■通过双能X线吸收法(DXA)测量T分数是评估和分类患者骨密度状态为正常的金标准,骨质减少,或根据世界卫生组织的标准骨质疏松。然而,DXA选择的骨骼部位可能会影响诊断准确性.
■估计利雅得社区环境中股骨和腰椎BMD不一致的患病率,沙特阿拉伯。
■横截面。
■三级护理中心的综合诊所。
■本研究纳入了所有年龄≥60岁的患者,他们在2016年至2022年期间访问了家庭医学科并接受了DXA筛查。
■不一致定义为两个骨骼部位之间BMD状态的差异。当相邻地点有不同的诊断时,会出现轻微的不一致;即一个部位表现为骨质疏松症,另一个部位表现为骨质减少。相比之下,当一个部位表现出骨质疏松症而另一个部位表现出正常BMD时,就会发生重大不一致。
■1429名老年人。
■研究患者的中位年龄为66岁(60-99,最小-最大)。不和谐的患病率为41.6%,2.2%的患者出现重大不一致,39.4%出现轻微不一致。社会人口统计学因素之间的不一致分布没有显着差异。
■不和谐在沙特老年人群中普遍存在。在分析DXA结果的过程中,医生在诊断和排除高危患者的骨质疏松时应考虑不一致.
■影响不一致的所有因素都没有被彻底探索;这项研究主要集中在老年人身上。此外,不同的年龄组需要进行调查,以更全面地了解所分析的因素。
UNASSIGNED: T-score measurement via dual-energy X-ray absorptiometry (DXA) is the gold standard for assessing and classifying the bone mineral density status of patients as normal, osteopenic, or osteoporotic according to the World Health Organization criteria. However, the diagnostic accuracy may be affected by the skeletal site selected for DXA.
UNASSIGNED: Estimate the prevalence of femoral and lumbar BMD discordance in a community-based setting in Riyadh, Saudi Arabia.
UNASSIGNED: Cross-sectional.
UNASSIGNED: Polyclinics at a tertiary care center.
UNASSIGNED: This study included all patients aged ≥60 years who visited the Department of Family Medicine and underwent DXA screening between 2016 and 2022.
UNASSIGNED: Discordance was defined as a difference in BMD status between two skeletal sites. Minor discordance occurs when adjacent sites have different diagnoses; i.e., one site exhibits osteoporosis and the other exhibits osteopenia. In contrast, major discordance occurs when one site exhibits osteoporosis and the other exhibits normal BMD.
UNASSIGNED: 1429 older adults.
UNASSIGNED: The study patients had a median age of 66 years (60-99, minimum-maximum). The prevalence of discordance was 41.6%, with major discordance present in 2.2% of patients and minor discordance in 39.4%. The distribution of discordance did not differ significantly among the sociodemographic factors.
UNASSIGNED: Discordance is prevalent among the Saudi geriatric population. During the analysis of DXA results, physicians should account for discordance when diagnosing and ruling out osteoporosis in high-risk patients.
UNASSIGNED: All factors influencing discordance were not explored thoroughly; this study mainly focused on older adults. Furthermore, diverse age groups need to be investigated for a more comprehensive understanding of the analyzed factors.