Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector3556810.17816/MSER35568New possibilities of estimation of risk of fractures. Rehabilitation prognosis and rehabilitation potential of patients with a primary osteoporosisSkripnikovaIrina Anatol'evna-KislyyN D-SkripnikovaI A-KislyN D-15122010134414421072020Copyright © 2010, Eco-Vector2010In the article the new approaches of exposure of persons with the high risk of fractures, developing on a background of osteoporosis are going come into question. Worldwide organization of health protection is offer an instrument for the estimation of individual absolute risk of fractures for men and women, worked out on the basis of the use of clinical risk and data of mineral bone density in neck of hip. New approaches in the estimation of risk of fractures will allow more exactly to determine the state of bone fabric and extend the possibilities of application of antiosteoporotic drugs.osteoporosismineral bone densityabsolute risk of fracturesостеопорозминеральная плотность костиабсолютный риск переломов[Остеопороз: Диагностика, профилактика и лечение (клинические рекомендации) / Под ред. Л. И. Беневоленской, О. М. Лесняк. - М., 2008.][Cooper C., Gehlbach S. Identification of patient in need of antiosteoporotic treatment: who to treat today? // Medicographia. - 2006. - N 1. - P. 13-19.][3. De Laet C., Kanis J. A., Oden A. et al. Body mass index as a predictor of fracture risk: a meta - analysis // Osteoporos. Int. - 2005. - Vol. 16. - P. 1330-1338.][Johnell O., Kanis J. A., Oden A. et al. Predictive value of bone mineral density for hip and other fractures // J. Bone Miner. Res. - 2005. - Vol. 20. - P. 1185-1194. Erratum. // J. Bone Miner. Res. - 2007. - Vol. 22. - P. 774.][Kanis J. A., Johanson H., Oden A. et al. A meta-analysis of prior corticosteroid use and fracture risk // J. Bone Miner. Res. - 2000. - Vol. 19. - P. 893-899.][Kanis J. A., Gluer C. C. for the Committee of Scientific Advisors, International Osteoporosis Foundation. An update on the diagnosis and assessment of osteoporosis with densitometry // Osteoporos. Int. - 2000. - Vol. 11. - P. 192-202.][Kanis J. A., Johnell O., Oden A. et al. Risk of hip fracture in Sweden according to relative risk: An analysis applied to the population of Sweden // Osteoporos. Int. - 2000. - Vol. 11. - P. 120-127.][Kanis J. A., Johnell O., Oden A. et al. Ten year risk of osteoporotic fracture and the effect of risk factors on screening strategies // Bone. - 2001. - Vol. 30. - P. 251-258.][Kanis J. A., Black D., Cooper C. et al. A new approach to the development of assessment guidelines for osteoporosis // Osteoporos. Int. - 2002. - Vol. 13. - P. 527-536.][Kanis J. A., Johnell O., De Laet C. et al. International variations of hip fracture probability; implications for risk assessment // J. Bone Miner. Res. - 2002. - Vol. 17. - P. 1237- 1244.][Kanis J. A., Johnell O., Oden A. et al. Intervention thresholds for osteoporosis // Bone. - 2002. - Vol. 13. - P. 26-31.][Kanis J. A., Johanson H., Oden A. et al. A family history of fracture and fracture risk: a meta - analysis // Bone. - 2004. - Vol. 35. - P. 1029-1037.][Kanis J. A., Johanson H., Johnell O. et al. Alcohol intake as a risk factor for fracture // Osteoporos. Int. - 2005. - Vol. 16. - P. 737-742.][Kanis J. A., Johnell O., Oden A. et al. Smoking and fracture risk: a meta - analysis // Osteoporos. Int. - 2005. - Vol. 16. - P. 155-162.][Kanis J. A. on behalf of the World Health Organization Scientific Group. Assessment of Osteoporosis at the Primary Healthcare Level. Technical Report. Sheffield: WHO Collaborating Centre, University of Cheffield, 2007.][Kanis J. A., Johnell O., Oden A. et al. E. FRAXTM and the assessment of fracture probability in men and women from the UK. Osteoporos. Int. - 2008. - Vol. 19, N 4. - P. 385-397.][National Institutes for Health Consensus development Panel of osteoporosis prevention, diagnosis and therapy // J. A. M. A. - 2001. - Vol. 285. - P. 785-795.][National Osteoporosis Foundation. Analyses of the effectiveness and cost of screening and treatment strategies for osteoporosis: a basis for development of practice guidelines // Osteoporos. Int. - 1998. - Vol. 8, Suppl. 4. - P. 1-88.][Siminosky K., Leslie W. D., Frame H. et al. Recommendation for bone mineral density reporting in Canada // Can. Assoc. Radiol. J. - 2005. - Vol. 56, N 3. - P. 178-188.]