Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Introduction: The discordance in the diagnosis of osteoporosis is characterized by the variation in bone mineral density measurements at different skeletal sites. The presence of discordance significantly alters the treatment plan as different treatment is required for different skeletal sites. The...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nepal Medical Association
2023-06-01
|
| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/7951 |
| _version_ | 1827107469186301952 |
|---|---|
| author | Rajesh Kumar Chaudhary Subhash Regmi Niraj Shah Bibek Banskota Ram Krishna Barakoti Ashok Kumar Banskota |
| author_facet | Rajesh Kumar Chaudhary Subhash Regmi Niraj Shah Bibek Banskota Ram Krishna Barakoti Ashok Kumar Banskota |
| author_sort | Rajesh Kumar Chaudhary |
| collection | DOAJ |
| description |
Introduction: The discordance in the diagnosis of osteoporosis is characterized by the variation in bone mineral density measurements at different skeletal sites. The presence of discordance significantly alters the treatment plan as different treatment is required for different skeletal sites. The aim of this study was to find out the prevalence of hip-spine discordance in bone mineral densities in patients undergoing dual-energy x-ray absorptiometry scans for suspected osteoporosis.
Methods: A descriptive cross-sectional study was conducted among patients undergoing dual-energy x-ray absorptiometry scans from 1 December 2020 to 30 October 2022. Ethical approval was taken from the Institutional Review Committee (Reference number: IRC-2020-11-18-08). Patients undergoing dual-energy x-ray absorptiometry scans for suspected osteoporosis were included. Patients aged less than 50 years, already diagnosed and under treatment for osteoporosis, and incomplete information about T-scores of hips and spine were excluded. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.
Results: Among 1028 patients, 602 (58.56%) (55.55-61.57, 95% Confidence Interval) had discordance in hip and spine bone mineral densities. The majority of them, 570 (94.68%) were female and 32 (5.71%) were male. Major discordance was observed in 101 (16.77%) patients and minor discordance was observed in 501 (83.22%) patients.
Conclusions: The prevalence of discordance in hip and spine bone mineral densities in patients undergoing dual-energy x-ray absorptiometry scans was higher than that reported in other similar studies done in similar settings.
|
| first_indexed | 2024-03-13T08:02:15Z |
| format | Article |
| id | doaj.art-7ab15263dd52476ba0fc2cbac1698e58 |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2025-03-20T10:11:06Z |
| publishDate | 2023-06-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-7ab15263dd52476ba0fc2cbac1698e582024-09-23T18:39:01ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-06-016126210.31729/jnma.7951Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional StudyRajesh Kumar Chaudhary0Subhash Regmi1Niraj Shah2Bibek Banskota3Ram Krishna Barakoti4Ashok Kumar Banskota5Department of Orthopedics, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedics, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedics, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedics, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedics, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, NepalDepartment of Orthopedics, B&B Hospital Pvt. Ltd., Gwarko, Lalitpur, Nepal Introduction: The discordance in the diagnosis of osteoporosis is characterized by the variation in bone mineral density measurements at different skeletal sites. The presence of discordance significantly alters the treatment plan as different treatment is required for different skeletal sites. The aim of this study was to find out the prevalence of hip-spine discordance in bone mineral densities in patients undergoing dual-energy x-ray absorptiometry scans for suspected osteoporosis. Methods: A descriptive cross-sectional study was conducted among patients undergoing dual-energy x-ray absorptiometry scans from 1 December 2020 to 30 October 2022. Ethical approval was taken from the Institutional Review Committee (Reference number: IRC-2020-11-18-08). Patients undergoing dual-energy x-ray absorptiometry scans for suspected osteoporosis were included. Patients aged less than 50 years, already diagnosed and under treatment for osteoporosis, and incomplete information about T-scores of hips and spine were excluded. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 1028 patients, 602 (58.56%) (55.55-61.57, 95% Confidence Interval) had discordance in hip and spine bone mineral densities. The majority of them, 570 (94.68%) were female and 32 (5.71%) were male. Major discordance was observed in 101 (16.77%) patients and minor discordance was observed in 501 (83.22%) patients. Conclusions: The prevalence of discordance in hip and spine bone mineral densities in patients undergoing dual-energy x-ray absorptiometry scans was higher than that reported in other similar studies done in similar settings. https://www.jnma.com.np/jnma/index.php/jnma/article/view/7951bone density; osteoporosis; prevalence. |
| spellingShingle | Rajesh Kumar Chaudhary Subhash Regmi Niraj Shah Bibek Banskota Ram Krishna Barakoti Ashok Kumar Banskota Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study Journal of Nepal Medical Association bone density; osteoporosis; prevalence. |
| title | Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_full | Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_fullStr | Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_full_unstemmed | Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_short | Hip-Spine Discordance in Bone Mineral Densities in Patients Undergoing Dual Energy X-Ray Absorptiometry Scan in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
| title_sort | hip spine discordance in bone mineral densities in patients undergoing dual energy x ray absorptiometry scan in a tertiary care centre a descriptive cross sectional study |
| topic | bone density; osteoporosis; prevalence. |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/7951 |
| work_keys_str_mv | AT rajeshkumarchaudhary hipspinediscordanceinbonemineraldensitiesinpatientsundergoingdualenergyxrayabsorptiometryscaninatertiarycarecentreadescriptivecrosssectionalstudy AT subhashregmi hipspinediscordanceinbonemineraldensitiesinpatientsundergoingdualenergyxrayabsorptiometryscaninatertiarycarecentreadescriptivecrosssectionalstudy AT nirajshah hipspinediscordanceinbonemineraldensitiesinpatientsundergoingdualenergyxrayabsorptiometryscaninatertiarycarecentreadescriptivecrosssectionalstudy AT bibekbanskota hipspinediscordanceinbonemineraldensitiesinpatientsundergoingdualenergyxrayabsorptiometryscaninatertiarycarecentreadescriptivecrosssectionalstudy AT ramkrishnabarakoti hipspinediscordanceinbonemineraldensitiesinpatientsundergoingdualenergyxrayabsorptiometryscaninatertiarycarecentreadescriptivecrosssectionalstudy AT ashokkumarbanskota hipspinediscordanceinbonemineraldensitiesinpatientsundergoingdualenergyxrayabsorptiometryscaninatertiarycarecentreadescriptivecrosssectionalstudy |