Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai
Objective: To compare osteoporosis self assessment tool for Asian (OSTA) with the standard measurement of bone mineral density (BMD) by dual energy x-rays absorptiometry (DXA) in identifying the prevalence of osteopenia and osteoporosis in Thai menopausal women who attended the Menopause Clinic, Fac...
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th-cmuir.6653943832-22622014-08-30T02:00:39Z Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai Chaovisitsaree S. Namwongprom S.A.-N. Morakote N. Suntornlimsiri N. Piyamongkol W. Objective: To compare osteoporosis self assessment tool for Asian (OSTA) with the standard measurement of bone mineral density (BMD) by dual energy x-rays absorptiometry (DXA) in identifying the prevalence of osteopenia and osteoporosis in Thai menopausal women who attended the Menopause Clinic, Faculty of Medicine, Chiang Mai University. Material and Method: The data was retrospectively collected from the medical records of women who had lumbar, femoral neck and radius BMD t-score measurement by DXA (Hologic®, QDR-4500C) between January 2004 and December 2005. The body weight and age of patients were calculated for the OSTA index score. The women with OSTA score < -1 and ≥ -1 were classified as "moderate to high risk" and "low risk" for fracture, respectively. The BMD T-scores of < -1 and ≥ -1 were classified as "osteopenia to osteoporosis" and "normal" respectively. Results: Three hundred and fifteen menopausal women of the age of 45-87 years were included. The BMD Tscores assessment revealed that more than half of the subjects had osteopenia to osteoporosis (T-score ≤ -1), 196 women (62%) at lumbar spine, 133 women (42.2%) at femur and a third, 114 women (36.2%) at radius respectively. The OSTA index at the standard cut-point of < -1 had a sensitivity and specificity of 36.2% and 71.4% respectively for the lumbar spine and 40.6% and 72.0% respectively for the neck of the femur in predicting osteopenia to osteoporosis status. Conclusion: The OSTA index score had a low sensitivity (36-48%) but a high specificity (71-75%) for identifying osteopenic to osteoporotic women among population of menopausal period. Nevertheless, it is a useful screening tool in old age women (> 65 years). 2014-08-30T02:00:39Z 2014-08-30T02:00:39Z 2007 Article 01252208 17427514 JMTHB http://www.scopus.com/inward/record.url?eid=2-s2.0-33947204483&partnerID=40&md5=be24a91406885517e8a7d02657446642 http://www.ncbi.nlm.nih.gov/pubmed/17427514 http://cmuir.cmu.ac.th/handle/6653943832/2262 English |
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Objective: To compare osteoporosis self assessment tool for Asian (OSTA) with the standard measurement of bone mineral density (BMD) by dual energy x-rays absorptiometry (DXA) in identifying the prevalence of osteopenia and osteoporosis in Thai menopausal women who attended the Menopause Clinic, Faculty of Medicine, Chiang Mai University. Material and Method: The data was retrospectively collected from the medical records of women who had lumbar, femoral neck and radius BMD t-score measurement by DXA (Hologic®, QDR-4500C) between January 2004 and December 2005. The body weight and age of patients were calculated for the OSTA index score. The women with OSTA score < -1 and ≥ -1 were classified as "moderate to high risk" and "low risk" for fracture, respectively. The BMD T-scores of < -1 and ≥ -1 were classified as "osteopenia to osteoporosis" and "normal" respectively. Results: Three hundred and fifteen menopausal women of the age of 45-87 years were included. The BMD Tscores assessment revealed that more than half of the subjects had osteopenia to osteoporosis (T-score ≤ -1), 196 women (62%) at lumbar spine, 133 women (42.2%) at femur and a third, 114 women (36.2%) at radius respectively. The OSTA index at the standard cut-point of < -1 had a sensitivity and specificity of 36.2% and 71.4% respectively for the lumbar spine and 40.6% and 72.0% respectively for the neck of the femur in predicting osteopenia to osteoporosis status. Conclusion: The OSTA index score had a low sensitivity (36-48%) but a high specificity (71-75%) for identifying osteopenic to osteoporotic women among population of menopausal period. Nevertheless, it is a useful screening tool in old age women (> 65 years). |
format |
Article |
author |
Chaovisitsaree S. Namwongprom S.A.-N. Morakote N. Suntornlimsiri N. Piyamongkol W. |
spellingShingle |
Chaovisitsaree S. Namwongprom S.A.-N. Morakote N. Suntornlimsiri N. Piyamongkol W. Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai |
author_facet |
Chaovisitsaree S. Namwongprom S.A.-N. Morakote N. Suntornlimsiri N. Piyamongkol W. |
author_sort |
Chaovisitsaree S. |
title |
Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai |
title_short |
Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai |
title_full |
Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai |
title_fullStr |
Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai |
title_full_unstemmed |
Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai |
title_sort |
comparison of osteoporosis self assessment tool for asian (osta) and standard assessment in menopause clinic, chiang mai |
publishDate |
2014 |
url |
http://www.scopus.com/inward/record.url?eid=2-s2.0-33947204483&partnerID=40&md5=be24a91406885517e8a7d02657446642 http://www.ncbi.nlm.nih.gov/pubmed/17427514 http://cmuir.cmu.ac.th/handle/6653943832/2262 |
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