Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 고영도 | * |
dc.contributor.author | 윤병호 | * |
dc.contributor.author | 강호원 | * |
dc.date.accessioned | 2022-08-12T16:31:37Z | - |
dc.date.available | 2022-08-12T16:31:37Z | - |
dc.date.issued | 2022 | * |
dc.identifier.issn | 2287-6375 | * |
dc.identifier.other | OAK-32005 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/262493 | - |
dc.description.abstract | Background: T-score discordance between the spine and hip is commonly observed when dual energy X-ray absorptiometry (DXA) is used to diagnose osteoporosis. However, information is scarce regarding the prevalence and risk factors for this problem in Korea. This study evaluated the prevalence of major/minor discordance and associated risk factors in elderly Korean patients with osteoporotic vertebral compression fractures (OVCFs). Methods: This study included 200 patients (37 men, 163 women) treated for thoracic or lumbar compression fractures between January 2015 and August 2021. DXA was performed to examine T-scores and determine the prevalence of discordance, defined as a difference between the T-score categories of the femur and spine in the same individual. The t-tests, x2tests, and regression analyses were used to assess the associated risk factors of T-score discordance among the subjects. Results: T-score concordance, minor discordance, and major discordance were observed in 137 (68.5%), 59 (29.5%), and 4 (2%) patients with OVCFs, respectively. The spinal T-score was lower than the femoral T-score in all major discordance and 81.3% (48/59) of minor discordant cases. Overall, the only factor related to T-score discordance was the age at fracture (odds ratio, -0.01; P=0.014). Conclusions: The results of this study showed that a significant number of subjects (31.5%) showed spine-hip discordance, even with a mean age in their 80s. More attention should be paid to the appropriate evaluation and management of elderly patients with OVCFs. Moreover, a longitudinal study is necessary to verify the clinical importance of T-score discordance in this population. © 2022 Korean Society for Bone and Mineral Research. All rights reserved. | * |
dc.language | English | * |
dc.publisher | Korean Society for Bone and Mineral Research | * |
dc.subject | Absorptiometry, photon | * |
dc.subject | Bone density | * |
dc.subject | Fractures, compression | * |
dc.subject | Osteoporosis | * |
dc.subject | Spinal fractures | * |
dc.title | Prevalence and Risk Factors of T-Score Spine-Hip Discordance in Patients with Osteoporotic Vertebral Compression Fracture | * |
dc.type | Article | * |
dc.relation.issue | 1 | * |
dc.relation.volume | 29 | * |
dc.relation.index | SCOPUS | * |
dc.relation.index | KCI | * |
dc.relation.startpage | 43 | * |
dc.relation.lastpage | 49 | * |
dc.relation.journaltitle | Journal of Bone Metabolism | * |
dc.identifier.doi | 10.11005/jbm.2022.29.1.43 | * |
dc.identifier.scopusid | 2-s2.0-85128176382 | * |
dc.author.google | Yoon B.-H. | * |
dc.author.google | Kang H.W. | * |
dc.author.google | Kim S.M. | * |
dc.author.google | Koh Y.D. | * |
dc.contributor.scopusid | 고영도(12772981800) | * |
dc.contributor.scopusid | 윤병호(15078729100) | * |
dc.contributor.scopusid | 강호원(57219595121) | * |
dc.date.modifydate | 20240315141233 | * |