{"id":27125,"date":"2023-05-08T00:01:00","date_gmt":"2023-05-08T04:01:00","guid":{"rendered":"https:\/\/canadiantaskforce.ca\/?page_id=27125"},"modified":"2024-04-16T10:12:01","modified_gmt":"2024-04-16T14:12:01","slug":"fracture-de-fragilisation-infographie-a-lintention-des-cliniciens","status":"publish","type":"page","link":"https:\/\/canadiantaskforce.ca\/fr\/tools-resources\/fracture-de-fragilisation-infographie-a-lintention-des-cliniciens\/","title":{"rendered":"Fracture de fragilisation\u2014Infographie des cliniciens"},"content":{"rendered":"<div class='fullwidth-section  ' style=\"background-repeat:no-repeat;background-position:left top;\"><div class=\"container\"><div class=\"dt-sc-tabs-vertical2-container\"><ul id=\"menu-outilsressources\" class=\"dt-sc-tabs-vertical2-frame\"><li id=\"menu-item-14151\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-14151\"><a href=\"https:\/\/canadiantaskforce.ca\/fr\/tools-resources\/\">Outils de d\u00e9pistage<\/a><\/li>\n<li id=\"menu-item-14150\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-14150\"><a href=\"https:\/\/canadiantaskforce.ca\/fr\/?page_id=11228\">Vid\u00e9os<\/a><\/li>\n<\/ul><div class=\"dt-sc-tabs-vertical2-frame-content\"><div class='pdfdownload'><h5>Version PDF<\/h5><hr><div class='pdfdownload-text'><a href=\"https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/CTFPHC_FF_ClinicianCommunication_Tool_FR_v9_FINAL.pdf\">PDF en couleur<\/a><\/div><\/div>\n<div class='back'><h4><span class='fa fa-angle-left'><\/span>&nbsp;<a href='\/lignesdirectrives\/lignes-directrices-publiees\/fracture-de-fragilisation\/?lang=fr'>Retour<\/a><\/h4><\/div>\n<section id=\"who-do-these-recommendations-apply-to\" class=\"ctfphc-section\">\n<h3><\/h3>\n<h2>D\u00e9pistage pour la pr\u00e9vention des fractures de fragilisation<\/h2>\n<h3><em>Combien de temps cela prend-il?<\/em><\/h3>\n<p class=\"p1\">Nous recommandons <a href=\"https:\/\/frax.groupeetudecanadien.ca\"><span class=\"s2\"><b>le d\u00e9pistage d\u00e9butant par une estimation du risque (FRAX)<\/b><\/span><\/a><span class=\"s1\">:<\/span><\/p>\n<ul>\n<li class=\"p1\">Une <strong>ost\u00e9odensitom\u00e9trie<\/strong> est demand\u00e9e seulement pour les femmes de 65 ans et plus qui une fois inform\u00e9es de leur risque consid\u00e8rent entreprendre un traitement pr\u00e9ventif<\/li>\n<\/ul>\n<p>\u2714 Plus rapide<\/p>\n<p>\u2714 R\u00e9duit le d\u00e9pistage inutile<\/p>\n<p>\u2714 Prise de d\u00e9cision partag\u00e9e<\/p>\n<p class=\"p1\"><em><strong>Nous ne recommandons pas le d\u00e9pistage d\u00e9butant par une ost\u00e9odensitom\u00e9trie ni chez les femmes ni chez les hommes<\/strong><\/em><\/p>\n<\/section>\n<p class=\"p2\"><span class=\"s1\"><span class=\"Apple-converted-space\">&nbsp;<\/span><\/span><\/p>\n<p class=\"p1\"><b>Postulats :<\/b><\/p>\n<ul>\n<li class=\"p1\">Client\u00e8le <span style=\"color: initial\">regroupant 1 200 personnes suivies pendant 25 ans.<\/span><\/li>\n<li class=\"p1\"><span class=\"s1\">600 personnes ont 50&nbsp;ans et plus et 300&nbsp;personnes ont 65&nbsp;ans et plus.<\/span><\/li>\n<li class=\"p1\">\u00bd sont des femmes et \u00bd sont des hommes.<\/li>\n<li class=\"p1\"><span class=\"s1\">Le d\u00e9pistage est estim\u00e9 jusqu\u2019\u00e0 l\u2019\u00e2ge de 85&nbsp;ans.<\/span><\/li>\n<li class=\"p1\">La fr\u00e9quence du d\u00e9pistage est 2 \u00e0 5 ans pour un d\u00e9pistage d\u00e9butant &nbsp;par une ost\u00e9odensitom\u00e9trie et tous les 8 ans pour un d\u00e9pistage d\u00e9butant par une estimation du risque.<\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\"><span class=\"Apple-converted-space\">&nbsp;<\/span><\/span><\/p>\n<p class=\"p1\"><b>Contexte :<span class=\"Apple-converted-space\">&nbsp;<\/span><\/b><\/p>\n<ul>\n<li class=\"p1\"><span class=\"s1\"><span class=\"s1\"><span class=\"s1\">Aucune \u00e9tude n&rsquo;a d\u00e9montr\u00e9 de b\u00e9n\u00e9fices <\/span><\/span><\/span><span class=\"s1\">au d\u00e9pistage pour les hommes de tout \u00e2ge et les femmes de moins de 65 ans.<\/span><\/li>\n<li class=\"p1\">Il n&rsquo;appara\u00eet pas utile de refaire un d\u00e9pistage aux femmes avant 8 ans<\/li>\n<\/ul>\n<p><a href=\"https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/FF_BMD_ClinicianTool_graph_FR_v2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-27463\" src=\"https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/FF_BMD_ClinicianTool_graph_FR_v2-1024x928.png\" alt=\"This bar graph shows screening for fragility fractures over 25 years. The Y axis shows clinician hours. The X axis shows screening tools\" width=\"600\" height=\"544\" srcset=\"https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/FF_BMD_ClinicianTool_graph_FR_v2-1024x928.png 1024w, https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/FF_BMD_ClinicianTool_graph_FR_v2-300x272.png 300w, https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/FF_BMD_ClinicianTool_graph_FR_v2-768x696.png 768w, https:\/\/canadiantaskforce.ca\/wp-content\/uploads\/2023\/05\/FF_BMD_ClinicianTool_graph_FR_v2.png 1522w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p><strong>D\u00e9pistage sur 25&nbsp;ans<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td><\/td>\n<td><strong>Heures du clinicien<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Approche d\u00e9butant par une estimation du risque<\/td>\n<td>58<\/td>\n<\/tr>\n<tr>\n<td>Approche d\u00e9butant par l\u2019ost\u00e9odensitom\u00e9trie chez les femmes de 65ans et plus<\/td>\n<td>112*<\/td>\n<\/tr>\n<tr>\n<td>Approche d\u00e9butant par l\u2019ost\u00e9odensitom\u00e9trie chez les femmes et les hommes de 65ans et plus<\/td>\n<td>214*<\/td>\n<\/tr>\n<tr>\n<td>Approche d\u00e9butant par l\u2019ost\u00e9odensitom\u00e9trie chez les femmes et les hommes de moins de 65ans<\/td>\n<td>Estimation impossible<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>* Aucune \u00e9tude ne sugg\u00e8re que cela pr\u00e9vient plus de fractures<\/p>\n<p class=\"p1\"><b>Votre temps en tant que clinicien est pr\u00e9cieux : d\u00e9pistez mieux et plus rapidement<\/b><\/p>\n<p class=\"p1\"><a href=\"https:\/\/canadiantaskforce.ca\/how-was-this-calculation-made\/\">Comment avons nous fait ces estimations?<\/a> <em>(anglais)<\/em><\/p>\n<section id=\"who-do-these-recommendations-apply-to\" class=\"ctfphc-section\"><\/section>\n<section id=\"who-do-these-recommendations-apply-to\" class=\"ctfphc-section\"><\/section>\n<div class=\"ctfphc-section ctfphc-section-notitle\">\n<div class=\"ctfphc-section ctfphc-section-notitle\"><\/div>\n<section id=\"other-recommendations\" class=\"ctfphc-section\">\n<h3><\/h3>\n<section id=\"other-recommendations\" class=\"ctfphc-section\"><\/section>\n<section id=\"implementation-considerations\" class=\"ctfphc-section\"><\/section>\n<section id=\"evidence-summary\" class=\"ctfphc-section\"><\/section>\n<\/section>\n<\/div>\n<\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":20241,"featured_media":27498,"parent":10330,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[356,357,218],"tags":[],"class_list":["post-27125","page","type-page","status-publish","has-post-thumbnail","hentry","category-fracture-de-fragilisation","category-fragility-fractures-fr","category-outils"],"acf":[],"_links":{"self":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/27125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/users\/20241"}],"replies":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/comments?post=27125"}],"version-history":[{"count":99,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/27125\/revisions"}],"predecessor-version":[{"id":29527,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/27125\/revisions\/29527"}],"up":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/pages\/10330"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/media\/27498"}],"wp:attachment":[{"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/media?parent=27125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/categories?post=27125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canadiantaskforce.ca\/fr\/wp-json\/wp\/v2\/tags?post=27125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}