Objective To systematically review of the application of the FRAX assessment tool in China's Han and ethnic minorities, clarifying that ethnic differences may affect fracture risk prediction,and proposethe intervention threshold for the MOF (10-year probability of fracture in major parts) for Chinese population.Methods Systematic retrieval was conducted through CNKI, CBM, VIP, WanFang, PubMed, Embase, Cochrane libraries, quality evaluation was carried out, and Meta analysis was carried out with the help of software Stata16.0, Metadisc1.4 and MedCalc to analyze the statistical heterogeneity between the studies . Random effects model analysis was used, and a funnel chart was used to assess the publication bias of the test data. Results Total 11 articles were included, including 27 studies, with a total sample size of 27 554 cases.①8 articles reported on the Han MOF with combined sensitivity of 0.75(95% CI:0.53-0.89); combined specificity of 0.76(95% CI:0.56-0.88); SROC AUC of 0.82(95% CI:0.78-0.85).Three literatures reported on HF(probability of hip fracture in 10 years%), with aggregated sensitivity of 0.80(95% CI:0.56-0.93) and aggregated specificity of 0.72(95% CI:0.53-0.86); SROC AUC is 0.75(95% CI:0.71-0.78).②A MOF subgroup analysis was conducted, the results suggested that ethnicity, gender, and research methods were the potential factors that cause heterogeneity.③5 articles reported on the MOF of ethnic minorities (Tibetan, Mongolian, Gaoshan, Zhuang, Uygur),the combined sensitivity is 0.66 (95% CI: 0.43-0.84); the combined specificity is 0.76 (95% CI: 0.36-0.95);SROC AUCis 0.75(95% CI:0.71-0.78)。A MOF subgroup analysis isperformed, and the results suggest that gender was a potential factor causing heterogeneity.④There was no bias in the Deeks test for all indicators. ⑤The literature analysis results supported the setting of the intervention threshold of MOF for the Chinese population at 6%.Conclusion National differences and gender that affect fracture risk prediction; the intervention threshold of MOF for the Chinese population is set to 6%. |