THE USE OF THE FRAX CALCULATOR IN CLINICAL PRACTICE TO ASSESS THE RISK OF FRACTURE
Omarova I.S.1, Yeskazina G.T.4 , Yeshmanova A.K.1,6, Gabdulina G.K.1, Sailanova D.K.1,2 , Iskakova S.A.5,
Abdirova T.M.3, Ensepova N.M.3, Adilzhan G.R.1, Mombiyeva Z.T.1
1 KazNMU named after Asfendiyarov, Almaty, Kazakhstan 2 City polyclinic No. 36, Almaty, Kazakhstan 3 Higher School of Public Health “HSPH”, Department of Internal Medicine, Almaty, Kazakhstan 4 Al-Farabi Kazakh National University, Almaty, Kazakhstan
5 Research Institute of Preventive Medicine named after E.Dalenov, Astana, Kazakhstan 6 Institute of Innovative and Preventive Medicine, Astana, Kazakhstan
Introduction. FRAX models are available for 66 countries, covering more than 80% of the world’s at-risk
population, and have been included in more than 100 guidelines worldwide.
Objective. To use the Kazakh FRAX model as a screening of the 10-year probability of major fractures among
postmenopausal women and men over 50 years of age in primary health care.
Materials and Methods. The FRAX calculator was tested by Doctor of City polyclinic No. 36 and in the medical
and social institution “Shanyrak” in Almaty in the work of a geriatrician. A total of 341 patients participated.
Results. 108 (31.6%) patients had a high risk of major fractures. The high risk of major fractures prevailed in
women, elderly, Russian nationality.
Discussion. The FRAX model can improve the accuracy of determining the probability of fractures at the primary
health and social care level and help medical staff make treatment decisions
