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An audit of bone densitometry practice with reference to ISCD, IOF and NOF guidelines

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dc.contributor.author Baddoura R.
dc.contributor.author Awada H.
dc.contributor.author Okais J.
dc.contributor.author Salamoun M.
dc.contributor.author Ayoub G.
dc.contributor.author Ziade N.
dc.contributor.author El Hajj-Fuleihan G.
dc.contributor.editor
dc.date Jul-2006
dc.date.accessioned 2017-10-05T15:38:53Z
dc.date.available 2017-10-05T15:38:53Z
dc.date.issued 2006
dc.identifier 10.1007/s00198-006-0101-6
dc.identifier.isbn
dc.identifier.issn
dc.identifier.uri http://hdl.handle.net/10938/16577
dc.description.abstract Introduction: The impact of osteoporosis guidelines on clinical practice has not been fully evaluated. Objectives: To estimate the positive predictive value (PPV) of the National Osteoporosis Foundation (NOF), the International Osteoporosis Foundation (IOF) and the International Society for Clinical Densitometry (ISCD) guidelines for osteoporosis and compare it to the PPV of clinical judgement alone. Methods: All subjects tested for bone mineral density during the fall of 2001 in three teaching hospitals in Beirut were invited to participate. The reference databases used for the calculation of the T-score were the NHANES database for the hip and the manufacturer's database for the spine. The impact of using guidelines was measured by the increment in PPV. Osteoporosis was defined as a T-score ≤-2.5 at either the spine or hip. Results: A total of 307 post-menopausal women were tested with dual-energy X-ray absorptiometry (DXA). In current practice (clinical judgement alone), the PPV for osteoporosis was 42.4percent; using NOF guidelines, 236 women would have been tested, and the PPV would have been 46.2percent. Similarly, using IOF or ISCD guidelines, 236 women would have been tested, and the PPV would have been 47.1percent. Conclusion: Compared to current clinical practice, application of the ISCD, IOF and NOF guidelines may increase the predictive value of a central DXA for osteoporosis. © International Osteoporosis Foundation and National Osteoporosis Foundation 2006.
dc.format.extent
dc.format.extent Pages: (1111-1115)
dc.language English
dc.publisher GODALMING
dc.relation.ispartof Publication Name: Osteoporosis International; Publication Year: 2006; Volume: 17; no. 7; Pages: (1111-1115);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title An audit of bone densitometry practice with reference to ISCD, IOF and NOF guidelines
dc.type Article
dc.contributor.affiliation Baddoura, R., Rheumatology Department, Hôtel-Dieu Hospital, St. Joseph University, Beirut, Lebanon
dc.contributor.affiliation Awada, H., Rheumatology Department, Hôtel-Dieu Hospital, St. Joseph University, Beirut, Lebanon
dc.contributor.affiliation Okais, J., Rheumatology Department, Hôtel-Dieu Hospital, St. Joseph University, Beirut, Lebanon
dc.contributor.affiliation Salamoun, M., Division of Endocrinology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Ayoub, G., Rheumatology Department, Hôtel-Dieu Hospital, St. Joseph University, Beirut, Lebanon
dc.contributor.affiliation Ziadé, N., Rheumatology Department, Hôtel-Dieu Hospital, St. Joseph University, Beirut, Lebanon
dc.contributor.affiliation El Hajj-Fuleihan, G., Division of Endocrinology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Baddoura, R.; Rheumatology Department, Hôtel-Dieu Hospital, St. Joseph University, Beirut, Lebanon; email: rbaddoura@usj.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine; Division: Rheumatology;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision Rheumatology
dc.contributor.authorEmail rbaddoura@usj.edu.lb; gf01@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Baddoura, R
dc.contributor.authorInitials Awada, H
dc.contributor.authorInitials Okais, J
dc.contributor.authorInitials Salamoun, M
dc.contributor.authorInitials Ayoub, G
dc.contributor.authorInitials Ziade, N
dc.contributor.authorInitials El Hajj-Fuleihan, G
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Baddoura, R (reprint author), St Joseph Univ, Hotel Dieu Hosp, Dept Rheumatol, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Albrand G, 2003, BONE, V32, P78, DOI 10.1016-S8756-3282(02)00919-5; Baran DT, 1997, CALCIFIED TISSUE INT, V61, P433, DOI 10.1007-s002239900362; Castel H, 2001, OSTEOPOROSIS INT, V12, P559, DOI 10.1007-s001980170077; Goemaere S, 1999, CALCIFIED TISSUE INT, V65, P354, DOI 10.1007-s002239900712; Kanis JA, 2002, OSTEOPOROSIS INT, V13, P527, DOI 10.1007-s001980200069; Kanis JA, 2000, BONE, V27, P585, DOI 10.1016-S8756-3282(00)00381-1; Kanis J A, 1991, Osteoporos Int, V1, P182, DOI 10.1007-BF01625451; Kanis JA, 1997, OSTEOPOROSIS INT, V7, P390, DOI 10.1007-BF01623782; Kanis JA, 2002, BONE, V30, P251, DOI 10.1016-S8756-3282(01)00653-6; Kanis JA, 2000, TRENDS ENDOCRIN MET, V11, P28, DOI 10.1016-S1043-2760(99)00214-3; Khaltaev N G, 1996, Scand J Rheumatol Suppl, V103, P129; Leib ES, 2004, J CLIN DENSITOM, V7, P1, DOI 10.1385-JCD:7:1:1; National Osteoporosis Foundation, 1998, OSTEOPOROS INT S4, V8, pS7; Nguyen TV, 2004, OSTEOPOROSIS INT, V15, P49, DOI 10.1007-s00198-003-1511-3; Reginster JYL, 1996, CALCIFIED TISSUE INT, V59, pS24, DOI 10.1007-s002239900172; ROSS PD, 1993, OSTEOPOROSIS INT, V3, P120, DOI 10.1007-BF01623272; Schuit SCE, 2004, BONE, V34, P195, DOI 10.1016-j.bone.2003.10.001; Solomon DH, 2004, AM J MED, V117, P919, DOI 10.1016-j.amjmed.2004.06.040; Taylor BC, 2004, J AM GERIATR SOC, V52, P1479, DOI 10.1111-j.1532-5415.2004.52410.x; Wei Gina S, 2003, J Am Med Womens Assoc, V58, P99
dc.description.citedCount 11
dc.description.citedTotWOSCount 8
dc.description.citedWOSCount 8
dc.format.extentCount 5
dc.identifier.articleNo
dc.identifier.coden OSINE
dc.identifier.pubmedID 16758146
dc.identifier.scopusID 33744988660
dc.identifier.url
dc.publisher.address SWEETAPPLE HOUSE CATTESHALL ROAD, GODALMING GU7 3DJ, SURREY, ENGLAND
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Osteoporosis Int.
dc.relation.ispartOfIssue 7
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Osteoporosis International
dc.relation.ispartofPubTitleAbbr Osteoporosis Int.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 17
dc.source.ID WOS:000238138900017
dc.type.publication Journal
dc.subject.otherAuthKeyword BMD
dc.subject.otherAuthKeyword DXA
dc.subject.otherAuthKeyword Guidelines
dc.subject.otherAuthKeyword Osteoporosis
dc.subject.otherChemCAS
dc.subject.otherIndex hormone
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex bone densitometry
dc.subject.otherIndex bone density
dc.subject.otherIndex data base
dc.subject.otherIndex dual energy X ray absorptiometry
dc.subject.otherIndex female
dc.subject.otherIndex hip
dc.subject.otherIndex hormone substitution
dc.subject.otherIndex human
dc.subject.otherIndex major clinical study
dc.subject.otherIndex mathematical computing
dc.subject.otherIndex medical audit
dc.subject.otherIndex medical decision making
dc.subject.otherIndex medical practice
dc.subject.otherIndex postmenopause osteoporosis
dc.subject.otherIndex practice guideline
dc.subject.otherIndex prediction
dc.subject.otherIndex priority journal
dc.subject.otherIndex spine
dc.subject.otherIndex teaching hospital
dc.subject.otherIndex Absorptiometry, Photon
dc.subject.otherIndex Adult
dc.subject.otherIndex Aged
dc.subject.otherIndex Bone Density
dc.subject.otherIndex Cross-Sectional Studies
dc.subject.otherIndex Densitometry, X-Ray
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Male
dc.subject.otherIndex Medical Audit
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Osteoporosis
dc.subject.otherIndex Practice Guidelines
dc.subject.otherIndex Practice Guidelines as Topic
dc.subject.otherIndex Predictive Value of Tests
dc.subject.otherKeywordPlus POSTMENOPAUSAL WOMEN
dc.subject.otherKeywordPlus FRACTURE RISK
dc.subject.otherKeywordPlus HIP FRACTURE
dc.subject.otherKeywordPlus OSTEOPOROSIS
dc.subject.otherKeywordPlus MANAGEMENT
dc.subject.otherKeywordPlus PREDICTION
dc.subject.otherKeywordPlus OSTEOPENIA
dc.subject.otherKeywordPlus DIAGNOSIS
dc.subject.otherKeywordPlus DENSITY
dc.subject.otherKeywordPlus UTILITY
dc.subject.otherWOS Endocrinology and Metabolism


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