Developing a Malaysian Osteoporosis Screening Tool (MOST) for early osteoporosis detection in Malaysian women

Pei Shan Lim, Ong Fee Bee, Sufian Seri Suniza, Nafisah Adeeb

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Osteoporotic fracture is a major health burden. Early diagnosis and management would improve the quality of life and reduce costs to the society. Objective: We aimed to identify risk factors associated with osteoporosis followed by development and validation of a screening tool in the hope of providing an appropriate regime to detect low bone density (BMD) in Malaysia. Methodology: Between November 1999 and November 2002, 514 healthy women aged 45 with intact uterus, non-HRT users were recruited. Following BMD testing, a screening tool was developed. For validation, 72 women were recruited from June 2003 to December 2003. Results: Age and a longer duration postmenopause were negatively linked to BMD. Higher family income, BMI, waist and hip circumference were positively correlated. A score of 4, the screening tool had a sensitivity of 73.2%, a specificity of 61.6% for identifying women with low BMD (T score -2) plus a sensitivity of 80.2% in selecting women with osteoporosis. The tool enabled a 45.9% reduction in unnecessary DEXA testing. Validation of the screening tool showed a negative predictive value of 97.8%, sensitivity and specificity of 87.5% and 70.3%, respectively. Conclusion: The Malaysian Osteoporosis Screening Tool (MOST) is relatively simple. Its usage may reduce unnecessary DEXA test.

Original languageEnglish
Pages (from-to)77-82
Number of pages6
JournalSexual and Reproductive Healthcare
Volume2
Issue number2
DOIs
Publication statusPublished - Apr 2011

Fingerprint

Osteoporosis
Hope
Postmenopause
Osteoporotic Fractures
Malaysia
Waist Circumference
Bone Density
Uterus
Hip
Early Diagnosis
Quality of Life
Costs and Cost Analysis
Sensitivity and Specificity
Health

Keywords

  • Bone mineral density
  • DEXA test
  • Osteoporosis
  • Risk factors
  • Screening tool

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

Developing a Malaysian Osteoporosis Screening Tool (MOST) for early osteoporosis detection in Malaysian women. / Lim, Pei Shan; Fee Bee, Ong; Seri Suniza, Sufian; Adeeb, Nafisah.

In: Sexual and Reproductive Healthcare, Vol. 2, No. 2, 04.2011, p. 77-82.

Research output: Contribution to journalArticle

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