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http://hdl.handle.net/1942/16750
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DC Field | Value | Language |
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dc.contributor.author | Bours, S. | - |
dc.contributor.author | VAN DEN BERGH, Joop | - |
dc.contributor.author | van der Velde, R. | - |
dc.contributor.author | Willems, P. | - |
dc.contributor.author | Brink, P. | - |
dc.contributor.author | van Geel, T. | - |
dc.contributor.author | GEUSENS, Piet | - |
dc.date.accessioned | 2014-04-30T08:47:24Z | - |
dc.date.available | 2014-04-30T08:47:24Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | ANNALS OF THE RHEUMATIC DISEASES, 72 (Suppl 3), p. A300-A301 | - |
dc.identifier.issn | 0003-4967 | - |
dc.identifier.uri | http://hdl.handle.net/1942/16750 | - |
dc.description.abstract | Background: Patients presenting at a fracture liaison service (FLS) with a prevalent non-vertebral fracture have a high prevalence of vertebral fractures. However, the diagnosis of a vertebral fracture can only be based on imaging of the spine. VFA is a low-radiation method for diagnosing a vertebral fracture at the same time as a DXA is performed. Objectives: To analyse the effect of systematic implementation of VFA in FLS patients on the diagnosis of prevalent vertebral fractures. Methods: Systematic use of VFA to diagnose prevalent vertebral fractures in 352 consecutive patients presenting at the outpatient FLS of the Maastricht University Medical Centre for fracture risk evaluation because of a recent non-vertebral fracture, compared to 1000 patients who received standard care before the introduction of the FLS (pre-FLS). The presence of vertebral fractures with VFA and X-ray was evaluated semi-quantitatively according to the Genant score. Results: In pre-FLS patients, 5% had a DXA, and no patient had a VFA. VFA was performed in 352 consecutive patients (mean age 65 yrs, 71% women) who were able and willing to participate in the FLS and had additional X-ray of the spine when indicated. Sixty patients (17%) had one or more vertebral deformities ≥ grade 1 on VFA (p<0.001 versus pre-FLS) and VFA was not possible to interpret because of bad image quality in 7 patients. Of these 60 patients, 30 (50%) had one or more moderate (grade 2) or severe (grade 3) vertebral deformities on VFA (9% of all patients). In 37 patients (11% of all patients) an additional X-ray was performed because of doubt about the degree of deformity (n=30) or an insufficient image quality (n=7) on VFA. Of these patients, 32 had a vertebral fracture ≥grade 2. As a result, 62 patients were diagnosed with a prevalent vertebral fracture (18% of all patients) and 22 of them (7% of all patients) had 2 or more vertebral fractures. Vertebral fractures were diagnosed in 23% of patients with osteoporosis (any T-score in spine or hip <-2.5), in 17% of patients with osteopenia and in 2% of patients with normal BMD. Conclusions: Systematic implementation of VFA in FLS assessment resulted in the diagnosis of one or more previously unknown vertebral fractures in one out of five patients who attended the FLS with a recent non-vertebral fracture. In 11% of all patients an additional X-ray was performed to confirm or exclude a vertebral fracture. | - |
dc.language.iso | en | - |
dc.title | Effect of systematic implementation of vertebral fracture assessment (VFA) in patients with a recent non-vertebral fracture | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | A301 | - |
dc.identifier.issue | Suppl 3 | - |
dc.identifier.spage | A300 | - |
dc.identifier.volume | 72 | - |
local.bibliographicCitation.jcat | M | - |
local.type.refereed | Refereed | - |
local.type.specified | Meeting Abstract | - |
dc.identifier.doi | 10.1136/annrheumdis-2013-eular.928 | - |
dc.identifier.isi | 000331587902319 | - |
item.fullcitation | Bours, S.; VAN DEN BERGH, Joop; van der Velde, R.; Willems, P.; Brink, P.; van Geel, T. & GEUSENS, Piet (2013) Effect of systematic implementation of vertebral fracture assessment (VFA) in patients with a recent non-vertebral fracture. In: ANNALS OF THE RHEUMATIC DISEASES, 72 (Suppl 3), p. A300-A301. | - |
item.fulltext | No Fulltext | - |
item.contributor | Bours, S. | - |
item.contributor | VAN DEN BERGH, Joop | - |
item.contributor | van der Velde, R. | - |
item.contributor | Willems, P. | - |
item.contributor | Brink, P. | - |
item.contributor | van Geel, T. | - |
item.contributor | GEUSENS, Piet | - |
item.accessRights | Closed Access | - |
crisitem.journal.issn | 0003-4967 | - |
crisitem.journal.eissn | 1468-2060 | - |
Appears in Collections: | Research publications |
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