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Osteoporosis, epidemia silenciosa

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Chorradas 2.0 y medicalización. Creando un sistema de vigilancia epidemiológica de alertas.

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Osteoporosis, epidemia silenciosa

  1. 1. La falacia del factor de riesgo
  2. 4. ¿Hay alguna forma de detectar la predisposición a padecer osteoporosis?
 Se hacen densiometrías . Son muy sencillas , basta poner la mano en una maquinita . Pero no se hacen por sistema. Deben practicarse con todas las mujeres que estén en la edad de la menopausia para saber cómo están los huesos . Si se detecta que puede padecer osteoporosis hay tratamientos para evitar la enfermedad .
  3. 5. Ann Intern Med. 2011;154:356-64
  4. 6. Alonso et al. BMJ. 2008;336:126–9.
  5. 7. ¿Sirve para algo la densitometría? <ul><li>Hace falta “densitometrar” 7446 mujeres de entre 50-54 años para evitar un caso de fractura de cadera </li></ul><ul><li>Si lo hiciéramos entre 70-74 años, el número necesario (NNT) sería de 254 </li></ul>
  6. 8. <ul><li>Guilley et al. Osteoporosis Int 2011;22:647-53 </li></ul><ul><li>Wilson et alt. Am J Public Health 2006;96:1210-8 </li></ul><ul><li>Peel et al. Age Aging 2006;36:145-51 </li></ul>Ingresos medios Estudios bajos casados Actividades sociales satisfacción Vida proactiva Determinantes sociales y psicológicos de las fracturas odds ratio General practitioners should shift the focus in fracture prevention by systematically assessing risk of falling and providing appropriate interventions to reduce the risk Järvinen BMJ. 2008; 336:124–6
  7. 9. Quandt SA et al. Mayo Clin Proc 2005;80:343-9. RR 0,40 (0,19-0,76) RAR = 0,9% NNT = 108 Reducción Relativa Riesgo ¡¡¡60%!!!!
  8. 10. JAMA. 2011;305(8):783-789
  9. 12. Fallo en discriminar entre los riesgos absoluto y relativo La misión de las intervenciones sanitarias es reducir los riesgos, no los &quot;factores de riesgo” Brugst. BMJ 2009; 338: b2376

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