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Previous issue date: 2018-07-30 / This is a quantitative, cross-sectional and descriptive study whose general objective
was to evaluate the bone quality of elderly women with more than 60 years of age
attending a general gynecology clinic in the Distrito Federal, through the application of
the FRAX Tool. The study site was a private general gynecological clinic and the
sample consisted of 147 were elderly women (60 to 90 years). For the data collection,
three instruments were used: a sociodemographic questionnaire, the FRAX tool and
the FRAQ-Brazil instrument. Comparisons of proportions between two independent
groups were performed using Fisher's exact test. Categorical variables were described
with counts and proportions. Quantitative variables of normal and asymmetric
distribution were described as mean ? standard deviation and median (interquartile
range) respectively. Normality was assessed by visual inspection of histograms. The
R software was used in the statistical analysis of data. All probabilities of significance
are bilateral and values less than 0.05 are considered statistically significant. The
results obtained are found in articles 1 and 2. The research allowed an intense
literature review to contribute to an understanding of which factors limit the use of the
FRAX Tool, and which groups of older people should be better and more carefully
analyzed for orientation. We found a mean and high risk of osteoporotic fractures
assessed by applying the FRAX tool in non-elderly patients by 0.3%, in elderly patients
up to 79 years old was found in 3,7% and in 45,5% of the elderly women above of 80
years. It can be concluded that the FRAX tool, despite some limitations, is important
for the early identification and screening of individuals at risk of fractures due to its
simplicity of application, allowing early and safe therapeutic decision making. It was
also concluded that there is a significant increase in the risk of osteoporotic fractures
with advancing age. / Trata-se de um estudo quantitativo, transversal e descritivo cujo objetivo geral foi
avaliar a qualidade da massa ?ssea de idosas com mais de 60 anos frequentadoras
de uma cl?nica de ginecologia geral no Distrito Federal, por meio da aplica??o da
Ferramenta FRAX. O local do estudo foi uma cl?nica particular de ginecol?gica geral e
a amostra foi constitu?da 147 mulheres idosas (60 a 90 anos). Para a coleta de dados,
utilizaram-se tr?s instrumentos: um question?rio sociodemogr?fico, a Ferramenta
FRAX e o instrumento FRAQ-Brasil. Compara??es de propor??es entre dois grupos
independentes foram efetuadas utilizando-se teste exato de Fisher. Vari?veis
categ?ricas foram descritas com contagens e propor??es. Vari?veis quantitativas de
distribui??o normal e assim?trica foram descritas como m?dia ? desvio padr?o e
mediana (intervalo interquartil) respectivamente. Normalidade foi avaliada com a
inspe??o visual de histogramas. O software R foi utilizado na an?lise estat?stica de
dados. Todas as probabilidades de signific?ncia apresentadas s?o do tipo bilateral e
valores menores que 0.05 considerados estatisticamente significantes. Os resultados
obtidos encontram-se nos artigos 1 e 2. A pesquisa permitiu a realiza??o de uma
intensa revis?o de literatura visando contribuir para uma compreens?o de quais
fatores limitam o uso da Ferramenta FRAX, e quais grupos de idosos devem ser
melhores e mais cuidadosamente analisados para a orienta??o. Encontrou-se m?dio
e alto risco de fraturas osteopor?ticas avaliado atrav?s da aplica??o da Ferramenta
FRAX nas pacientes idosas aos 79 anos o percentual encontrado foi de 3,7% e em
45,5% nas idosas acima dos 80 anos. Pode-se concluir que a Ferramenta FRAX,
apesar de algumas limita??es, ? importante para a identifica??o precoce e o
rastreamento de indiv?duos com risco de fraturas, devido ? sua simplicidade de
aplica??o, permitindo uma tomada de decis?o terap?utica precoce e segura. Concluiuse
tamb?m que h? um aumento importante do risco de fraturas osteopor?ticas com o
avan?ar da idade.
| Identifer | oai:union.ndltd.org:IBICT/oai:bdtd.ucb.br:tede/2498 |
| Date | 30 July 2018 |
| Creators | Sousa, Cristina de Jesus |
| Contributors | Oliveira, Maria Liz Cunha de |
| Publisher | Universidade Cat?lica de Bras?lia, Programa Stricto Sensu em Gerontologia, UCB, Brasil, Escola de Sa?de e Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UCB, instname:Universidade Católica de Brasília, instacron:UCB |
| Rights | info:eu-repo/semantics/openAccess |
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