New Calculator Tool Estimates Fracture Risk on Dialysis

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New Calculator Tool Estimates Fracture Risk on Dialysis
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Calculator uses readily available clinical factors and will soon be freely accessible.

Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit.VANCOUVER, Canada — A new calculator that predicts short-term fracture risk at both 1 year and 3 years in patients on dialysis performed well in a study presented at the American Society for Bone and Mineral Research 2023 Annual Meeting.

The new calculator could also be useful for research because it doesn't rely on clinical data that might not be generally available, such as parental fracture, smoking status, or body mass index."There's a move towards things like pragmatic trials, which use more routinely collected data, have broader inclusion criteria, and are often more cost efficient to run.

Variables associated with fracture risk included female sex , a previous fracture more than 1 year in the past , a fracture in the past year , and proton pump inhibitor use . After inclusion of, and chronic liver disease, the full model had an area under the curve of 77.7 at 1 year and 69.9 at 3 years . For hip fracture, the model had an AUC of 80.1 at 1 year and 71.9 at 3 years .

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