Gac Med Mex
-
FRAX®, a risk calculator that provides individualized 10-year probabilities of hip and major osteoporotic fracture, has been widely used for fracture risk assessment since its launch in 2008. It is now incorporated into very many guidelines worldwide to inform osteoporosis management. ⋯ We also discuss the limitations of FRAX and the arithmetic adjustments that have been proposed to address these. The introduction of FRAXplus® includes these adjustments on a web-based platform for ease of application to enhance treatment decisions in osteoporosis.
-
The provision of inclusive health services for older adults requires a holistic approach to the health needs of the ageing population and their social environment, to deliver an effective response. To describe the health needs of older adults and their social environment, as a basis for integration of primary health care services. A non-systematic narrative review of the literature was conducted based on an electronic database covering the period 2019-2023 along with a combination of citation references. ⋯ Two groups of health needs for older adults were identified: natural aging processes and disease processes. The social environment for these health needs were conceptualized in three interconnected dimensions: socioeconomic conditions, health services, and place of residence. Understanding the elements underlying the health needs which are determined by contextual conditions, supports strategies to improve services for older adults as part of the primary health care approach.