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Validation of three tools for identifying painful new osteoporotic vertebral fractures in older Chinese men: bone mineral density, Osteoporosis Self-Assessment Tool for Asians, and fracture risk assessment tool

Clinical interventions in aging, 2016-01, Vol.11, p.461-469 [Peer Reviewed Journal]

COPYRIGHT 2016 Dove Medical Press Limited ;COPYRIGHT 2016 Dove Medical Press Limited ;2016. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2016 Lin et al. This work is published and licensed by Dove Medical Press Limited 2016 ;ISSN: 1178-1998 ;ISSN: 1176-9092 ;EISSN: 1178-1998 ;DOI: 10.2147/CIA.S101078 ;PMID: 27217730

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Title:
Validation of three tools for identifying painful new osteoporotic vertebral fractures in older Chinese men: bone mineral density, Osteoporosis Self-Assessment Tool for Asians, and fracture risk assessment tool
Author: Lin, JiSheng ; Yang, Yong ; Fei, Qi ; Zhang, XiaoDong ; Ma, Zhao ; Wang, Qi ; Li, JinJun ; Li, Dong ; Meng, Qian ; Wang, BingQiang
Subjects: Absorptiometry, Photon ; Aged ; Aged, 80 and over ; Area Under Curve ; Asian people ; Bone Density ; bone mineral density ; Case-Control Studies ; China ; Clinical medicine ; Complications and side effects ; Cross-Sectional Studies ; Demographic aspects ; Diagnosis ; Fractures ; Fractures (Injuries) ; FRAX ; Health risk assessment ; Hormone replacement therapy ; Hospitals ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Mortality ; NMR ; Nuclear magnetic resonance ; Original Research ; OSTA ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - diagnosis ; Osteoporotic Fractures - diagnostic imaging ; Pain - etiology ; Patients ; Population ; Risk Assessment ; Risk Factors ; ROC Curve ; Self evaluation ; Self-Assessment ; Severity of Illness Index ; Spine - diagnostic imaging ; vertebral fracture ; Womens health
Is Part Of: Clinical interventions in aging, 2016-01, Vol.11, p.461-469
Description: This cross-sectional study compared three tools for predicting painful new osteoporotic vertebral fractures (PNOVFs) in older Chinese men: bone mineral density (BMD), the Osteoporosis Self-Assessment Tool for Asians (OSTA), and the World Health Organization fracture risk assessment tool (FRAX) (without BMD). Men aged ≥50 years were apportioned to a group for men with fractures who had undergone percutaneous vertebroplasty (n=111), or a control group of healthy men (n=385). Fractures were verified on X-ray and magnetic resonance imaging. BMD T-scores were determined by dual energy X-ray absorptiometry. Diagnosis of osteoporosis was determined by a BMD T-score of ≤2.5 standard deviations below the average for a young adult at peak bone density at the femoral neck, total hip, or L1-L4. Demographic and clinical risk factor data were self-reported through a questionnaire. BMD, OSTA, and FRAX scores were assessed for identifying PNOVFs via receiver-operating characteristic (ROC) curves. Optimal cutoff points, sensitivity, specificity, and areas under the ROC curves (AUCs) were determined. Between the men with fractures and the control group, there were significant differences in BMD T-scores (at femoral neck, total hip, and L1-L4), and OSTA and FRAX scores. In those with fractures, only 53.15% satisfied the criteria for osteoporosis. Compared to BMD or OSTA, the FRAX score had the best predictive value for PNOVFs: the AUC of the FRAX score (cutoff =2.9%) was 0.738, and the sensitivity and specificity were 82% and 62%, respectively. FRAX may be a valuable tool for identifying PNOVFs in older Chinese men.
Publisher: New Zealand: Dove Medical Press Limited
Language: English
Identifier: ISSN: 1178-1998
ISSN: 1176-9092
EISSN: 1178-1998
DOI: 10.2147/CIA.S101078
PMID: 27217730
Source: Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
PubMed Central
ProQuest Central
DOAJ Directory of Open Access Journals
Dove Press Free

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Validation of three tools for identifying painful new osteoporotic vertebral fractures in older Chinese men: bone mineral density, Osteoporosis Self-Assessment Tool for Asians, and fracture risk assessment tool

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