Uso do frax combinado ao tbs na avaliação do risco de fratura em pacientes com osteoporose
2017
ABSTRACT: Osteoporosis is a health problem worldwide, the result of physiological aging itself or
other factors that end up generating loss of bone mass. Osteoporotic fractures are an
important cause of morbidity and mortality, especially in the elderly population. The
gold standard in assessing fracture risk is bone mineral density (BMD), however,
most fragility fractures occur in patients with osteopenia or bone mineral density in
the normal range. Thus, several methods have been proposed to cover situations
where BMD is not effective in predicting fracture risk. The FRAX is well validated
throughout the world and has been suitable for numerous situations, however, it has amounts of some of the limitations. TBS is a recent development methodology, but
with encouraging results. Several other methods are described, but not as easy to
apply. Recent studies have focused on the combined use of fracture risk assessment
methods. Since each method has its own limitations, these can be compensated by
using another method as a complementary strategy. Thus, this work aims to analyze
the current literature, in order to describe how the combined use of the FRAX and
TBS methodologies is useful in the evaluation of the risk of fractures in patients with
osteoporosis.
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