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Review Article

Acta Inform Med. 2008; 16(3): 162-164


Clinical Parameters of Dexa Test in Confirming Osteoporosis Within Population Risk Groups

Saban Hodzic.

Abstract
Osteoporosis represents loss of bone mineral density (BMD) for more than 2.5 standard deviation of T score in relation with BMD in young people at age of 35 years (WHO definition). Almost every fourth women older than 60 years have osteoporosis mostly in asymptomatic form, and that is why this is called «silent calcium thief». There is a poor motivation in older population for preventive diagnosis and treatment and what is very efficient in the early stage of this disease. Aim of this project is to evaluate clinical parameters of densitometry test (DEXA test two energy X rays absorption) in osteoporosis diagnosis among risk groups of patients in the family medicine office and usability of questionnaire «Osteoporosis risk assessment test». Different groups of patients are determined according to the questionnaire by questionnaire „Osteoporosis assessment test“ and the results of the densitometry – DEXA test (T score value). According to the questionnaire „Osteoporosis risk assessment“ patients are divided into three risk groups: I low risk group, II moderate risk group and III high risk group. T score represents the value of variation for measured BDM value from the bone mass density in standard units. According to the T score status of bone mass is divided into: Increased bone mass T > than + 1, Normal bone mass T ranging from – 1 to + 1, Osteopenia T from -1.0 to – 2.5 and osteoporosis T lower than -2.5 and more below normal. Severe osteoporosis – T value – 2.5 and more below normal with bone fracture. Due to more accurate calculation of clinical parameters patients with the risk factor 0-4 points are labeled as A or group of „healthy“ patients, and the patients with 5-6 points and 6-9 points as group B or clinically „sick“. Test of osteoporosis risk contains following data: age, gender, menopause, fractures, TT, corticosteroid therapy, chronic diseases. Sample is consisted of 16 patients. Based on analyzed data we will calculate clinical features of the densitometry test and present data analysis within I, II and III group and evaluate value of the DEXA test in work of family doctor.

Key words: osteoporosis, risk groups, preventive diagnostic, clinical parameters, Family doctor.


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