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Titolo:
Value of clinical factors in selecting postmenopausal women with rheumatoid arthritis for bone densitometry
Autore:
Nolla, JM; Fiter, J; Gomez-Vaquero, C; Alegre, JJ; Valverde, J; Roig-Escofet, D;
Indirizzi:
Ciutat Sanitaria & Univ Bellvitge, Rheumatol Dept Pl 10 2, Barcelona 08907, Spain Ciutat Sanitaria & Univ Bellvitge Barcelona Spain 08907 ona 08907, Spain
Titolo Testata:
ANNALS OF THE RHEUMATIC DISEASES
fascicolo: 8, volume: 60, anno: 2001,
pagine: 799 - 801
SICI:
0003-4967(200108)60:8<799:VOCFIS>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
OSTEOPOROSIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Nolla, JM Ciutat Sanitaria & Univ Bellvitge, Rheumatol Dept Pl 10 2, FeixaLlarga S-N, Barcelona 08907, Spain Ciutat Sanitaria & Univ Bellvitge FeixaLlarga S-N Barcelona Spain 08907
Citazione:
J.M. Nolla et al., "Value of clinical factors in selecting postmenopausal women with rheumatoid arthritis for bone densitometry", ANN RHEUM D, 60(8), 2001, pp. 799-801

Abstract

Objective-Criteria to decide which patients with rheumatoid arthritis (RA)should be examined by dual energy x ray absorptiometry (DXA) are currentlynot available. The rheumatologists from Amsterdam have proposed preliminary criteria based on clinical risk factors (age, disease activity, and functional status). These criteria are preliminary and not widely accepted but might be helpful in practice. The value of the proposal in a group of Spanish postmenopausal women with RA is analysed. Methods-DXA (lumbar spine and femoral neck) was performed in 128 patients recruited from a clinical setting, and the proposed criteria were applied. T and Z scores were established for a Spanish reference population. Results-The mean (SD) age of the patients was 61.3 (10.7) and mean duration of the postmenopausal period 14.5 (10.1) years. Mean duration of RA was 13.7 (7.7) years. Mean C reactive protein was 22 (21) mg/l; mean erythrocytesedimentation rate 26 (18) mm/1st h; and mean Health Assessment Questionnaire score 1.25 (0.79). Ninety (70%) patients fulfilled the proposed criteria. Their sensitivity for the diagnosis of osteoporosis (T score less than or equal to -2.5 SD) was 86% and their specificity, 43%. Positive predictivevalue was 54% and negative predictive value, 79%. Conclusions-The proposed criteria seem a good screening method for the selection of those patients with RA whose bone mineral density should be assessed as the sensitivity and negative predictive value are acceptable.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 02:13:28