More on … Evidence for specific osteoporosis treatment
The life expectancy of the patient should be at least 6 months. Age, comorbities, and functional status may help to estimate the life expectancy of an older adult. To assess comorbidities, the Charlson Comorbidity Index can be used. To assess the functional status, the Barthel Index and the Parker Mobility Score are useful tools. Both show a significant correlation with mortality. Fracture risk can be estimated by the FRAX Score.
Literature
- Charlson M, Szatrowski TP, Peterson J, et al.
Validation of a combined comorbidity index. J Clin Epidemiol. 1994 Nov;47(11):1245–1251.
-
Mahoney FI, Barthel DW.
Functional evaluation: the Barthel Index. Md State Med J. 1965 Feb;14:61–65.
-
Parker MJ, Palmer CR.
A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg Br. 1993 Sep;75(5):797–798.
-
Kammerlander C, Gosch M, Kammerlander-Knauer U, et al.
Long-term functional outcome in geriatric hip fracture patients. Arch Orthop Trauma Surg. 2011 Oct;131(10):1435–1444.
- http://www.shef.ac.uk/FRAX.
<%= buttons %>