Prognostic performance of Predictive Index for Osteoporosis and Osteoporosis Self-Assessment Tool for Asians in the identification of individuals high-risk for osteoporosis

Gadong, Lyza Camille; Cabral, Monica Therese; Capellan, Maria Leonora; Ang-Golangco, Nerissa

doi:10.1016/j.afos.2020.08.001

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…"c" was the height of the vertebral body where the vertebral compression was most significant at the last follow-up. osteoporosis self-assessment tool for Asians (OSTA), 6 fracture types, number of fractured vertebrae, preoperative sagittal Cobb angle and degree of compression, number of screws, and extent of vertebral restore. The data were recorded by 2 experienced radiologists who did not know the design method and purpose of this study (single-blind method).…”

Section: Observed Indicators and Indicator Definitionsmentioning

confidence: 99%

Analysis of Influencing Factors of Vertebral Height Loss After Pedicle Screw Fixation of Thoracolumbar Fracture

Shi

Zhang

Wang

et al. 2023

Clinical Spine Surgery: A Spine Publication

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Objective: To explore the related factors of vertebral height loss (VHL) after pedicle screw fixation of thoracolumbar fracture and to determine the optimum prediction point. Summary of Background Data:With the widespread application of thoracolumbar fracture internal fixation, VHL after the operation is increasingly presented. However, there is no unified conclusion on the specific cause of VHL and how to predict it.Methods: A total of 186 patients were selected and divided into the loss group (n = 72) and the not-loss group (n = 114) according to whether the fractured vertebral height was lost after the operation. The two groups were compared concerning sex, age, body mass index, osteoporosis self-assessment tool for Asians (OSTA), fracture types, number of fractured vertebrae, preoperative Cobb angle and compression degree, number of screws, and extent of vertebral restore. Univariate analysis and Multivariate logistic regression analysis were performed to identify the independent factors for the VHL with the receiver operating characteristic curve and the optimal prediction value was calculated according to area under the curve.Results: Multivariate logistic regression analysis showed that OSTA (P < 0.05) and preoperative vertebral compression (P < 0.05) were significantly correlated with postoperative VHL, which were independent risk factors for postoperative VHL. The OSTA of 2.32 and the preoperative vertebral compression degree of 38.5% were the best prediction points for postoperative VHL based on the Youden Index analysis. Conclusions:The OSTA and preoperative vertebral compression were independent risk factors for VHL. The risk of postoperative VHL was significantly higher when the OSTA was ≤ 2.32 or the preoperative vertebral compression was ≥ 38.5%.

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Section: Observed Indicators and Indicator Definitionsmentioning

confidence: 99%

Analysis of Influencing Factors of Vertebral Height Loss After Pedicle Screw Fixation of Thoracolumbar Fracture

Shi

Zhang

Wang

et al. 2023

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

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Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic

Chong,

Chua,

Wong

et al. 2024

Proceedings of Singapore Healthcare

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Background The Agency for Care Effectiveness of Singapore has advised primary care physicians to use osteoporosis screening tools to risk-stratify patients in the primary care setting. Objective This paper aims to report the uptake of a “Predict and Prevent” workflow for osteoporosis using risk scoring and BMD measurement in patients with chronic diseases seen in a network of primary care clinics in Singapore from 2020 to 2021. Methods A “Predict and Prevent” osteoporosis preventive care programme was implemented at a network of 11 primary care clinics. The programme included all adult patients that consulted at the clinic for a chronic condition. OSTA score was computed for each patient. All patients who consented to further fracture risk screening underwent FRAX scoring. Female patients with a high-risk OSTA score and females with diabetes with intermediate-risk OSTA score (per protocol), or those with high-risk FRAX score were recommended to undergo BMD measurement. Results Of the 6,332 adult patients with chronic diseases without baseline osteoporosis seen in the various clinics, 81.1% underwent OSTA scoring; 28.1% were intermediate risk and 7.0% were high risk. Among the per-protocol population ( n = 531), 38 (7.1%) underwent BMD testing. FRAX scoring (without BMD) was done on 939 patients (17.3%); 31.5% had a high hip fracture risk. Only 14 patients had FRAX with BMD; 57.1% had a high hip fracture risk. Conclusion A “Predict and Prevent” workflow could be implemented to screen, detect and potentially treat patients at high risk of osteoporosis. The rate of BMD measurement is low and needs to be improved.

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Prognostic performance of Predictive Index for Osteoporosis and Osteoporosis Self-Assessment Tool for Asians in the identification of individuals high-risk for osteoporosis

Cited by 2 publications

References 8 publications

Analysis of Influencing Factors of Vertebral Height Loss After Pedicle Screw Fixation of Thoracolumbar Fracture

Analysis of Influencing Factors of Vertebral Height Loss After Pedicle Screw Fixation of Thoracolumbar Fracture

Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic

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