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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Diversos organismos han propuesto criterios para la identificaci&#243;n de personas con baja masa &#243;sea o riesgo aumentado de fractura con el fin de destinar a ellos los recursos diagn&#243;sticos y terap&#233;uticos disponibles&#44; entre ellos&#44; la Organizaci&#243;n Mundial de la Salud &#40;OMS&#41;&#44; la Agencia de Evaluaci&#243;n de Tecnolog&#237;a M&#233;dica de Catalu&#241;a &#40;AETM&#41; y el Comit&#233; Internacional de Gu&#237;as Cl&#237;nicas en Osteoporosis &#40;CIGCO&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se dise&#241;&#243; un estudio multic&#233;ntrico prospectivo con la finalidad de conocer la prevalencia de indicaci&#243;n de densitometr&#237;a &#243;sea en consultas de reumatolog&#237;a extrahospitalaria seg&#250;n las indicaciones de estos 3 organismos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se encuest&#243; y se revis&#243; la historia cl&#237;nica de 262 mujeres y 98 varones mayores de 18 a&#241;os que acudieron de forma programada a diversas consultas extrahospitalarias de reumatolog&#237;a&#46; La edad media fue de 58&#44;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#44;4 a&#241;os&#46; Seg&#250;n los criterios de la AETM deber&#237;a realizarse una densitometr&#237;a &#243;sea al 45&#37; de esta poblaci&#243;n&#59; para los criterios de la OMS la prevalencia fue del 77&#37;&#44; y para los criterios del CIGCO &#40;aplicables s&#243;lo a mujeres&#41;&#44; del 62&#37;&#46; La prevalencia aument&#243; con la edad y fue mayor en el sexo femenino en todos los casos&#46; La concordancia entre los criterios fue baja&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Many organisms have proposed criteria to identify individuals with low bone mass or increased risk for osteoporotic fracture in order to provide them with the available diagnostic and therapeutic resources&#46; Among these organisms are the WHO&#44; the Catalan Agency for Health Technology Assessment &#40;CAHTA&#41; and the International Committee for Osteoporosis Clinical Guidelines &#40;ICOCG&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">We designed a prospective multicenter study to determine the prevalence of indications for bone densitometry in rheumatology outpatient clinics by applying the criteria of these three organisms&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Two hundred sixty-two women and 98 men aged 18 years or older who attended five rheumatology outpatient clinics were interviewed and their medical records were reviewed&#46; The mean age was 58&#46;3<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>13&#46;4 years&#46; Bone densitometry was indicated in 45&#37; of the patients interviewed according to the CAHTA criteria&#44; in 77&#37; according to the WHO criteria and in 62&#37; according to the ICOCG criteria &#40;applicable only to women&#41;&#46; The proportion of patients with indications for bone densitometry increased with age&#44; and was higher in women&#46; The concordance among criteria was low&#46;</p>"
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                            4 => "R&#46;D&#46; Wasnich"
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Vol. 1. Núm. 1.
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Vol. 1. Núm. 1.
Páginas 12-19 (mayo - junio 2005)
Originales
Acceso a texto completo
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
Prevalence of criteria indicating bone densitometry and risk factors for low bone mass and fracture in rheumatology outpatient units
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11846
D. Roiga,
Autor para correspondencia
26188drv@comb.es

Correspondencia: Dr. D. Roig. Unitat de Reumatologia. SAP Baix Llobregat Centre. Bellaterra, 41. 08940 Cornellà de Llobregat. Barcelona. España.
, C. Valerob, M. Romerac, A. Rozadillac, L. Mateoc, X. Juanolad, J.M. Nollad, J. Valverded
a Unidad de Reumatología. SAP Baix Llobregat Centre. Cornellà de Llobregat. Barcelona. España
b SAP Baix Llobregat Centre. Cornellà de Llobregat. Barcelona. España
c Unidad de Reumatología. SAP L’Hospitalet. L’Hospitalet de Llobregat. Barcelona. España
d Servicio de Reumatología. Hospital Universitari de Bellvitge. IDIBELL. L’Hospitalet de Llobregat. Barcelona. España
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Estadísticas

Diversos organismos han propuesto criterios para la identificación de personas con baja masa ósea o riesgo aumentado de fractura con el fin de destinar a ellos los recursos diagnósticos y terapéuticos disponibles, entre ellos, la Organización Mundial de la Salud (OMS), la Agencia de Evaluación de Tecnología Médica de Cataluña (AETM) y el Comité Internacional de Guías Clínicas en Osteoporosis (CIGCO).

Se diseñó un estudio multicéntrico prospectivo con la finalidad de conocer la prevalencia de indicación de densitometría ósea en consultas de reumatología extrahospitalaria según las indicaciones de estos 3 organismos.

Se encuestó y se revisó la historia clínica de 262 mujeres y 98 varones mayores de 18 años que acudieron de forma programada a diversas consultas extrahospitalarias de reumatología. La edad media fue de 58,3±13,4 años. Según los criterios de la AETM debería realizarse una densitometría ósea al 45% de esta población; para los criterios de la OMS la prevalencia fue del 77%, y para los criterios del CIGCO (aplicables sólo a mujeres), del 62%. La prevalencia aumentó con la edad y fue mayor en el sexo femenino en todos los casos. La concordancia entre los criterios fue baja.

Palabras clave:
Osteoporosis
Densitometría ósea
Factores de riesgo de baja masa ósea

Many organisms have proposed criteria to identify individuals with low bone mass or increased risk for osteoporotic fracture in order to provide them with the available diagnostic and therapeutic resources. Among these organisms are the WHO, the Catalan Agency for Health Technology Assessment (CAHTA) and the International Committee for Osteoporosis Clinical Guidelines (ICOCG).

We designed a prospective multicenter study to determine the prevalence of indications for bone densitometry in rheumatology outpatient clinics by applying the criteria of these three organisms.

Two hundred sixty-two women and 98 men aged 18 years or older who attended five rheumatology outpatient clinics were interviewed and their medical records were reviewed. The mean age was 58.3±13.4 years. Bone densitometry was indicated in 45% of the patients interviewed according to the CAHTA criteria, in 77% according to the WHO criteria and in 62% according to the ICOCG criteria (applicable only to women). The proportion of patients with indications for bone densitometry increased with age, and was higher in women. The concordance among criteria was low.

Key words:
Osteoporosis
Bone densitometry
Low bone mass risk factors
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Bibliografía
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Copyright © 2005. Elsevier España S.L. Barcelona
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