Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women

Many studies demonstrated the importance of using ethnic-specific normal database in the diagnosis of osteoporosis (OP). Aims of this study were to assess diagnostic agreement, prevalence of OP, and diagnostic misclassification between Caucasian, Japanese, and Thai normal databases. The cross-sectio...

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Main Authors: Namwongprom S., Rojnastein S., Mangklabruks A., Soontrapa S., Wongboontan C., Ongphiphadhanakul B.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-82755166847&partnerID=40&md5=08eec11087a9b3cf8ea43e38f477c767
http://www.ncbi.nlm.nih.gov/pubmed/22154430
http://cmuir.cmu.ac.th/handle/6653943832/2963
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spelling th-cmuir.6653943832-29632014-08-30T02:25:36Z Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women Namwongprom S. Rojnastein S. Mangklabruks A. Soontrapa S. Wongboontan C. Ongphiphadhanakul B. Many studies demonstrated the importance of using ethnic-specific normal database in the diagnosis of osteoporosis (OP). Aims of this study were to assess diagnostic agreement, prevalence of OP, and diagnostic misclassification between Caucasian, Japanese, and Thai normal databases. The cross-sectional study of 3181 Thai women who had bone mineral density (BMD) measurement between January 2008 and December 2010 was performed. BMDs at lumbar spine (LS), femoral neck (FN), and total hip (TH) were derived to T-score by using Caucasian, Japanese, and Thai standard references. Kappa statistic was used to assess diagnostic agreement and misclassification. Diagnostic agreements between Caucasian and Thai reference databases were 0.39 for LS and 0.90 for FN. No statistical agreement was found in TH region (0.01, p value = 0.264). Applying the Japanese reference, diagnostic agreements were 0.71 for LS, 0.76 for FN, and 0.94 for TH regions. Prevalence of OP in postmenopausal women was 64.1%, 37.7%, and 41.4% using Caucasian, Japanese, and Thai standard references. Percentage of misclassification was varied by menopausal status and reference database from 11.2% to 48.7%. When applying Japanese databases instead of Caucasian normal databases, overall diagnostic misclassification decreased from 35.1% to 16.1%. Choice of reference database has a significant effect on the diagnosis of low bone mass and OP. Japanese reference database has better diagnostic agreement with previously studied Thai reference database in 1999 than Caucasian reference database. © 2011 The International Society for Clinical Densitometry. 2014-08-30T02:25:36Z 2014-08-30T02:25:36Z Article in Press 10946950 10.1016/j.jocd.2011.10.005 JCDTF http://www.scopus.com/inward/record.url?eid=2-s2.0-82755166847&partnerID=40&md5=08eec11087a9b3cf8ea43e38f477c767 http://www.ncbi.nlm.nih.gov/pubmed/22154430 http://cmuir.cmu.ac.th/handle/6653943832/2963 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Many studies demonstrated the importance of using ethnic-specific normal database in the diagnosis of osteoporosis (OP). Aims of this study were to assess diagnostic agreement, prevalence of OP, and diagnostic misclassification between Caucasian, Japanese, and Thai normal databases. The cross-sectional study of 3181 Thai women who had bone mineral density (BMD) measurement between January 2008 and December 2010 was performed. BMDs at lumbar spine (LS), femoral neck (FN), and total hip (TH) were derived to T-score by using Caucasian, Japanese, and Thai standard references. Kappa statistic was used to assess diagnostic agreement and misclassification. Diagnostic agreements between Caucasian and Thai reference databases were 0.39 for LS and 0.90 for FN. No statistical agreement was found in TH region (0.01, p value = 0.264). Applying the Japanese reference, diagnostic agreements were 0.71 for LS, 0.76 for FN, and 0.94 for TH regions. Prevalence of OP in postmenopausal women was 64.1%, 37.7%, and 41.4% using Caucasian, Japanese, and Thai standard references. Percentage of misclassification was varied by menopausal status and reference database from 11.2% to 48.7%. When applying Japanese databases instead of Caucasian normal databases, overall diagnostic misclassification decreased from 35.1% to 16.1%. Choice of reference database has a significant effect on the diagnosis of low bone mass and OP. Japanese reference database has better diagnostic agreement with previously studied Thai reference database in 1999 than Caucasian reference database. © 2011 The International Society for Clinical Densitometry.
format Article
author Namwongprom S.
Rojnastein S.
Mangklabruks A.
Soontrapa S.
Wongboontan C.
Ongphiphadhanakul B.
spellingShingle Namwongprom S.
Rojnastein S.
Mangklabruks A.
Soontrapa S.
Wongboontan C.
Ongphiphadhanakul B.
Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women
author_facet Namwongprom S.
Rojnastein S.
Mangklabruks A.
Soontrapa S.
Wongboontan C.
Ongphiphadhanakul B.
author_sort Namwongprom S.
title Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women
title_short Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women
title_full Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women
title_fullStr Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women
title_full_unstemmed Importance of Ethnic Base Standard References for the Diagnosis of Osteoporosis in Thai Women
title_sort importance of ethnic base standard references for the diagnosis of osteoporosis in thai women
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-82755166847&partnerID=40&md5=08eec11087a9b3cf8ea43e38f477c767
http://www.ncbi.nlm.nih.gov/pubmed/22154430
http://cmuir.cmu.ac.th/handle/6653943832/2963
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