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Screening for low bone mineral density with quantitative ultrasound within the primary health care system

Blivik, J ; Karlsson, Magnus LU and Moller, M (2004) In Scandinavian Journal of Primary Health Care 22(2). p.78-82
Abstract
Objective - To screen risk groups for low bone mineral density by quantitative ultrasound in primary health care. Design - Cross-sectional. Intervention - None. Subjects - Risk categories for osteoporosis (a fragility fracture, malabsorption, immobilisation, inflammatory joint disease, glucocorticoid, fenantoin or thyroxin treatment, renal insufficiency or "miscellaneous"), 775 women and 179 men aged between 40 and 93 were measured. Main outcome measures - Calcaneus quantitative ultrasound stiffness index T-score below -2.5 standard deviation (SD). Results - 41% of women and 24% of men and more than 80% of women and 50% of men over the age of 80, within the risk groups, had a stiffness index T-score below -2.5 SD. All over 80 years with a... (More)
Objective - To screen risk groups for low bone mineral density by quantitative ultrasound in primary health care. Design - Cross-sectional. Intervention - None. Subjects - Risk categories for osteoporosis (a fragility fracture, malabsorption, immobilisation, inflammatory joint disease, glucocorticoid, fenantoin or thyroxin treatment, renal insufficiency or "miscellaneous"), 775 women and 179 men aged between 40 and 93 were measured. Main outcome measures - Calcaneus quantitative ultrasound stiffness index T-score below -2.5 standard deviation (SD). Results - 41% of women and 24% of men and more than 80% of women and 50% of men over the age of 80, within the risk groups, had a stiffness index T-score below -2.5 SD. All over 80 years with a fragility fracture had a stiffness index T-score below -2.5 SD. Men aged 50-59 within the risk groups had lower stiffness index T-scores than controls (-1.4 versus -0.6, p=0.05). Individuals with a fragility fracture had lower stiffness index T-scores than controls, women aged 70-79 years (-3.1 versus -2.4, p<0.05) and men aged 60-69 years (-2.3 versus -1.2, p<0.05). Conclusion - Quantitative ultrasound calcaneus used in gender-specific, diagnosis-specific and age-specific cohorts can capture individuals with low bone mass. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
bone mass, osteoporosis, primary health care, selective, quantitative ultrasound, screening
in
Scandinavian Journal of Primary Health Care
volume
22
issue
2
pages
78 - 82
publisher
Taylor & Francis
external identifiers
  • pmid:15255485
  • wos:000221450500004
  • scopus:3042533724
ISSN
0281-3432
DOI
10.1080/02813430310003345
language
English
LU publication?
yes
id
4f3c88b4-35a4-41c2-b41e-0096aab653f3 (old id 898991)
date added to LUP
2016-04-01 12:36:09
date last changed
2024-01-09 02:17:22
@article{4f3c88b4-35a4-41c2-b41e-0096aab653f3,
  abstract     = {{Objective - To screen risk groups for low bone mineral density by quantitative ultrasound in primary health care. Design - Cross-sectional. Intervention - None. Subjects - Risk categories for osteoporosis (a fragility fracture, malabsorption, immobilisation, inflammatory joint disease, glucocorticoid, fenantoin or thyroxin treatment, renal insufficiency or "miscellaneous"), 775 women and 179 men aged between 40 and 93 were measured. Main outcome measures - Calcaneus quantitative ultrasound stiffness index T-score below -2.5 standard deviation (SD). Results - 41% of women and 24% of men and more than 80% of women and 50% of men over the age of 80, within the risk groups, had a stiffness index T-score below -2.5 SD. All over 80 years with a fragility fracture had a stiffness index T-score below -2.5 SD. Men aged 50-59 within the risk groups had lower stiffness index T-scores than controls (-1.4 versus -0.6, p=0.05). Individuals with a fragility fracture had lower stiffness index T-scores than controls, women aged 70-79 years (-3.1 versus -2.4, p&lt;0.05) and men aged 60-69 years (-2.3 versus -1.2, p&lt;0.05). Conclusion - Quantitative ultrasound calcaneus used in gender-specific, diagnosis-specific and age-specific cohorts can capture individuals with low bone mass.}},
  author       = {{Blivik, J and Karlsson, Magnus and Moller, M}},
  issn         = {{0281-3432}},
  keywords     = {{bone mass; osteoporosis; primary health care; selective; quantitative ultrasound; screening}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{78--82}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Primary Health Care}},
  title        = {{Screening for low bone mineral density with quantitative ultrasound within the primary health care system}},
  url          = {{http://dx.doi.org/10.1080/02813430310003345}},
  doi          = {{10.1080/02813430310003345}},
  volume       = {{22}},
  year         = {{2004}},
}