Original article
Sensitivity, specificity, positive and negative predictive values of the criteria for indicating a bone densitometry in the Evaluation of Medical Techniques and Research in Cataluña
Sensibilidad, especificidad y valor predictivo positive y negativo de los criterios de indicación de densitometría ósea de la Agencia de Evaluación de Tecnologías e Investigación Médicas de Cataluña
Daniel Roig Vilasecaa,
, Carles Valero Garcíab, M. Pilar Boncompte Vilanovac, Juli Muñoz Lópezc, Carme Contreras Garcíad, Montserrat Romera Baurése, on behalf of the densitometry referral study group
Corresponding author
a Unitat de Reumatologia, Centre d’Atenció Especialitzada Cornellà, Servei d’Atenció Primària Baix Llobregat Centre, Cornellà de Llobregat, Barcelona, Spain
b Servei d’Atenció Primària Baix Llobregat Centre, Cornellà de Llobregat, Barcelona, Spain
c Àrea Bàsica de Salut Les Planes, Servei d’Atenció Primària Baix Llobregat Centre, Sant Joan Despí, Barcelona, Spain
d Àrea Bàsica de Salut Pubilla Cases, Servei d’Atenció Primària L’Hospitalet, L’Hospitalet de Llobregat, Barcelona, Spain
e Servei de Reumatologia, Hospital Universitari de Bellvitge (IDIBELL), L’Hospitalet de Llobregat, Barcelona, Spain
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The results obtained with the AETIM criteria are related to criteria for indication of BD proposed by the World Health Organization (1999 and 2003 criteria), the National Osteoporosis Foundation (1998 and 2010 criteria) and the International Committee of Clinical Guidelines on Osteoporosis.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Criteria from the Catalan Agency have low sensitivity to detect both low bone mass (T index <−1) and osteoporosis (T index <−2.5), specificity varied according to the group. The positive predictive value is low, but the negative predictive value for osteoporosis is high in all groups (except for postmenopausal women aged >65 years). The remaining criteria have a high negative predictive value and, in women, good sensitivity and low specificity, especially for identifying patients with osteoporosis.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Catalan Agency criteria are useful for selecting patients who would not need BD, but lack sufficient sensitivity to identify individuals with low bone mass. The other criteria also have a high negative predictive value for osteoporosis, and a better sensitivity.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La Agencia de Evaluación de Tecnologías e Investigación Médicas (AETIM) de Cataluña propuso en 2001 unos criterios de indicación de densitometría ósea (DO) para su uso en las consultas del sistema sanitario público. El objetivo fue conocer la sensibilidad, la especificidad, el valor predictivo positivo (VPP) y valor predictivo negativo (VPN) de los criterios de indicación de DO de la AETIM.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Cinco grupos de voluntarios (mujeres premenopáusicas de 46 a 65 años, posmenopáusicas de 46 a 65 años y posmenopáusicas de > 65 años, y varones de 46 a 65 años y de > 65 años) a los que se realizó DO y una encuesta sobre factores de riesgo. Se calcularon la sensibilidad, la especificidad, el VPP y el VPN de los criterios de la AETIM, y los resultados se compararon con los criterios de indicación de DO propuestos por la Organización Mundial de la Salud (en 1999 y 2003), la National Osteoporosis Foundation (en 1998 y 2010) y el Comité Internacional de Guías Clínicas en Osteoporosis.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Los criterios de la AETIM tienen una baja sensibilidad tanto para detectar baja masa ósea (índice T < −1) como osteoporosis (índice T < −2,5); la especificidad varía según el grupo. El VPP es bajo, pero el VPN para osteoporosis es alto en todos los grupos (excepto el de mujeres posmenopáusicas > 65 años). El resto de los criterios tienen un VPN alto y, en mujeres, buena sensibilidad y muy baja especificidad, especialmente para identificar pacientes con osteoporosis.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Los criterios de la AETIM son útiles para seleccionar pacientes a los que no sería necesario realizar una DO, pero carecen de sensibilidad suficiente para identificar individuos con baja masa ósea. El resto de criterios tienen también un VPN alto para osteoporosis y una sensibilidad algo mejor.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Predicting fractures in women by using forearm bone densitometry" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Garsell" 1 => "O. Johnell" 2 => "B.E. Nilsson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Calcif Tissue Int" "fecha" => "1989" "volumen" => "44" "paginaInicial" => "235" "paginaFinal" => "242" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2501005" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Baseline measurement of bone mass predicts fracture in white women" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.L. Hui" 1 => "C.W. Slemenda" 2 => "P.H. Johnston" 3 => "C.C. Johnston" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Intern Med" "fecha" => "1989" "volumen" => "111" "paginaInicial" => "355" "paginaFinal" => "361" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2764403" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Appendicular bone density and age predict hip fracture in women" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "The study of Osteoporotic Fractures Research Group" "etal" => true "autores" => array:6 [ 0 => "S.R. Cummings" 1 => "D.M. Black" 2 => "M.C. Nevitt" 3 => "W.S. Browner" 4 => "J.A. Cauley" 5 => "HK Genant" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "JAMA" "fecha" => "1990" "volumen" => "263" "paginaInicial" => "665" "paginaFinal" => "668" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2404146" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of osteoporosis and related risk factors in UK women in the seventh decade: Osteoporosis case finding by clinical referral criteria or predictive model?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.A. Ballard" 1 => "D.W. Purdie" 2 => "C.M. Langton" 3 => "S.A. Steel" 4 => "S. Mussurakis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "1998" "volumen" => "8" "paginaInicial" => "535" "paginaFinal" => "539" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Screening for osteoporosis in postmenopausal women: Recommendations and rationale" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "U.S. Preventive Services Task Force" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Int Med" "fecha" => "2002" "volumen" => "137" "paginaInicial" => "526" "paginaFinal" => "528" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12230355" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The validity of decision rules for selecting women with primary osteoporosis for bone mineral density testing" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.M. Cadarette" 1 => "W.J. McIsaac" 2 => "G.A. Hawkr" 3 => "L. Jaakkimainen" 4 => "A. Culbert" 5 => "G. Zafira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteopororis Int" "fecha" => "2004" "volumen" => "15" "paginaInicial" => "361" "paginaFinal" => "366" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of various osteoporosis risk indices in elderly Chinese females in Singapore" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.-P. Chan" 1 => "C.C. Teo" 2 => "S.A. Ng" 3 => "N. Goh" 4 => "C. Tan" 5 => "M. Deurenberg-Yap" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "2006" "volumen" => "17" "paginaInicial" => "1182" "paginaFinal" => "1188" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of a simple calculated osteoporosis risk estimation (SCORE) for patient selection for bone densitometry" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.M. Caderette" 1 => "S.B. Jaglal" 2 => "T.M. Murray" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "1999" "volumen" => "10" "paginaInicial" => "85" "paginaFinal" => "90" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development and validation of the osteoporosis risk assessment instrument to facilitate selection of women for bone densitometry" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.M. Caderette" 1 => "S.B. Jaglal" 2 => "N. Kreiger" 3 => "W.J. McIsaac" 4 => "G.A. Darlington" 5 => "J.V. Tu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "CMAJ" "fecha" => "2000" "volumen" => "162" "paginaInicial" => "1289" "paginaFinal" => "1294" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10813010" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interest of a prescreening questionnaire to reduce the cost of bone densitometry" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W. Ben Sedrine" 1 => "P. Broers" 2 => "J.P. Devogelaer" 3 => "G. Depresseux" 4 => "J.M. Kauffman" 5 => "S. Goemaere" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "2002" "volumen" => "13" "paginaInicial" => "434" "paginaFinal" => "442" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Construction of an algorithm for quick detection of patients with low bone mineral density and its appplicability in daily general practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D.J.M. Van der Voort" 1 => "G.J. Dinant" 2 => "P.E.L.M. Rinkens" 3 => "C.J.M. Van der Voort-Duindam" 4 => "J.W.J. Van Wersch" 5 => "P.P. Geusens" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Clin Epidemiol" "fecha" => "2000" "volumen" => "53" "paginaInicial" => "1095" "paginaFinal" => "1103" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11106882" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation and comparative evaluation of the osteoporosis self-assessment tool (OST) in a Caucasian population from Belgium" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Richy" 1 => "M. Gourlay" 2 => "P.D. Ross" 3 => "S.S. Sen" 4 => "L. Radican" 5 => "F. De Ceulaer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Q J Med" "fecha" => "2004" "volumen" => "97" "paginaInicial" => "39" "paginaFinal" => "46" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A simple system to determine who needs osteoporosis screening" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Weinsten" 1 => "B. Ullery" 2 => "C. Bourguignon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "1999" "volumen" => "93" "paginaInicial" => "757" "paginaFinal" => "760" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10912981" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Identifying bone-mass related risk factors for fracture to guide bone densitometry measurements: A systematic review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Espallargues" 1 => "L. Sampietro-Colom" 2 => "M.D. Estrada" 3 => "M. Solà" 4 => "L. Del Río" 5 => "J. Setoain" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "2001" "volumen" => "12" "paginaInicial" => "811" "paginaFinal" => "822" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physician's guide to prevention and treatment of osteoporosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C.C. Johnston" 1 => "S.R. Cummings" 2 => "B. Dawson-Hughes" 3 => "R. Lindsay" 4 => "L.J. Melton" 5 => "C.W. Slemenda" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1998" "editorial" => "National Osteoporosis Fundation" "editorialLocalizacion" => "Washington" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis and manegement of osteoporosis in postmenopausal women Clinical Guidelines" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "The International Committe for Osteoporosis Clinical Guidelines." "etal" => false "autores" => array:6 [ 0 => "P.J. Meunier" 1 => "P.D. Delmas" 2 => "R. Eastell" 3 => "M.R. McClung" 4 => "S. Papapoulos" 5 => "R. Rizzoli" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clinical Therapeutics" "fecha" => "1999" "volumen" => "21" "paginaInicial" => "1025" "paginaFinal" => "1044" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10440625" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interim report and recommendations of the World Health Organization Task-Force for osteoporosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H.K. Genant" 1 => "C. Cooper" 2 => "G. Poor" 3 => "I. Reid" 4 => "G. Ehrlich" 5 => "J. Kanis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "1999" "volumen" => "10" "paginaInicial" => "259" "paginaFinal" => "264" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Available from: <a class="elsevierStyleInterRef" href="http://www.nof.org/node/42">http://www.nof.org/node/42</a> (quoted 2011 January 5)." ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevention and management of osteoporosis" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "World Health Organization" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Technical report series 921" "fecha" => "2003" "editorial" => "WHO" "editorialLocalizacion" => "Geneva" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia de los criterios de indicación de densitometría ósea y de los factores de riesgo de baja masa ósea y fractura en unidades extrahospitalarias de Reumatología" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Roig" 1 => "C. Valero" 2 => "M. Romera" 3 => "A. Rozadilla" 4 => "L. Mateo" 5 => "X. Juanola" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S1699-258X(05)72707-8" "Revista" => array:6 [ "tituloSerie" => "Reumatol Clín" "fecha" => "2005" "volumen" => "1" "paginaInicial" => "12" "paginaFinal" => "19" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21794231" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib21" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "En nombre del grupo de estudio de criterios de derivación a densitometría Proporción de individuos con criterios de indicación de densitometría ósea y frecuencia de los factores de riesgo de baja masa ósea en consultas de atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Roig Vilaseca" 1 => "V. Valero" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Aten Primaria" "fecha" => "2006" "volumen" => "38" "paginaInicial" => "437" "paginaFinal" => "444" ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib22" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Study of bone mineral density in lumbar spine and femoral neck in Spanish population" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "On behalf on the multicentre research project on osteoporosis" "etal" => false "autores" => array:6 [ 0 => "M. Díaz Curiel" 1 => "J.L. Carrasco de la Peña" 2 => "J. Honorato Pere" 3 => "R. Pérez Cano" 4 => "A. Rapado" 5 => "I. Ruiz Martínez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoporosis Int" "fecha" => "1997" "volumen" => "7" "paginaInicial" => "59" "paginaFinal" => "64" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib23" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of fracture risk and its application to screening for postmenopausal osteoporosis" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "World Health Organization" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Technical report series 843" "fecha" => "1994" "editorial" => "WHO" "editorialLocalizacion" => "Geneva" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib24" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Decision rules for selecting women for bone mineral density testing: Application in postmenopausal women referred to a bone densitometry Unit" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D. Martínez-Aguilà" 1 => "C. Gómez-Vaquero" 2 => "A. Rozadilla" 3 => "M. Romera" 4 => "J. Narváez" 5 => "J.M. Nolla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "2007" "volumen" => "34" "paginaInicial" => "1307" "paginaFinal" => "1312" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17552058" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib25" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Performance of the osteoporosis self-assessment tool in rouling out low bone mineral density in postmenopausal women: A systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Rud" 1 => "J. Hilden" 2 => "L. Hyldstrup" 3 => "A. Hróbjartsson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00198-006-0319-3" "Revista" => array:6 [ "tituloSerie" => "Osteoporos Int" "fecha" => "2007" "volumen" => "18" "paginaInicial" => "1177" "paginaFinal" => "1188" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17361324" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib26" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Use of clinical preiction rules in detecting osteoporosis in a population-based sample of postmenopausal women" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.F. Mauck" 1 => "M.-T. Cuddihy" 2 => "E.J. Atkinson" 3 => "L.J. Melton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/archinte.165.5.530" "Revista" => array:6 [ "tituloSerie" => "Arch Intern Med" "fecha" => "2005" "volumen" => "165" "paginaInicial" => "530" "paginaFinal" => "536" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15767529" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib27" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of decision rules for refering women for bone densitometry by dual-energy X-ray absorptiometry" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "For the Canadian Multicentre Osteoporosis Study (CaMos)" "etal" => false "autores" => array:6 [ 0 => "S.M. Cadarette" 1 => "S.B. Jaglal" 2 => "T.M. Murria" 3 => "W.J. McIsaac" 4 => "L. Joseph" 5 => "J.P. Brown" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "JAMA" "fecha" => "2001" "volumen" => "286" "paginaInicial" => "57" "paginaFinal" => "63" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11434827" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000700000003/v1_201305061622/S2173574311700351/v1_201305061622/en/main.assets" "Apartado" => array:4 [ "identificador" => "17338" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original Article" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000700000003/v1_201305061622/S2173574311700351/v1_201305061622/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311700351?idApp=UINPBA00004M" ]
| Year/Month | Html | Total | |
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| 2024 November | 11 | 20 | 31 |
| 2024 October | 26 | 60 | 86 |
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| 2020 December | 32 | 22 | 54 |
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| 2020 September | 36 | 24 | 60 |
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| 2020 July | 31 | 12 | 43 |
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| 2020 April | 48 | 18 | 66 |
| 2020 March | 26 | 6 | 32 |
| 2020 February | 2 | 0 | 2 |
| 2020 January | 4 | 0 | 4 |
| 2019 September | 6 | 0 | 6 |
| 2019 June | 3 | 0 | 3 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 5 | 6 | 11 |
| 2018 April | 25 | 11 | 36 |
| 2018 March | 19 | 21 | 40 |
| 2018 February | 20 | 14 | 34 |
| 2018 January | 21 | 11 | 32 |
| 2017 December | 18 | 9 | 27 |
| 2017 November | 17 | 13 | 30 |
| 2017 October | 28 | 8 | 36 |
| 2017 September | 13 | 4 | 17 |
| 2017 August | 16 | 8 | 24 |
| 2017 July | 14 | 4 | 18 |
| 2017 June | 49 | 9 | 58 |
| 2017 May | 40 | 12 | 52 |
| 2017 April | 17 | 5 | 22 |
| 2017 March | 17 | 4 | 21 |
| 2017 February | 7 | 4 | 11 |
| 2017 January | 20 | 2 | 22 |
| 2016 December | 53 | 14 | 67 |
| 2016 November | 27 | 1 | 28 |
| 2016 October | 43 | 11 | 54 |
| 2016 September | 33 | 6 | 39 |
| 2016 August | 14 | 1 | 15 |
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