{"id":34560,"date":"2024-11-26T16:48:32","date_gmt":"2024-11-26T16:48:32","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34560"},"modified":"2025-01-16T22:48:46","modified_gmt":"2025-01-16T22:48:46","slug":"vertebral-fracture-clinical-decision-tool-for-older-women-with-back-pain-vfrac-a-feasibility-study","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/vertebral-fracture-clinical-decision-tool-for-older-women-with-back-pain-vfrac-a-feasibility-study\/","title":{"rendered":"Bel a\u011fr\u0131s\u0131 olan ya\u015fl\u0131 kad\u0131nlar i\u00e7in omurga k\u0131r\u0131\u011f\u0131 klinik karar verme arac\u0131 (Vfrac) \u2013 bir fizibilite \u00e7al\u0131\u015fmas\u0131."},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Bel a\u011fr\u0131s\u0131 olan ya\u015fl\u0131 kad\u0131nlar i\u00e7in omurga k\u0131r\u0131\u011f\u0131 klinik karar verme arac\u0131 (Vfrac) \u2013 bir fizibilite \u00e7al\u0131\u015fmas\u0131.<\/h1>\n

Finansman<\/h2>\n

Ulusal Sa\u011fl\u0131k ve Bak\u0131m Ara\u015ft\u0131rma Enstit\u00fcs\u00fc, Hasta Yarar\u0131na Ara\u015ft\u0131rma.<\/p>\n

Sorun nedir?<\/strong><\/h2>\n

Osteoporoz (kemik zay\u0131fl\u0131\u011f\u0131), ya\u015fl\u0131 kad\u0131nlarda en s\u0131k g\u00f6r\u00fclen kas-iskelet sistemi rahats\u0131zl\u0131klar\u0131ndan biridir. Osteoporotik omurga k\u0131r\u0131klar\u0131 (osteoporoz nedeniyle s\u0131rtta olu\u015fan k\u0131r\u0131klar) \u00f6zellikle \u00f6nemlidir \u00e7\u00fcnk\u00fc daha fazla kemik k\u0131r\u0131lmas\u0131 riski y\u00fcksek olan ki\u015fileri belirlemeye yard\u0131mc\u0131 olurlar.<\/p>\n

Ancak, omurga k\u0131r\u0131\u011f\u0131 olan ki\u015filerin \u00fc\u00e7te birinden daha az\u0131na do\u011fru te\u015fhis konulmakta ve tedavi uygulanmaktad\u0131r. Bu ba\u015far\u0131s\u0131zl\u0131\u011f\u0131n temel nedeni, kimlerin omurga r\u00f6ntgeni \u00e7ektirmesi gerekti\u011finin anla\u015f\u0131lmas\u0131ndaki zorluktur.<\/p>\n

Vfrac arac\u0131, osteoporotik omurga k\u0131r\u0131\u011f\u0131 olan ve olmayan kad\u0131nlarla yap\u0131lan ara\u015ft\u0131rmalar sonucunda \u00f6zenle geli\u015ftirilmi\u015f basit bir ankettir. Vfrac, 65 ya\u015f \u00fcst\u00fc bel a\u011fr\u0131s\u0131 olan kad\u0131nlar i\u00e7in aile hekimli\u011fi uygulamalar\u0131ndaki sa\u011fl\u0131k profesyonelleri taraf\u0131ndan doldurulmak \u00fczere tasarlanm\u0131\u015ft\u0131r.<\/p>\n

Vfrac'\u0131n \u00e7\u0131kt\u0131s\u0131, omurga r\u00f6ntgeni \u00e7ektirilmesi gerekip gerekmedi\u011fini g\u00f6sterir.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/strong><\/h2>\n

Vfrac'\u0131n ger\u00e7ek d\u00fcnya ko\u015fullar\u0131nda i\u015fe yaray\u0131p yaramad\u0131\u011f\u0131 ve NHS i\u00e7in maliyet etkinli\u011finin olup olmad\u0131\u011f\u0131 hi\u00e7 test edilmedi. Bu ger\u00e7ek d\u00fcnya testi, bir\u00e7ok pratisyen hekim muayenehanesini kapsayan b\u00fcy\u00fck bir \u00e7al\u0131\u015fma olacak ve Vfrac'\u0131n osteoporozlu ya\u015fl\u0131lar\u0131n tedavisini iyile\u015ftirip iyile\u015ftirmedi\u011fini inceleyecektir.<\/p>\n

Bu \u00e7al\u0131\u015fmay\u0131 tasarlayabilmemiz i\u00e7in \u00f6ncelikle planlama yapabilmemiz i\u00e7in bilgilere ihtiyac\u0131m\u0131z var:<\/p>\n

    \n
  1. \u00c7al\u0131\u015fman\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc ve s\u00fcreci, bel a\u011fr\u0131s\u0131 \u015fikayetiyle aile hekimine ba\u015fvuran kad\u0131nlar\u0131n say\u0131s\u0131 ve r\u00f6ntgen sonu\u00e7lar\u0131n\u0131n aile hekimine ula\u015fmas\u0131 i\u00e7in ge\u00e7en ortalama s\u00fcre gibi bilgilere dayanmaktad\u0131r.<\/li>\n
  2. Farkl\u0131 pratisyen hekim muayenehanelerinin kulland\u0131\u011f\u0131 BT sistemlerine dayal\u0131 BT gereksinimleri.<\/li>\n
  3. Vfrac'\u0131n kullan\u0131m \u015fekli, birinci basamak sa\u011fl\u0131k hizmetlerinde bel a\u011fr\u0131s\u0131 olan ya\u015fl\u0131 hastalar\u0131 g\u00f6ren sa\u011fl\u0131k profesyonellerine ba\u011fl\u0131d\u0131r.<\/li>\n
  4. Vfrac kullan\u0131m\u0131na ili\u015fkin hasta ve sa\u011fl\u0131k profesyonellerinin g\u00f6r\u00fc\u015f ve deneyimlerini anlad\u0131ktan sonra arac\u0131 de\u011fi\u015ftirmemiz gerekip gerekmedi\u011fi.<\/li>\n
  5. Vfrac'\u0131 telefon \u00fczerinden (uzaktan dan\u0131\u015fma) kullanabilir miyiz?.<\/li>\n<\/ol>\n

    Bu nas\u0131l ba\u015far\u0131lacak?<\/strong><\/h2>\n

    Yapaca\u011f\u0131z:<\/p>\n

    (A) B\u00fcy\u00fck \u00f6l\u00e7ekli \u00e7al\u0131\u015fman\u0131n boyutunu ve tasar\u0131m\u0131n\u0131 hesaplamak i\u00e7in Birle\u015fik Krall\u0131k genelindeki pratisyen hekim muayenehanelerinden hasta verilerini toplayan bir veritaban\u0131 kullan\u0131n.<\/p>\n

    (B) Bu \u00e7al\u0131\u015fmaya alt\u0131 pratisyen hekim muayenehanesinin dahil olmas\u0131n\u0131 isteyin ve bunlar\u0131n yar\u0131s\u0131n\u0131n 12 ay boyunca Vfrac'\u0131 kullanmas\u0131n\u0131 sa\u011flay\u0131n. Bu, BT gereksinimlerini anlamam\u0131za yard\u0131mc\u0131 olacakt\u0131r. Hastalardan ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131ndan Vfrac hakk\u0131ndaki g\u00f6r\u00fc\u015flerini alaca\u011f\u0131z ve kullan\u0131m\u0131n\u0131 kolayla\u015ft\u0131ran veya zorla\u015ft\u0131ran fakt\u00f6rleri belirleyece\u011fiz. Bunu y\u00fcz y\u00fcze ve telefon\/video \u00fczerinden test edece\u011fiz.<\/p>\n

    (C) Ya\u015fl\u0131larda bel a\u011fr\u0131s\u0131 \u015fikayetiyle ba\u015fvuran ki\u015filere hangi t\u00fcr sa\u011fl\u0131k uzmanlar\u0131n\u0131n bakt\u0131\u011f\u0131n\u0131 belirlemek amac\u0131yla \u00fclke \u00e7ap\u0131nda bir pratisyen hekim muayenehaneleri ara\u015ft\u0131rmas\u0131 yap\u0131n.<\/p>\n

    Hastalar ve kamuoyu, Vfrac'a yol a\u00e7an ara\u015ft\u0131rma projelerinin planlama ve uygulama s\u00fcre\u00e7lerinin tamam\u0131na dahil oldular. Osteoporotik omurga k\u0131r\u0131\u011f\u0131 olan iki ki\u015fi, bu projeye kat\u0131l\u0131m\u0131 s\u00fcrd\u00fcrmeyi kabul etti ve bu \u00f6nerinin y\u00f6nlendirme komitesinde yer alacaklar. \u00d6d\u00fcll\u00fc Hasta Deneyimi Ara\u015ft\u0131rma Ortakl\u0131\u011f\u0131m\u0131z, bu destek talebinin yaz\u0131lmas\u0131na yard\u0131mc\u0131 oldu.<\/p>\n

    Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/strong><\/h2>\n

    Profes\u00f6r Emma Clark, Klinik Kas \u0130skelet Sistemi Epidemiyolojisi Profes\u00f6r\u00fc, Bristol T\u0131p Fak\u00fcltesi, Bristol \u00dcniversitesi.<\/p>\n

    Daha fazla bilgi:<\/h2>\n

    Profes\u00f6r Emma Clark<\/a><\/p>\n

    Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen e-posta g\u00f6nderin. bnssg.research@nhs.net<\/a>.<\/p>\n

    Burada ifade edilen g\u00f6r\u00fc\u015fler yazar(lar)a aittir ve NIHR veya Sa\u011fl\u0131k ve Sosyal Bak\u0131m Bakanl\u0131\u011f\u0131'n\u0131n g\u00f6r\u00fc\u015flerini yans\u0131tmayabilir.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

    Section titled module-1 Vertebral fracture clinical decision tool for older women with back pain (Vfrac) \u2013 a feasibility study. Funding National Institute for Health and Care Research, Research for Patient Benefit. What is the problem? Osteoporosis (weak bones) is one of the most common musculoskeletal conditions in older women. Osteoporotic vertebral fractures (broken bones in […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34560","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34560","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34560"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34560\/revisions"}],"predecessor-version":[{"id":36183,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34560\/revisions\/36183"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34560"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}