Prescreening tools to determine who needs DXA.
作者： Elliott N. Schwartz , Dee M. Steinberg
DOI: 10.1007/S11914-996-0023-4
关键词:
摘要: Clinical decision rules (CDRs) are designed to help physicians practice better. A number of CDRs assist in identifying women with low bone mass have been developed since the mid 1990s, including SCORE, OST (OSTA), OSIRIS, SOFSURF, NOF, ABONE, pBW, ORAI, and weight-only-EPIDOS (which we termed WO-E). This review discusses these terms development validation cohorts their sensitivity specificity. The sensitivities available exceed 80% specificities about 50%. After much analysis, it appears that most experts prefer for its simplicity SCORE flexibility, but there is no consensus on what risk factors use regions interest (spine, total hip, femoral neck, or a combination) test dual-energy x-ray absorptiometry (DXA). Because lack consensus, barriers clinical application CDRs. Agreement single CDR worldwide required optimally fulfill objective mass.
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sci-hub.se 参考文章(26)
Louis Weinstein, Who Should Be Screened for Osteoporosis JAMA. ,vol. 286, pp. 1970- 1971 ,(2001) , 10.1001/JAMA.286.16.1969
Susan B. Jaglal, Suzanne M. Cadarette, Nancy Kreiger, Warren J. McIsaac, Gerarda A. Darlington, Jack V. Tu, Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry Canadian Medical Association Journal. ,vol. 162, pp. 1289- 1294 ,(2000)
Thomas A. Abbott, Lisa Mucha, David Manfredonia, Elliott N. Schwartz, Marc L. Berger, Efficient Patient Identification Strategies for Women with Osteoporosis Journal of Clinical Densitometry. ,vol. 2, pp. 223- 231 ,(1999) , 10.1385/JCD:2:3:223
Suzanne M Cadarette, Susan B Jaglal, Timothy M Murray, Warren J McIsaac, Lawrence Joseph, Jacques P Brown, None, Evaluation of Decision Rules for Referring Women for Bone Densitometry by Dual-Energy X-ray Absorptiometry JAMA. ,vol. 286, pp. 57- 63 ,(2001) , 10.1001/JAMA.286.1.57
Michael D. Cabana, Cynthia S. Rand, Neil R. Powe, Albert W. Wu, Modena H. Wilson, Paul-André C. Abboud, Haya R. Rubin, Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement JAMA. ,vol. 282, pp. 1458- 1465 ,(1999) , 10.1001/JAMA.282.15.1458
W. Ben Sedrine, P. Broers, J.-P. Devogelaer, G. Depresseux, J.-M. Kaufman, S. Goemaere, J.-Y. Reginster, J.-Y. Reginster, J.-Y. Reginster, Interest of a prescreening questionnaire to reduce the cost of bone densitometry. Osteoporosis International. ,vol. 13, pp. 434- 442 ,(2002) , 10.1007/S001980200051
L WEINSTEIN, A simple system to determine who needs osteoporosis screening. Obstetrics & Gynecology. ,vol. 93, pp. 757- 760 ,(1999) , 10.1016/S0029-7844(98)00549-3
LKH Koh, W Ben Sedrine, TP Torralba, A Kung, S Fujiwara, SP Chan, QR Huang, R Rajatanavin, KS Tsai, HM Park, Jean-Yves Reginster, Osteoporosis Self-Assessment Tool for Asians (OSTA) Research Group, A simple tool to identify asian women at increased risk of osteoporosis. Osteoporosis International. ,vol. 12, pp. 699- 705 ,(2001) , 10.1007/S001980170070
L. E. Wehren, E. S. Siris, Beyond bone mineral density: can existing clinical risk assessment instruments identify women at increased risk of osteoporosis? Journal of Internal Medicine. ,vol. 256, pp. 375- 380 ,(2004) , 10.1111/J.1365-2796.2004.01397.X
Claude Ribot, Florence Tremollieres, Jean-Michel Pouilles, Can we detect women with low bone mass using clinical risk factors The American Journal of Medicine. ,vol. 98, pp. 52- ,(1995) , 10.1016/S0002-9343(05)80047-6