58. doi: 10.1007/s00198-008-0559-5. Epub 2008 Feb 22.
8
Recommendations for bone mineral density reporting in Canada: a shift to absolute fracture risk assessment.加拿大骨矿物质密度报告建议：转向绝对骨折风险评估。
J Clin Densitom. 2007 Apr-Jun;10(2):120-3. doi: 10.1016/j.jocd.2007.01.001. Epub 2007 Feb 16.
9
Guidelines for fracture risk assessment and management of osteoporosis in postmenopausal women and men above the age of 50 in Qatar.《卡塔尔绝经后妇女和 50 岁以上男性骨质疏松骨折风险评估和管理指南》。
Arch Osteoporos. 2024 May 2;19(1):34. doi: 10.1007/s11657-024-01389-0.
10
Clinical use of bone densitometry: scientific review.骨密度测定的临床应用：科学综述。
JAMA. 2002 Oct 16;288(15):1889-97. doi: 10.1001/jama.288.15.1889.
引用本文的文献
1
The Lebanese GRADE-based vitamin D guidelines: a paradigm for the MENA region.基于GRADE的黎巴嫩维生素D指南：中东和北非地区的一个范例。
Osteoporos Int. 2025 Apr 23. doi: 10.1007/s00198-024-07375-z.
2
Pain Intervention for Osteoporotic Compression Fracture, From Physical Therapy to Surgery: A Literature Review.骨质疏松性压缩骨折的疼痛干预：从物理治疗到手术——文献综述
Korean J Neurotrauma. 2024 Sep 25;20(3):159-167. doi: 10.13004/kjnt.2024.20.e32. eCollection 2024 Sep.
3
Geographic variation in bone mineral density and prevalent fractures in the Canadian longitudinal study on aging.加拿大老龄化纵向研究中的骨密度和常见骨折的地域差异。
Osteoporos Int. 2024 Apr;35(4):599-611. doi: 10.1007/s00198-023-06975-5. Epub 2023 Dec 2.
4
Measuring Drug Therapy Effect on Osteoporotic Fracture Risk by Trabecular Bone Lacunarity: The LOTO Study.通过小梁骨腔隙率测量药物治疗对骨质疏松性骨折风险的影响：LOTO研究。
Biomedicines. 2023 Mar 4;11(3):781. doi: 10.3390/biomedicines11030781.
5
Screening for the primary prevention of fragility fractures among adults aged 40 years and older in primary care: systematic reviews of the effects and acceptability of screening and treatment, and the accuracy of risk prediction tools.40 岁及以上成年人在初级保健中进行脆性骨折一级预防的筛查：筛查和治疗效果及可接受性以及风险预测工具准确性的系统评价。
Syst Rev. 2023 Mar 21;12(1):51. doi: 10.1186/s13643-023-02181-w.
6
Differences in spine volumetric bone mineral density between grade 1 vertebral fracture and non-fractured participants in the China action on spine and hip status study.中国脊柱和髋部状况研究中，1 级椎体骨折患者和非骨折患者脊柱容积骨密度的差异。
Front Endocrinol (Lausanne). 2022 Oct 27;13:1013597. doi: 10.3389/fendo.2022.1013597. eCollection 2022.
7
Discordance between Hip and Spine Bone Mineral Density: A Point of Care.髋部与脊柱骨密度的不一致：即时护理要点。
J Bone Metab. 2021 Nov;28(4):249-251. doi: 10.11005/jbm.2021.28.4.249. Epub 2021 Nov 30.
8
Trajectories of Follow-up Compliance in a Fracture Liaison Service and Their Predictors: A Longitudinal Group-Based Trajectory Analysis.骨折联络服务中的随访依从性轨迹及其预测因素：基于群体的纵向轨迹分析
Health Serv Res Manag Epidemiol. 2021 Oct 18;8:23333928211047024. doi: 10.1177/23333928211047024. eCollection 2021 Jan-Dec.
9
Evaluation of the 10 Years' Association Between DXA Screening and Mortality in Patients Who Received Vertebroplasty in the Taiwan Population.台湾人群中接受椎体成形术患者的双能X线吸收法（DXA）筛查与死亡率之间的十年关联评估
Risk Manag Healthc Policy. 2021 Jul 14;14:2995-3001. doi: 10.2147/RMHP.S303184. eCollection 2021.
10
Improved prediction of fracture risk leveraging a genome-wide polygenic risk score.利用全基因组多基因风险评分提高骨折风险预测能力。
Genome Med. 2021 Feb 3;13(1):16. doi: 10.1186/s13073-021-00838-6.
本文引用的文献
1
Construction and validation of a simplified fracture risk assessment tool for Canadian women and men: results from the CaMos and Manitoba cohorts.构建和验证加拿大男女简化骨折风险评估工具：来自 CaMos 和马尼托巴队列的结果。
Osteoporos Int. 2011 Jun;22(6):1873-83. doi: 10.1007/s00198-010-1445-5. Epub 2010 Oct 22.
2
Spine-hip discordance and fracture risk assessment: a physician-friendly FRAX enhancement.脊柱-髋部不协调性与骨折风险评估：一种便于临床医生使用的 FRAX 增强版。
Osteoporos Int. 2011 Mar;22(3):839-47. doi: 10.1007/s00198-010-1461-5. Epub 2010 Oct 20.
3
2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary.《2010年加拿大骨质疏松症诊断与管理临床实践指南：摘要》
CMAJ. 2010 Nov 23;182(17):1864-73. doi: 10.1503/cmaj.100771. Epub 2010 Oct 12.
4
Canadian Association of Radiologists technical standards for bone mineral densitometry reporting.加拿大放射学会骨密度测量报告技术标准
Can Assoc Radiol J. 2011 Aug;62(3):166-175. doi: 10.1016/j.carj.2010.04.007. Epub 2010 Jun 7.
5
Using the same bone density reference database for men and women provides a simpler estimation of fracture risk.使用男女共用的相同骨密度参考数据库可更简单地估算骨折风险。
J Bone Miner Res. 2010 Oct;25(10):2108-14. doi: 10.1002/jbmr.112.
6
Simplified system for absolute fracture risk assessment: clinical validation in Canadian women.绝对骨折风险评估简化系统：在加拿大女性中的临床验证
J Bone Miner Res. 2009 Feb;24(2):353-60. doi: 10.1359/jbmr.081012.
7
Vertebral fracture status and the World Health Organization risk factors for predicting osteoporotic fracture risk.椎体骨折状况及世界卫生组织预测骨质疏松性骨折风险的危险因素。
J Bone Miner Res. 2009 Mar;24(3):495-502. doi: 10.1359/jbmr.081103.
8
10-year probability of recurrent fractures following wrist and other osteoporotic fractures in a large clinical cohort: an analysis from the Manitoba Bone Density Program.大型临床队列中腕部及其他骨质疏松性骨折后复发性骨折的10年概率：来自曼尼托巴骨密度项目的分析
Arch Intern Med. 2008 Nov 10;168(20):2261-7. doi: 10.1001/archinte.168.20.2261.
9
Vertebral fracture assessment (VFA) with a densitometer predicts future fractures in elderly women unselected for osteoporosis.使用骨密度仪进行椎体骨折评估（VFA）可预测未被选作骨质疏松症研究对象的老年女性未来发生骨折的情况。
J Bone Miner Res. 2008 Oct;23(10):1561-8. doi: 10.1359/jbmr.080515.
10
Absolute fracture risk reporting in clinical practice: a physician-centered survey.临床实践中的绝对骨折风险报告：一项以医生为中心的调查。
Osteoporos Int. 2008 Apr;19(4):459-63. doi: 10.1007/s00198-008-0565-7. Epub 2008 Feb 1.
Zotero 插件