Evaluation of Singh Index and Osteoporosis Self-Assessment Tool for Asians as risk assessment tools of hip fracture in patients with type 2 diabetes mellitus

Liu, Zhenyu; Gao, Hua; Bai, Xiaodong; Zhao, Lifeng; Li, Yadong; Wang, Baojun

doi:10.1186/s13018-017-0539-6

Cited by 25 publications

(21 citation statements)

References 46 publications

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“…In comparison with other fracture prediction tools, the performance of OST was weaker than DXA [ 58 ] and FRAX [ 58 ] in Chinese men and the Singh index in patients with type 2 diabetes mellitus [ 60 ]. However, a study showed that USPSTF (FRAX) (sensitivity = 25.8%; specificity = 83.3%; AUC = 0.56) was not better than OST in fracture prediction (sensitivity = 39.8%; specificity = 60.7%; AUC = 0.52) among non-Asian postmenopausal women [ 54 ].…”

Section: Ost For Fracture Predictionmentioning

confidence: 99%

Performance of Osteoporosis Self-Assessment Tool (OST) in Predicting Osteoporosis—A Review

Subramaniam

Ima‐Nirwana

Chin

2018

IJERPH

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Bone health screening plays a vital role in the early diagnosis and treatment of osteoporosis to prevent fragility fractures among the elderly and high-risk individuals. Dual-energy X-ray absorptiometry (DXA), which detects bone mineral density, is the gold standard in diagnosing osteoporosis but is not suitable for screening. Therefore, many screening tools have been developed to identify individuals at risk for osteoporosis and prioritize them for DXA scanning. The Osteoporosis Self-assessment Tool (OST) is among the first tools established to predict osteoporosis in postmenopausal women. It can identify the population at risk for osteoporosis, but its performance varies according to ethnicity, gender, and age. Thus, these factors should be considered to ensure the optimal use of OST worldwide. Overall, OST is a simple and economical screening tool to predict osteoporosis and it can help to optimize the use of DXA.

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Section: Ost For Fracture Predictionmentioning

confidence: 99%

Performance of Osteoporosis Self-Assessment Tool (OST) in Predicting Osteoporosis—A Review

Subramaniam

Ima‐Nirwana

Chin

2018

IJERPH

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“…This means that a high percentage of subjects categorized as moderate or high risk for osteoporosis by the OSTA actually have normal bone health status based on the bone densitometry (false-positive). Second, some studies showed that OSTA alone did not satisfactorily predict fracture risks in subjects with pre-existing medical conditions [ 53 ]. Considering the incidences of comorbidities are higher in high-risk and medium-risk patients than that in the low-risk patients, bias would possibly result among the patients with different risk to osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Bone Fracture in Female Trauma Patients Based on Risks of Osteoporosis Assessed using the Osteoporosis Self-Assessment Tool for Asians Score

Rau

Kuo

et al. 2017

IJERPH

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Background: Osteoporotic fractures are defined as low-impact fractures resulting from low-level trauma. However, the exclusion of high-level trauma fractures may result in underestimation of the contribution of osteoporosis to fractures. In this study, we aimed to investigate the fracture patterns of female trauma patients with various risks of osteoporosis based on the Osteoporosis Self-Assessment Tool for Asians (OSTA) score. Methods: According to the data retrieved from the Trauma Registry System of a Level I trauma center between 1 January 2009 and 31 December 2015, a total of 6707 patients aged ≥40 years and hospitalized for the treatment of traumatic bone fracture were categorized as high-risk (OSTA < −4, n = 1585), medium-risk (−1 ≥ OSTA ≥ −4, n = 1985), and low-risk (OSTA > −1, n = 3137) patients. Two-sided Pearson’s, chi-squared, or Fisher’s exact tests were used to compare categorical data. Unpaired Student’s t-test and Mann–Whitney U-test were used to analyze normally and non-normally distributed continuous data, respectively. Propensity-score matching in a 1:1 ratio was performed with injury mechanisms as adjusted variables to evaluate the effects of OSTA-related grouping on the fracture patterns. Results: High- and medium-risk patients were significantly older, had higher incidences of comorbidity, and were more frequently injured from a fall and bicycle accident than low-risk patients did. Compared to low-risk patients, high- and medium-risk patients had a higher injury severity and mortality. In the propensity-score matched population, the incidence of fractures was only different in the extremity regions between high- and low-risk patients as well as between medium- and low-risk patients. The incidences of femoral fractures were significantly higher in high-risk (odds ratio [OR], 3.4; 95% confidence interval [CI], 2.73–4.24; p < 0.001) and medium-risk patients (OR, 1.4; 95% CI, 1.24–1.54; p < 0.001) than in low-risk patients. In addition, high-risk patients had significantly lower odds of humeral, radial, patellar, and tibial fractures; however, such lower odds were not found in medium- risk than low-risk patients. Conclusions: The fracture patterns of female trauma patients with high- and medium-risk osteoporosis were different from that of low-risk patients exclusively in the extremity region.

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“…3 Radiological grading of osteoporosis was done using Singh's Index. 4,5 The clinical and functional outcome was calculated using the Kyle's criteria. 6,7 All surgeries were performed under spinal anesthesia, internal fixation with dynamic hip screw and 135 o angled blade plate.…”

Section: Methodsmentioning

confidence: 99%

Dynamic hip screw technique in the management of trochanteric fracture

et al. 2019

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Background: Study was conducted to find the results of dynamic hip screw in the management of trochanteric fracture by analyzing the factors which influence post-operative mobility.Methods: Study was conducted in the department of orthopedics, GSL Medical College. Individuals >18 years, both genders who were diagnosed having trochanteric type I and II Boyd and Griffin stable fractures were included in the study. All surgeries were performed under spinal anesthesia, internal fixation with dynamic hip screw and 135o angled blade plate. Injectable third generation cephalosporins were used 24 hours preoperatively, intra- operatively and 5 days post-operatively, and oral antibiotics till suture removal. Patients allowed to sit on bed on 2nd and 3rd day and static quadriceps exercises were started from 2nd day onwards, hip and knee flexion exercises from 6 or 7th day and weight bearing walking form 10th day.Results: The average age was of the participants was 61.53 years, ranged between 41 to 80 years; 65% were female participants and 35% were male patients. In the study, 20 (50%) patients had right side fracture and left sided affection of trochanteric fracture to the remaining 50%. Most of the patients (67.5%) in this study were classified as type II Boyd and Griffin criteria, and 32.5% were type I. The clinical and functional outcome was calculated using the Kyle's criteria; 25% (10) showed excellent response, followed by good (50%), fair (15%) and poor (10%) results.Conclusions: Dynamic hip screw is the operative treatment of choice for stable trochanteric fractures. However, studies on large sample for long time are recommended.

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Evaluation of Singh Index and Osteoporosis Self-Assessment Tool for Asians as risk assessment tools of hip fracture in patients with type 2 diabetes mellitus

Cited by 25 publications

References 46 publications

Performance of Osteoporosis Self-Assessment Tool (OST) in Predicting Osteoporosis—A Review

Performance of Osteoporosis Self-Assessment Tool (OST) in Predicting Osteoporosis—A Review

Epidemiology of Bone Fracture in Female Trauma Patients Based on Risks of Osteoporosis Assessed using the Osteoporosis Self-Assessment Tool for Asians Score

Dynamic hip screw technique in the management of trochanteric fracture

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