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outcomes. CONCLUSIONS Table 2. In conclusion, the osteoporosis detection and medica- Interventional study of osteoporosis treatment after hip fracture since last Author Study design Trial subject Intervention Follow-up Outcomes (Control) Outcomes (Intervention) Majumdar et al. [14] Prospective RCT Physician, patients Education 6 months BMD scan 29% (32/110) Osteoporosis Tx 22% (24/110) BMD scan 80% (88/111) Osteoporosis Tx 51% (56/110) Miki et al. [15] Prospective RCT Physician, patients Education 6 months BMD scan 29% (7/24) Osteoporosis Tx 29% (7/24) BMD scan 100% (26/26) Osteoporosis Tx 58% (15/26) Morrish et al. [16] Prospective RCT Patients Education 12 months BMD scan 68% (75/110) Osteoporosis Tx 38% (42/110) BMD scan 88% (88/110) Osteoporosis Tx 54% (59/110) Piziak and Rajab [17] Prospective nonrandomized Patients Osteoporosis consultation 6 months Osteoporosis Tx 12.4% (17/137) Osteoporosis Tx 47.5% (65/137) Kandel et al. [18] Prospective nonrandomized Patients Education 3 months 6 months Osteoporosis Tx 19% (17/137) Osteoporosis Tx 19% (17/137) Osteoporosis Tx 19% (65/137) Osteoporosis Tx 39% (65/137) Sjöberg and Wallerstedt [19] Prospective RCT Physician Education 12 months Osteoporosis Tx 58% (1/31) Osteoporosis Tx 77% (28/53) Current study Prospective before and after multicenter study Orthopaedic surgeon, Patients Education At discharge BMD scan 36.4% (344/945) Osteoporosis Tx 23.1% (218/945) BMD scan 60.5% (115/190) Osteoporosis Tx 48.4% (92/190) 6 months Osteoporosis Tx 43.7% (83/190) 12 months Osteoporosis Tx 40.2% (74/184) RCT, randomized controlled trial; BMD, bone mineral density; Tx, treatment. Yong-Geun Park, et al. 112 http://e-jbm.org/ https://doi.org/10.11005/jbm.2018.25.2.107 tion rate after hip fracture increased two fold after the multimodal approach with orthopaedic surgeon and patients. This interventional multicenter study demonstrate that patients education program in patients with hip fracture can improve osteoporosis medication and well maintained up to 12 months follow-up and could be possible to potentially converse to fracture liaison service. ACKNOWLEDGMENT This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Korea (grant number : HI13C1522 Journal of Orthopaedic Surgery and Research Research article Open Access Concordane of OSTA and lumbar spine BMD by DXA in identifying risk of osteoporosis ChunYan Lu1, DeCai Chen*1, YunHua Cai2 and SongQuan Wei1 Address: 1Department of Endocrinology, West China hospital of SiChuan University, ChengDu, China and 2Department of Endocrinology, County hospital of QianWei, SiChuan, China Email: ChunYan Lu - lcyan8306@hotmail.com; DeCai Chen* - lcyan8306@hotmail.com; YunHua Cai - lcyan8306@hotmail.com; SongQuan Wei - lcyan8306@hotmail.com * Corresponding author Abstract Objective: To investigate the accuracy of Osteoporosis Self-assessment Tool for Asians (OSTA) in identifying the risk of osteoporosis in postmenopausal women. To validate use of OSTA risk index by comparing it with the bone mineral density (BMD) of lumbar spine measured by dual energy X-ray absorptiometry (DXA). Methods: The data of lumbar spine BMD (LS BMD) measurements by DXA of 218 postmenopausal women of Han nationality in Sichuan province were compared with OSTA risk index. The concordance of OSTA and LS BMD were calculated and analyzed by fourfold table and receiver operating characteristic (ROC) curve. Results: The prevalence of osteoporosis in these women was 40.4% and 61.5%, with the LS BMD T score cutoffs -2.5 and -2.0, respectively. The sensitivity, specificity, and accuracy of OSTA risk index compared with T score cutoff -2.5 of LS BMD were 59.1%, 56.9% and 57.8%, respectively, while they were 57.5%, 63.1%, 59.6% by T score cutoff -2.0. Conclusion: For identifying risk of osteoporosis, the concurrence was lower than those reported studies when comparing LS BMD measurements to OSTA risk index in Chinese Han nationality postmenopausal women of Sichuan province. Physicians should identify women who need BMD measurement according to more factors rather than age and body weight. 1. Background According to the improvement of living standard and life expectancy, osteoporosis (OP) is becoming one of the most common pubic healthy problems in China and worldwide. The prevalence of osteoporosis is progressively increasing. The most severe complication of OP is fracture, which brings great burden to individual, family and society. Osteoporosis is very common among postmenopausal women [1-3], while women of high risk are often asymptomatic. Therefore, early screening and evaluation of osteoporosis in postmenopausal women are important. It is widely accepted that bone mineral density (BMD) measurement measured by dual X-ray absorptiometry (DXA) is the golden standard of diagnosis of OP. Because of the limited availability and rather expensive cost of DXA, simple tools in identifying women needed DXA measurements have developed. Published: 21 November 2006 Journal of Orthopaedic Surgery and Research 2006, 1:14
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