Are other feasible options available for screening of risk assessment of osteoporosis in postmenopausal women at community level in Southern Coastal India

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dc.contributor.authorReddy, Gowryen_US
dc.contributor.authorRathi, Priyaen_US
dc.contributor.authorUnnikrishnan, B.en_US
dc.contributor.authorKamath, Surendraen_US
dc.contributor.authorShringapure, Kalpitaen_US
dc.date.accessioned2020-05-06T08:36:21Z
dc.date.available2020-05-06T08:36:21Z
dc.date.issued2019-01
dc.description.abstractBackground: Osteoporosis is a chronic debilitating condition which exhibits iceberg phenomenon. Identification at an early stage of disease will enable preventive measures to reduce the incidence of disease and complications. Owing to the cost of diagnostic test, this study, various screening tools such as WHO fracture risk assessment tool, osteoporosis self-assessment tool for Asians, simple calculated osteoporosis risk estimation and osteoporosis risk assessment instrument have been used for assessment, in order to screen postmenopausal women in the preliminary stages.Methods: A facility-based cross-sectional study was conducted among 107 postmenopausal women carried over a period of five months.Results: Prevalence of osteoporosis and osteopenia was 24.3% and 69.2%. The area under the curve for osteoporosis self-assessment tool for Asians (OSTA), simple calculated osteoporotic risk estimation (SCORE) and osteoporotic risk assessment instrument (ORAI) was 0.731, 0.407 and 0.172 respectively. OSTA proved to be effective in differentiating normal BMD from low BMD score (i.e., osteopenia and osteoporosis) with a cut off of 1.1, SCORE to be more effective in screening osteoporosis than the other tools because it had a higher positive probability with a cut off 22. FRAX tool predicted probability of five and three percent probability of major fracture and hip fracture risk in ten yearsConclusions: Various tools assessed in the studies can be utilized at community level for identifying high risk women in post-menopausal stage but with different cut offs. This will reduce the cost of screening and also facilitate non pharmacological measures to reduce the progression of disease.en_US
dc.identifier.affiliationsMBBS Student, Kasturba Medical College, Mangalore, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Kasturba Medical College, Mangalore, MAHE, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Orthopaedics, Kasturba Medical College, Mangalore, MAHE, Karnataka, Indiaen_US
dc.identifier.affiliationsTutor, Department of Preventive and Social Medicine, Medical College Baroda, Gujarat, Indiaen_US
dc.identifier.citationReddy Gowry,Rathi Priya,Unnikrishnan B.,Kamath Surendra,Shringapure Kalpita . Are other feasible options available for screening of risk assessment of osteoporosis in postmenopausal women at community level in Southern Coastal India . International Journal of Community Medicine and Public Health. 2019 Jan; 6(1): 123-128en_US
dc.identifier.issn2394-6032
dc.identifier.issn2394-6040
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/201038
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2394-6040.ijcmph20185142en_US
dc.subjectOsteoporosisen_US
dc.subjectScreening toolsen_US
dc.subjectBone densitometryen_US
dc.subjectPostmenopausal womenen_US
dc.titleAre other feasible options available for screening of risk assessment of osteoporosis in postmenopausal women at community level in Southern Coastal Indiaen_US
dc.typeJournal Articleen_US
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