Identification of Osteoporosis-Related Fracture Risk in Vietnamese Women: A New WHO Tool

2.50
Hdl Handle:
http://hdl.handle.net/10755/157661
Type:
Presentation
Title:
Identification of Osteoporosis-Related Fracture Risk in Vietnamese Women: A New WHO Tool
Abstract:
Identification of Osteoporosis-Related Fracture Risk in Vietnamese Women: A New WHO Tool
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Tufts, Gillian G., DNP, FNP-BC
P.I. Institution Name:University of Utah, College of Nursing
Title:Assistant Professor
Contact Address:10 South 2000 East, Salt Lake City, UT, 84112-5880, USA
Contact Telephone:801-585-1278
Purposes / Aims: The purpose of this study is to compare DEXA-scan results to the projected hip fracture risk by using the new World Health Organization (WHO) on-line FRAXTM tool in a population of Vietnamese women. Specifically, the study seeks to explore the differences between the two methods in initiation of medical therapy. This project is currently nearing completion and is in partial fulfillment of the DNP degree at the University of Utah. Rationale / Background: Osteoporosis has been recognized as an important public health concern around the world. Osteoporosis results from reduced bone mineral density and is a major risk for bone fracture. The WHO criteria, based on bone density data norms obtained in the early 1990s from healthy 20- to 30- year old United States Caucasian women, are used in the diagnosis of osteoporosis and in setting the threshold for initiating medical therapy. The DEXA-scan is the gold standard radiological method for identifying osteoporosis through measuring bone density. Osteoporosis is considered present when the results are 2 standard deviations below the WHO criteria but does not take into consideration ethnicity, physical characteristics, such age, or medical history. Recently, the FRAXTM tool has been developed by WHO to evaluate fracture risk of patients using models that integrate the risks associated with clinical risk factors, such as ethnicity or physical characteristics, as well as bone density. The tool is modeled from studying population-based cohorts from Europe, North America, Asia and Australia. Approach / Methods / Processes: 56 postmenopausal, Vietnamese women who were currently patients at the Community Health Centers, Inc., Salt Lake City, Utah were included in the study. IRB approval was obtained. A chart review was completed, gathering demographic (age) and physical (height and weight) characteristics, social parameters (smoking and alcohol history), focused medical history (glucocorticoid use, personal fracture), recent DEXA-scan T-score, and family history of osteoporosis-related fracture. Also noted is whether medication was initiated based on DEXA scan T-score. The data for each subject identified will then entered into the on-line FRAXTM tool and the ten-year projected risk for hip and other major osteoporotic fracture calculated. Outcomes achieved: The project is nearly complete; committee presentation date is scheduled for 10/31/08. The author is currently summarizing: clinical risk factors, number of patients diagnosed with normal bone density, osteopenia, osteoporosis, and initiation of treatment based on the DEXA scan results alone. A comparison will then be made between the results of DEXA scan alone versus the project 10-year fracture risk using the on-line FRAXTM tool. Conclusions/Recommendations: The goal of the study is explore whether initiation of medical therapy differs from the results of the DEXA scan alone versus the projected 10-year fracture risk, based on the on-line FRAXTM tool. The FRAXTM tool is population-based tool, allowing the clinician to make evidence-based decisions for their patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIdentification of Osteoporosis-Related Fracture Risk in Vietnamese Women: A New WHO Toolen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157661-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Identification of Osteoporosis-Related Fracture Risk in Vietnamese Women: A New WHO Tool</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tufts, Gillian G., DNP, FNP-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Utah, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">10 South 2000 East, Salt Lake City, UT, 84112-5880, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">801-585-1278</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gillian.tufts@nurs.utah.edu, gtufts@xmisison.com</td></tr><tr><td colspan="2" class="item-abstract">Purposes / Aims: The purpose of this study is to compare DEXA-scan results to the projected hip fracture risk by using the new World Health Organization (WHO) on-line FRAXTM tool in a population of Vietnamese women. Specifically, the study seeks to explore the differences between the two methods in initiation of medical therapy. This project is currently nearing completion and is in partial fulfillment of the DNP degree at the University of Utah. Rationale / Background: Osteoporosis has been recognized as an important public health concern around the world. Osteoporosis results from reduced bone mineral density and is a major risk for bone fracture. The WHO criteria, based on bone density data norms obtained in the early 1990s from healthy 20- to 30- year old United States Caucasian women, are used in the diagnosis of osteoporosis and in setting the threshold for initiating medical therapy. The DEXA-scan is the gold standard radiological method for identifying osteoporosis through measuring bone density. Osteoporosis is considered present when the results are 2 standard deviations below the WHO criteria but does not take into consideration ethnicity, physical characteristics, such age, or medical history. Recently, the FRAXTM tool has been developed by WHO to evaluate fracture risk of patients using models that integrate the risks associated with clinical risk factors, such as ethnicity or physical characteristics, as well as bone density. The tool is modeled from studying population-based cohorts from Europe, North America, Asia and Australia. Approach / Methods / Processes: 56 postmenopausal, Vietnamese women who were currently patients at the Community Health Centers, Inc., Salt Lake City, Utah were included in the study. IRB approval was obtained. A chart review was completed, gathering demographic (age) and physical (height and weight) characteristics, social parameters (smoking and alcohol history), focused medical history (glucocorticoid use, personal fracture), recent DEXA-scan T-score, and family history of osteoporosis-related fracture. Also noted is whether medication was initiated based on DEXA scan T-score. The data for each subject identified will then entered into the on-line FRAXTM tool and the ten-year projected risk for hip and other major osteoporotic fracture calculated. Outcomes achieved: The project is nearly complete; committee presentation date is scheduled for 10/31/08. The author is currently summarizing: clinical risk factors, number of patients diagnosed with normal bone density, osteopenia, osteoporosis, and initiation of treatment based on the DEXA scan results alone. A comparison will then be made between the results of DEXA scan alone versus the project 10-year fracture risk using the on-line FRAXTM tool. Conclusions/Recommendations: The goal of the study is explore whether initiation of medical therapy differs from the results of the DEXA scan alone versus the projected 10-year fracture risk, based on the on-line FRAXTM tool. The FRAXTM tool is population-based tool, allowing the clinician to make evidence-based decisions for their patients.</td></tr></table>en_GB
dc.date.available2011-10-26T20:05:01Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:05:01Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.