Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 안정훈 | * |
dc.date.accessioned | 2018-04-25T08:13:34Z | - |
dc.date.available | 2018-04-25T08:13:34Z | - |
dc.date.issued | 2018 | * |
dc.identifier.issn | 1471-2474 | * |
dc.identifier.other | OAK-22045 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/242539 | - |
dc.description.abstract | Background: Vertebral Fracture Assessment (VFA) is a useful tool to detect the vertebral fracture (VF) with low cost and radiation exposure. We aimed to compare screening strategies including VFA and spine radiography (X-ray) for detecting VF in terms of clinical effectiveness, cost and radiation exposure. Methods: Three screening strategies: 1) X-ray following VFA, 2) VFA only, and 3) X-ray only were compared using a Markov model based on administrative data from South Korea in a population aged >= 50 years. We compared the incidence of new VFs, cost-effectiveness of reducing new VFs and radiation exposure in each strategy. Results: The incidence of new VFs was reduced in all screening strategies compared to no screening: 29.4% for women and 12.5% for men in both X-ray following the VFA and VFA only strategies and 35% for women and 17. 5% for men in the X-ray only strategy. The X-ray following VFA strategy had the lowest cost, followed by the X-ray only, and VFA only strategies. The radiation doses for X-ray only were 2,647-2,989 mu Sv and 3,253-3,398 mu Sv higher than in the X-ray following VFA and VFA only strategies. The new VF prevention effect was greater in women, and more prominent in older people (women >= 70, men >= 80) than people >= 50 years. Conclusions: The X-ray following VFA strategy is a cost-effective option for screening prevalent VF to prevent new VF in people aged >= 50 years due to its high effectiveness, lowest cost, and least radiation exposure. | * |
dc.language | English | * |
dc.publisher | BIOMED CENTRAL LTD | * |
dc.subject | Spinal fracture | * |
dc.subject | Radiography | * |
dc.subject | Diagnostic imaging | * |
dc.subject | Cost effectiveness | * |
dc.subject | Radiation | * |
dc.title | Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography | * |
dc.type | Article | * |
dc.relation.volume | 19 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.journaltitle | BMC MUSCULOSKELETAL DISORDERS | * |
dc.identifier.doi | 10.1186/s12891-018-1958-1 | * |
dc.identifier.wosid | WOS:000424786300001 | * |
dc.identifier.scopusid | 2-s2.0-85041997726 | * |
dc.author.google | Oh, Sung-Hee | * |
dc.author.google | Kim, Dam | * |
dc.author.google | Lee, Young Eun | * |
dc.author.google | Kim, Deog-Yoon | * |
dc.author.google | Lee, Yu Kyung | * |
dc.author.google | Lee, Joo-Hyun | * |
dc.author.google | Bae, Sang-Cheol | * |
dc.author.google | Choi, Yun Young | * |
dc.author.google | Pyo, Junhee | * |
dc.author.google | Ahn, Jeonghoon | * |
dc.author.google | Sung, Yoon-Kyoung | * |
dc.contributor.scopusid | 안정훈(8855402200) | * |
dc.date.modifydate | 20240429134500 | * |