• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Journal of Bone and Mineral Research >Osteoporosis Screening in Postmenopausal Women 50-64 years-old: Comparison of U.S. Preventive Services Task Force Strategy and Two Traditional Strategies in the Womens Health Initiative
【2h】

Osteoporosis Screening in Postmenopausal Women 50-64 years-old: Comparison of U.S. Preventive Services Task Force Strategy and Two Traditional Strategies in the Womens Health Initiative

机译：50-64岁绝经后妇女的骨质疏松症筛查：美国预防服务工作队策略与妇女健康计划中的两种传统策略的比较

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The U.S. Preventive Services Task Force (USPSTF) recommends osteoporosis screening for women younger than 65 years whose 10-year predicted risk of major osteoporotic fracture is ≥ 9.3%. For identifying screening candidates among women aged 50-64 years, it is uncertain how the USPSTF strategy compares with the Osteoporosis Self-Assessment Tool (OST) and the Simple Calculated Osteoporosis Risk Estimate (SCORE). We examined data (1994-2012) from 5165 Women's Health Initiative participants aged 50-64. For the USPSTF (FRAX major fracture risk ≥ 9.3% calculated without BMD), OST (score <2), and SCORE (score >7) strategies, we assessed sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) to discriminate between those with and without femoral neck (FN) T-score ≤ −2.5. Sensitivity, specificity, and AUC for identifying FN T-score ≤ −2.5 were 34.1%, 85.8%, and 0.60 for USPSTF (FRAX), 74.0%, 70.8%, and 0.72 for SCORE, and 79.8%, 66.3%, and 0.73 for OST. The USPSTF strategy identified about 1/3rd of women aged 50-64 with FN T-scores ≤ −2.5. Among women aged 50-64 years, the USPSTF strategy was modestly better than chance alone and inferior to conventional SCORE and OST strategies in discriminating between women with and without FN T-score ≤ −2.5.
机译：美国预防服务工作队（USPSTF）建议对65岁以下的女性进行骨质疏松症筛查，其10年预测的严重骨质疏松性骨折风险≥9.3％。为了确定年龄在50-64岁之间的女性的筛查对象，尚不确定USPSTF策略如何与骨质疏松症自我评估工具（OST）和简单计算的骨质疏松症风险评估（SCORE）进行比较。我们研究了5165位年龄在50-64岁之间的“妇女健康倡议”参与者的数据（1994-2012年）。对于USPSTF（未使用BMD计算得出的FRAX重大骨折风险≥9.3％），OST（评分<2）和SCORE（评分> 7）策略，我们评估了接受者工作特征曲线（AUC）下的敏感性，特异性和面积区分有和没有股骨颈（FN）的T分数≤-2.5。鉴定FN T分数≤-2.5的灵敏度，特异性和AUC（USPSTF（FRAX））分别为34.1％，85.8％和0.60，SCORE为74.0％，70.8％和0.72,79.8％，66.3％和0.73对于OST。 USPSTF策略确定了FN T分数≤-2.5的50-64岁女性中约有1/3 rd 。在50-64岁的女性中，USPSTF策略比单独的机会策略略胜一筹，并且在区分FN T分数≤-2.5和不具有FN T分数的女性方面不如传统的SCORE和OST策略。

著录项

相似文献

  • 外文文献
  • 中文文献
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号