Efficiency of bone density testing by dual-biphotonic X-rays absorptiometry for diagnosis of osteoporosis according to French guideline recommendations: The PRESAGE Study - 01/10/11
, Rémi Dufour d, Soyi Liu-Léage e, Hélène Sapin e, Bernard Cortet f, g, h, i
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Abstract |
Objectives and methods |
Bone mineral density is a major risk factor of fracture. Its measurement is reimbursed by French national health insurance according to clinical criteria. In this multicentre cross-sectional observational study, we estimated the proportion of postmenopausal women with osteoporosis among those referred for a bone mineral density measurement. Risk factors for osteoporosis and therapeutic recommendations were described.
Results |
Six hundred and forty-six postmenopausal women were evaluated. Osteoporosis was diagnosed in 57.6%, osteopenia in 38.7% and a normal bone mineral density in 3.7%. The main risk factors for fracture were personal history of fracture (40%), family fracture (23%), smoking (15%) and glucocorticoids use (15%). Anti-osteoporosis drug was recommended for 93% of women with osteoporosis and for 45% of women with osteopenia. A logistic regression analysis showed that a T-score=−2.5 was the most important factor related to the treatment decision-making. Cluster analysis identified five types of women with different combinations of fracture risk factors. The percentage of postmenopausal women – 96.3% – referred for bone mineral density and for whom a treatment could be recommended had osteoporosis or osteopenia.
Conclusion |
In spite of recommendations, the physician therapeutic decision-making was mainly based on the bone mineral density result.
Le texte complet de cet article est disponible en PDF.Keywords : Osteoporosis, Osteopenia, BMD, Treatment, FRAX® score
Plan
Vol 78 - N° 5
P. 493-498 - octobre 2011 Retour au numéro
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