Performance of the osteoporosis risk assessment tool in Moroccan men.

Full Abstract

Measuring bone mineral density (BMD) is a widely accepted strategy for identifying subjects with an increased risk of fracture. However, because of limited availability of BMD technology in some communities and cost considerations, it has been proposed that BMD measurements be targeted to subjects with risk factors for osteoporosis. Osteoporosis self-assessment tool (OST) using age and weight have been developed to identify women who are more likely to have low BMD and thus undergo BMD testing. To study the performance of OST in identifying osteoporotic white men in Morocco. We analysed in an epidemiological cross-sectional study the records for 229 white Moroccan men seen at an out-patient rheumatology centre. OST was compared to bone density T scores and the ability of OST to identify men with osteoporosis (T < -2.5) was evaluated. Using an OST score < 2 to recommend dual X-ray absorptiometry (DXA) referral, sensitivity ranged from 63% at the lumbar spine to 87% at the total hip to detect BMD T scores of -2.5 and specificity from 58 to 59%. The negative predictive value was high at all skeletal sites (87-98%), demonstrating the usefulness of the OST to identify patients who have normal BMD and should not receive DXA testing. The performance of OST among men in Morocco was similar to that reported earlier for the other samples in Asian countries and the USA. The OST is an effective and efficient tool to help target high-risk men for DXA measurement.

Learn Faster Today Improve your study skills

Author information

Author/s: Ghazi, Mirieme (M); Mounach, Aziza (A); Nouijai, Abderrazak (A); Ghozlani, Imad (I); Bennani, Loubna (L); Achemlal, Lahsen (L); Bezza, Ahmed (A); El Maghraoui, Abdellah (A);

Affiliation: Rheumatology and Physical Rehabilitation Centre, Military Hospital Mohammed V, P.O. Box 1018, Rabat, Morocco.

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Clinical rheumatology (Clin Rheumatol), published in Belgium. (Language: eng)

Reference: 2007-Dec; vol 26 (issue 12) : pp 2037-41

Dates: Created 2007/11/09; Completed 2008/02/05;

PMID: 17404784, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Middle Aged
Morocco - epidemiology
Osteoporosis - epidemiology; radiography
Prevalence
Retrospective Studies
Risk Factors

These are the highest related articles currently in the database:

See 100+ related articles.