Usefulness of a clinical questionnaire for screening osteopenia and osteoporosis in post-menopausal women
Main Article Content
Keywords
Osteoporosis, Postmenopausal, Menopause
Abstract
Background: the prevalence of the osteoporosis in post-menopausal women (PMW) is 30 %, and the bone densitometry (BD) is the gold standard. This is not recommended as a screening test of its cost. Instead, the SCORE index (Simple Calculated Osteoporosis Risk Estimation) is proposed. The objective is to determine the sensitivity and specificity of this test in the population and the optimization of BD.
Methods: the SCORE Index is a pre-screening questionnaire; it was used in PMW to compare with BD, registering the total score of the questionnaire, densitometry diagnosis, the fracture risk and the site of osteoporosis. The sensitivity and specificity of SCORE Index and χ2 of Mantel-Hanszel were calculated.
Results: we studied 201 patients, mean age 55.70 years. Osteoporosis was recognized in 22.8 %, osteopenia in 68.3 % and 8.9 % was normal. The sensitivity of the SCORE index was 87 % (95 % CI = 77-97) and specificity was 34.6 % (95 % CI = 27-42) with p = 0.000. A positive probability quotient of 1.33 (95 % CI = 1.1-1.7)
Conclusions: osteoporosis is a frequent disease in PMW. It is mandatory to have cheap and easy-tools which can detect osteoporosis cases.
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