The use of an electronic register in monitoring the incidence of osteoporosis among residents of the north

The article deals with operating the systems for preventing low-energy fractures in patients older than 50 years with signs of osteoporosis, complemented by trauma and therapeutic services. The current paradigm of osteoporosis diagnostics is to identify and follow up on patients with high risk of osteoporotic fractures – on the basis of clinical factors for 10-year absolute risk according to FRAX international scale. Further, the article presents the results of work to develop the electronic register to record information about patients with signs of osteoporosis, hosted by the endocrinological center at E.E. Volosevich First Municipal Clinical hospital in Arkhangelsk. The developed register includes six sections allowing to enter data on patients; results of laboratory research; x-ray osteodensitometry; and the osteoporosis therapy prescribed. The rationale is presented for the need in the development of such a monitoring system for more effective collection of epidemiological data on osteoporosis in Arkhangelsk and Arkhangelsk Region, as well as in more objective assessment of health services quality.