Agreement between calcaneal quantitative ultrasound and osteoporosis self-assessment tool for Asians in identifying individuals at risk of osteoporosis

Chin Kok Yong, Nie Yen Low, Alia Annessa Ain Kamaruddin, Wan Burhanuddin Wan Ilma Dewiputri, Ima Nirwana Soelaiman

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Calcaneal quantitative ultrasound (QUS) is a useful tool in osteoporosis screening. However, QUS device may not be available at all primary health care settings. Osteoporosis self-assessment tool for Asians (OSTA) is a simple algorithm for osteoporosis screening that does not require any sophisticated instruments. This study explored the possibility of replacing QUS with OSTA by determining their agreement in identifying individuals at risk of osteoporosis. Methods: A cross-sectional study was conducted to recruit Malaysian men and women aged ≥50 years. Their bone health status was measured using a calcaneal QUS device and OSTA. The association between OSTA and QUS was determined using Spearman’s correlation and their agreement was assessed using Cohen Kappa and receiver-operating curve. Results: All QUS indices correlated significantly with OSTA (p<0.05). The agreement between QUS and OSTA was minimal but statistically significant (p<0.05). The performance of OSTA in identifying subjects at risk of osteoporosis according to QUS was poor-to-fair in women (p<0.05), but not statistically significant for men (p>0.05). Changing the cut-off values improved the performance of OSTA in women but not in men. Conclusion: The agreement between QUS and OSTA is minimal in categorizing individuals at risk of osteoporosis. Therefore, they cannot be used interchangeably in osteoporosis screening.

Original languageEnglish
Pages (from-to)1333-1341
Number of pages9
JournalTherapeutics and Clinical Risk Management
Volume13
DOIs
Publication statusPublished - 6 Oct 2017

Fingerprint

bone disease
self-assessment
Osteoporosis
Ultrasonics
Screening
Self-Assessment
Health care
Equipment and Supplies
Bone
Health
cross-sectional study
Health Status
health status
Primary Health Care
recipient
Cross-Sectional Studies

Keywords

  • Bone
  • Correlation
  • Osteopenia
  • Roc
  • Sensitivity
  • Specificity

ASJC Scopus subject areas

  • Safety Research
  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Chemical Health and Safety

Cite this

Agreement between calcaneal quantitative ultrasound and osteoporosis self-assessment tool for Asians in identifying individuals at risk of osteoporosis. / Kok Yong, Chin; Low, Nie Yen; Kamaruddin, Alia Annessa Ain; Wan Ilma Dewiputri, Wan Burhanuddin; Soelaiman, Ima Nirwana.

In: Therapeutics and Clinical Risk Management, Vol. 13, 06.10.2017, p. 1333-1341.

Research output: Contribution to journalArticle

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