Department of Public Health, Epidemiology and Health Economics, University of Liège, CHU Sart-Tilman, Bât B23, Av. de l'Hôpital 3, 4000 Liège, Belgium.
Rheumatol Int. 2013 Apr;33(4):979-83. doi: 10.1007/s00296-012-2461-x. Epub 2012 Jul 29.
The FRAX tool that calculates the 10-year probability of having a fracture has recently been validated for Belgium. Little is known about the perception and knowledge that GPs have about this tool in their daily practice. A survey has been conducted as part of a screening campaign for various diseases. The primary objective of the present study was to assess the perception and the knowledge of the FRAX tool by GPs. The secondary objective was to assess the impact of an information brochure about the FRAX tool on these outcomes. The survey was sent to a sample of 700 GPs after only half of them had received the information brochure. The survey results show that, out of the 193 doctors who responded to the survey, one-third know the FRAX tool but less than 20 % use it in their daily clinical practice. Among those who use it, the FRAX tool is largely seen as a complementary but not as an essential tool in the diagnosis or in the management of osteoporosis. It appears that the brochure could improve the knowledge of the FRAX tool but it would not be more efficient on its use in daily practice than the other sources of information. At present, the use of the FRAX tool in Belgium is limited but an information brochure could have a positive impact on the knowledge of the FRAX tool.
FRAX 工具可计算出患者在未来 10 年内发生骨折的概率，该工具最近已在比利时得到验证。然而，人们对于全科医生在日常实践中对该工具的认知和了解知之甚少。作为多种疾病筛查活动的一部分，我们开展了一项调查。本研究的主要目的是评估全科医生对 FRAX 工具的认知和了解。次要目的是评估 FRAX 工具信息手册对这些结果的影响。在一半的医生收到信息手册后，我们向 700 名全科医生发送了调查问卷。调查结果显示，在 193 名回复调查的医生中，有三分之一的人知道 FRAX 工具，但在日常临床实践中使用该工具的人不到 20%。在使用该工具的人群中，FRAX 工具主要被视为一种补充工具，但不是骨质疏松症诊断或管理的必要工具。看起来宣传册可以提高对 FRAX 工具的了解，但它在日常实践中的使用效率并不会比其他信息来源更高。目前，FRAX 工具在比利时的使用有限，但信息手册可能会对 FRAX 工具的了解产生积极影响。
