Khera, TK, Burston, A, Davis, S, Drew, S, Gooberman-Hill, R, Paskins, Z ORCID: https://orcid.org/0000-0002-7783-2986, Peters, TJ, Tobias, JH and Clark, EM (2019) An observational cohort study to produce and evaluate an improved tool to screen older women with back pain for osteoporotic vertebral fractures (Vfrac): Study protocol. Archives of Osteoporosis, 14 (1).

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Abstract

The aim of this study is to produce an easy to use checklist for general practitioners to complete whenever a woman aged over 65years with back pain seeks healthcare. This checklist will produce a binary output to determine if the patient should have a radiograph to diagnose vertebral fracture.PurposePeople with osteoporotic vertebral fractures are important to be identified as they are at relatively high risk of further fractures. Despite this, less than a third of people with osteoporotic vertebral fractures come to clinical attention due to various reasons including lack of clear triggers to identify who should have diagnostic spinal radiographs. This study aims to produce and evaluate a novel screening tool (Vfrac) for use in older women presenting with back pain in primary care based on clinical triggers and predictors identified previously. This tool will generate a binary output to determine if a radiograph is required.MethodsThe Vfrac study is a two-site, pragmatic, observational cohort study recruiting 1633 women aged over 65years with self-reported back pain. Participants will be recruited from primary care in two sites. The Vfrac study will use data from two self-completed questionnaires, a simple physical examination, a lateral thoracic and lateral lumbar radiograph and information contained in medical records.ResultsThe primary objective is to develop an easy-to-use clinical screening tool for identifying older women who are likely to have vertebral fractures.ConclusionsThis article describes the protocol of the Vfrac study; ISRCTN16550671.

Item Type: Article
Additional Information: This is the final published version of the article (version of record). It first appeared online via Springer at https://link.springer.com/journal/11657 - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: vertebral fracture, screening, osteoporosis, protocol
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine > RC925 Diseases of the musculoskeletal system
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Depositing User: Symplectic
Date Deposited: 08 Jan 2019 08:46
Last Modified: 15 Feb 2019 11:00
URI: http://eprints.keele.ac.uk/id/eprint/5641

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