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Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in Menopause Clinic, Chiang Mai.
J Med Assoc Thai. 2007 Mar; 90(3):420-5.JM

Abstract

OBJECTIVE

To compare osteoporosis self assessment tool for Asian (OSTA) with the standard measurement of bone mineral density (BMD) by dual energy x-rays absorptiometry (DXA) in- identifying the prevalence of osteopenia and osteoporosis in Thai menopausal women who attended the Menopause Clinic, Faculty of Medicine, Chiang Mai University.

MATERIAL AND METHOD

The data was retrospectively collected from the medical records of women who had lumbar femoral neck and radius BMD t-score measurement by DXA (Hologic, QDR-4500C) between January 2004 and December 2005. The body weight and age ofpatients were calculated for the OSTA index score. The women with OSTA score < -1 and > or = -1 were classified as "moderate to high risk" and "low risk" for fracture, respectively. The BMD T-scores of < -1 and > or = -1 were classified as "osteopenia to osteoporosis " and "normal" respectively.

RESULTS

Three hundred and fifteen menopausal women of the age of 45-87 years were included. The BMD T-scores assessment revealed that more than half of the subjects had osteopenia to osteoporosis (T-score < or = -1), 196 women (62%) at lumbar spine, 133 women (42.2%) at femur and a third, 114 women (36.2%) at radius respectively. The OSTA index at the standard cut-point of < -1 had a sensitivity and specificity of 36.2% and 71.4% respectively for the lumbar spine and 40.6% and 72.0% respectively for the neck of the femur in predicting osteopenia to osteoporosis status.

CONCLUSION

The OSTA index score had a low sensitivity (36-48%) but a high specificity (71-75%) for identifying osteopenic to osteoporotic women among population of menopausal period Nevertheless, it is a useful screening tool in old age women (> 65 years).

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. schaovis@mail.med.cmu.ac.thNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17427514

Citation

Chaovisitsaree, Somsak, et al. "Comparison of Osteoporosis Self Assessment Tool for Asian (OSTA) and Standard Assessment in Menopause Clinic, Chiang Mai." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 90, no. 3, 2007, pp. 420-5.
Chaovisitsaree S, Namwongprom SN, Morakote N, et al. Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in Menopause Clinic, Chiang Mai. J Med Assoc Thai. 2007;90(3):420-5.
Chaovisitsaree, S., Namwongprom, S. N., Morakote, N., Suntornlimsiri, N., & Piyamongkol, W. (2007). Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in Menopause Clinic, Chiang Mai. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 90(3), 420-5.
Chaovisitsaree S, et al. Comparison of Osteoporosis Self Assessment Tool for Asian (OSTA) and Standard Assessment in Menopause Clinic, Chiang Mai. J Med Assoc Thai. 2007;90(3):420-5. PubMed PMID: 17427514.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in Menopause Clinic, Chiang Mai. AU - Chaovisitsaree,Somsak, AU - Namwongprom,Siria-nong, AU - Morakote,Nuntana, AU - Suntornlimsiri,Nuchanart, AU - Piyamongkol,Wirawit, PY - 2007/4/13/pubmed PY - 2007/5/26/medline PY - 2007/4/13/entrez SP - 420 EP - 5 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 90 IS - 3 N2 - OBJECTIVE: To compare osteoporosis self assessment tool for Asian (OSTA) with the standard measurement of bone mineral density (BMD) by dual energy x-rays absorptiometry (DXA) in- identifying the prevalence of osteopenia and osteoporosis in Thai menopausal women who attended the Menopause Clinic, Faculty of Medicine, Chiang Mai University. MATERIAL AND METHOD: The data was retrospectively collected from the medical records of women who had lumbar femoral neck and radius BMD t-score measurement by DXA (Hologic, QDR-4500C) between January 2004 and December 2005. The body weight and age ofpatients were calculated for the OSTA index score. The women with OSTA score < -1 and > or = -1 were classified as "moderate to high risk" and "low risk" for fracture, respectively. The BMD T-scores of < -1 and > or = -1 were classified as "osteopenia to osteoporosis " and "normal" respectively. RESULTS: Three hundred and fifteen menopausal women of the age of 45-87 years were included. The BMD T-scores assessment revealed that more than half of the subjects had osteopenia to osteoporosis (T-score < or = -1), 196 women (62%) at lumbar spine, 133 women (42.2%) at femur and a third, 114 women (36.2%) at radius respectively. The OSTA index at the standard cut-point of < -1 had a sensitivity and specificity of 36.2% and 71.4% respectively for the lumbar spine and 40.6% and 72.0% respectively for the neck of the femur in predicting osteopenia to osteoporosis status. CONCLUSION: The OSTA index score had a low sensitivity (36-48%) but a high specificity (71-75%) for identifying osteopenic to osteoporotic women among population of menopausal period Nevertheless, it is a useful screening tool in old age women (> 65 years). SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/17427514/Comparison_of_osteoporosis_self_assessment_tool_for_Asian__OSTA__and_standard_assessment_in_Menopause_Clinic_Chiang_Mai_ L2 - http://www.diseaseinfosearch.org/result/9059 DB - PRIME DP - Unbound Medicine ER -