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http://hdl.handle.net/1942/31175
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DC Field | Value | Language |
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dc.contributor.author | van den Berg, Peter | - |
dc.contributor.author | Schweitzer, Dave H. | - |
dc.contributor.author | van Haard, Paul M. M. | - |
dc.contributor.author | GEUSENS, Piet | - |
dc.contributor.author | VAN DEN BERGH, Joop | - |
dc.date.accessioned | 2020-05-21T13:43:02Z | - |
dc.date.available | 2020-05-21T13:43:02Z | - |
dc.date.issued | 2020 | - |
dc.date.submitted | 2020-05-19T12:44:55Z | - |
dc.identifier.citation | ARCHIVES OF OSTEOPOROSIS, 15 (1) (Art N° 56) | - |
dc.identifier.issn | 1862-3522 | - |
dc.identifier.uri | http://hdl.handle.net/1942/31175 | - |
dc.description.abstract | A Summary A pilot study on the use of P-EU to identify patients without osteoporosis and/or a subclinical vertebral fracture after a recently sustained non-vertebral fracture (NVF). Introduction Screening with portable devices at emergency departments or plaster rooms could be of interest to limit referrals for dual X-ray absorptiometry (DXA) and vertebral fracture assessment (VFA). We calculated the number of negative tests for osteoporosis and/or subclinical vertebral fractures (VFs) using pulse-echo ultrasonometry (P-UE) at different thresholds. Patients and methods In this cross-sectional study, 209 consecutive women of 50-70 years with a recent non-vertebral fracture (NVF) were studied at the Fracture Liaison Service (FLS) of one hospital. All women received DXA/VFA and P-EU (Bindex (R)) assessments. Various P-EU thresholds (based on the density index (DI, g/cm(2))) were analyzed to calculate the best balance between true negative (indeed no osteoporosis and/or subclinical VF) and false negative tests (osteoporosis and/or subclinical VF according to DXA/VFA). Results Eighty-three women had osteoporosis (40%) and 17 women at least one VF (8%). Applying the manufacturer's recommended P-EU threshold (DI 0.844 g/cm(2)) being their proposed cut-off for not having hip osteoporosis resulted in 77 negative tests (37%, 31% true negative and 6% false negative tests). A DI of 0.896 g/cm(2) resulted in 40 negative tests (19.3%) (38 true negative (18.3%) and 2 false negative tests (1.0%)). Conclusion The application of P-EU enables the identification of a substantial proportion of women with recent non-vertebral fractures at the FLS who would not need a DXA/VFA referral because they had no osteoporosis and/or subclinical vertebral fractures. The most conservative P-EU threshold resulted in 18.3% true negative tests verified by DXA/VFA against 1% false negative test results. | - |
dc.description.sponsorship | Acknowledgments We are grateful to Mrs. Jeanette Kat for the P-EU measurements and to Mrs. Wil Aarssen and Mrs. Maria van Woerden for their excellent secretarial services. We thank Bindex® (Bone Index Finland Oy, Kuopio, Finland) for making the device available for the study. | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER LONDON LTD | - |
dc.rights | International Osteoporosis Foundation and National Osteoporosis Foundation 2020. | - |
dc.subject.other | DXA/VFA | - |
dc.subject.other | FLS | - |
dc.subject.other | Non-vertebral fracture | - |
dc.subject.other | Osteoporosis | - |
dc.subject.other | Subclinical vertebral fracture | - |
dc.subject.other | Pulse-echo ultrasound | - |
dc.title | The use of pulse-echo ultrasound in women with a recent non-vertebral fracture to identify those without osteoporosis and/or a subclinical vertebral fracture: a pilot study | - |
dc.type | Journal Contribution | - |
dc.identifier.issue | 1 | - |
dc.identifier.volume | 15 | - |
local.format.pages | 9 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | van den Berg, P (reprint author), Reiner Graaf Gasthuis, Dept Orthoped & Surg, Fracture Liaison Serv, Delft, Netherlands. | - |
dc.description.notes | pberg@rdgg.nl | - |
dc.description.other | van den Berg, P (reprint author), Reiner Graaf Gasthuis, Dept Orthoped & Surg, Fracture Liaison Serv, Delft, Netherlands. pberg@rdgg.nl | - |
local.publisher.place | 236 GRAYS INN RD, 6TH FLOOR, LONDON WC1X 8HL, ENGLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.artnr | 56 | - |
dc.source.type | Article | - |
dc.identifier.doi | 10.1007/s11657-020-00730-7 | - |
dc.identifier.pmid | 32291527 | - |
dc.identifier.isi | WOS:000525760900001 | - |
dc.contributor.orcid | van Haard, Paul/0000-0001-5213-9221 | - |
dc.identifier.eissn | 1862-3514 | - |
local.provider.type | wosris | - |
local.uhasselt.uhpub | yes | - |
local.uhasselt.international | yes | - |
item.contributor | van den Berg, Peter | - |
item.contributor | Schweitzer, Dave H. | - |
item.contributor | van Haard, Paul M. M. | - |
item.contributor | GEUSENS, Piet | - |
item.contributor | VAN DEN BERGH, Joop | - |
item.fullcitation | van den Berg, Peter; Schweitzer, Dave H.; van Haard, Paul M. M.; GEUSENS, Piet & VAN DEN BERGH, Joop (2020) The use of pulse-echo ultrasound in women with a recent non-vertebral fracture to identify those without osteoporosis and/or a subclinical vertebral fracture: a pilot study. In: ARCHIVES OF OSTEOPOROSIS, 15 (1) (Art N° 56). | - |
item.accessRights | Restricted Access | - |
item.fulltext | With Fulltext | - |
item.validation | ecoom 2021 | - |
crisitem.journal.issn | 1862-3522 | - |
crisitem.journal.eissn | 1862-3514 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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peter.pdf Restricted Access | Published version | 421.14 kB | Adobe PDF | View/Open Request a copy |
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