Skip to main content
NCBI home page
Atencion Primaria logoLink to Atencion Primaria
. 2008 Nov 18;38(8):435–442. [Article in Spanish] doi: 10.1157/13094800

Proporción de individuos con criterios de indicación de densitometría ósea y frecuencia de los factores de riesgo de baja masa ósea en consultas de atención primaria☆

Proportion of individuals with indication criteria for bone densitometry and frequency of factors of risk of low osseous mass in primary care consultations

Daniel Roig Vilaseca a,⁎, Carles Valero b; en nombre del Grupo de estudio de criterios de derivación a densitometría*
PMCID: PMC7668949  PMID: 17194368

Abstract

Objective

To find the number of individuals with indication for Bone Densitometry in Primary Care, according to the criteria of the WHO, the Agency for Evaluating Medical Technology of Catalonia (AETM) and the International Committee on Clinical Guides to Osteoporosis (CIGCO), and the frequency of factors of risk of low osseous mass.

Design

Multi-centre, prospective, transversal study.

Setting

Primary care consultations.

Participants

Patients over 18 (307 women and 139 men) with mean age of 54.3±16.8, who attended for consultation with an appointment.

Main measurements

Presence or absence of factors relating to each of the indication criteria for bone densitometry.

Results

A 36.3% of individuals had indication of densitometry under the AETM criteria, 76.7% with the WHO criteria, and 50.5% with the CIGCO criteria (applicable only to women). Percentages increased with age and were higher for women. Concordance between the various criteria was under 37%.

Conclusions

The percentage of individuals with indication for bone densitometry was highly variable under different criteria. It was greater in women and increased with age. Concordance between different criteria was low.

Key words: Osteoporosis, Clinical guidelines, Densitometry, Risk factors

Footnotes

☆

Trabajo aceptado en el XXVII Congreso de la Sociedad Española de Reumatología (Madrid, 2001) y 8.° Congreso de la Sociedad Española de Investigaciones Óseas y Metabolismo Mineral (Menorca, 2001), y se presentó como comunicación en sesión ordinaria de la Societat Catalana de Reumatologia (Mataró, 2000).

Bibliografía

  • 1.Díaz Curiel M., García J.J., Carrasco J.L., Honorato J., Pérez Cano R., Rapado A. Prevalencia de osteoporosis determinada por densitometría en la población femenina española. Med Clin (Barc) 2001;116:86–88. doi: 10.1016/s0025-7753(01)71732-0. [DOI] [PubMed] [Google Scholar]
  • 2.Roig Vilaseca D., Nolla J.M., Roig Escofet D. Suitability of the Tscore for stablishing bone mineral density categories. Osteoporosis Int. 2000;11:408–410. doi: 10.1007/s001980070107. [DOI] [PubMed] [Google Scholar]
  • 3.Tenenhouse A., Joseph L., Kreiger N., Poliquin S., Murrey T.M., Blondeau L. Estimation of the prevalence of low bone density in Canadian women and men using a population-specific DXA references standar: The Canadian Multicentre Osteoporosis Study. Osteoporosis Int. 2000;11:897–904. doi: 10.1007/s001980070050. [DOI] [PubMed] [Google Scholar]
  • 4.Kanis J.A., The WHO study Group Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporosis Int. 1994;4:368–381. doi: 10.1007/BF01622200. [DOI] [PubMed] [Google Scholar]
  • 5.Ross P.D., Genant H.K., Davis W., Miller P.D., Wasnich R.D. Predicting vertebral fracture incidence from prevalent fractures and bone density among non-black, osteoporostic women. Osteoporosis Int. 1993;3:120–126. doi: 10.1007/BF01623272. [DOI] [PubMed] [Google Scholar]
  • 6.Sahota O., Worley A., Hosking D.J. An audit of current clinical practica in the management of osteoporosis in Nottingham. J Public Health Med. 2000;22:466–472. doi: 10.1093/pubmed/22.4.466. [DOI] [PubMed] [Google Scholar]
  • 7.Cadarette S.M., Jaglal S.B., Murray T.M., McIsaac W.J., Joseph L., Brown J.P., For the Canadian Multicentre Osteoporosis Study Evaluation of decision rules for referring women for bone densitometry by dual-energy x-ray absorptiometry. JAMA. 2001;286:57–63. doi: 10.1001/jama.286.1.57. [DOI] [PubMed] [Google Scholar]
  • 8.Díez A., Puig J., Nogués X., Knobel H., Mínguez S., Supervía A. Cribado de riesgo óseo mediante factores clínicos en mujeres tras menopausia fisiológica. Med Clin (Barc) 1998;110:121–124. [PubMed] [Google Scholar]
  • 9.Zwart Salmerón M., Fradera Vilalta M., Solanas Saura P., González Pastor C., Adalid Vilar C. Abordaje de la osteoporosis en un centro de atención primaria. Aten Primaria. 2004;33:183–187. doi: 10.1016/S0212-6567(04)79391-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Genant H.K., Cooper C., Poor G., Reid I., Ehrlich G., Kanis J. Interim report and recommendations of the World Health Organization Task-Force for osteoporosis. Osteoporosis Int. 1999;10:259–264. doi: 10.1007/s001980050224. [DOI] [PubMed] [Google Scholar]
  • 11.Meunier P.J., Delmas P.D., Eastell R., McClung M.R., Papapoulos S., Rizzoli R. Diagnosis and manegement of osteoporosis in postmenopausal women: clinical guidelines. Clinical Therapeutics. 1999;21:1025–1044. doi: 10.1016/s0149-2918(99)80022-8. [DOI] [PubMed] [Google Scholar]
  • 12.Espallargues M., Sampietro-Colom L., Estrada M.D., Solà M., Del Río L., Setoain J. Identifying bone-mass related risk factors for fracture to guide bone densitometry measurements: a systematic review of the literature. Osteoporosis Int. 2001;12:811–822. doi: 10.1007/s001980170031. [DOI] [PubMed] [Google Scholar]
  • 13.Grupo de trabajo de la SEIOMM Osteoporosis postmenopáusica. Guía de práctica clínica. Rev Clin Esp. 2003;203:496–506. [PubMed] [Google Scholar]
  • 14.Grupo de trabajo de la SER Documento 2003 de la SER sobre la osteoporosis posmenopáusica. Rev Esp Reumatol. 2003;30:565–571. [Google Scholar]
  • 15.Grupo de osteoporosis de semFYC . EdiDe; Barcelona: 2000. Osteoporosis. Guía de abordaje. Recomendaciones semFYC. [Google Scholar]
  • 16.Michaëlsson K., Bergström R., Mallmin H., Holmberg L., Wolk A., Ljunghall S. Screening for osteopenia and osteoporosis: selection by body composition. Osteoporosis Int. 1996;6:120–126. doi: 10.1007/BF01623934. [DOI] [PubMed] [Google Scholar]
  • 17.Lydick E., Cook K., Turpin J., Melton M., Stine R., Byrnes C. Development and validation of a simple questionnaire to facilitate identification of women likely to have low bone density. Am J Manag Care. 1998;4:37–48. [PubMed] [Google Scholar]
  • 18.Cadarette S.M., Jaglal S.B., Kreiger N., McIsaac W.J., Darlington G.A., Tu J.V. Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry. CMAJ. 2000;162:1289–1294. [PMC free article] [PubMed] [Google Scholar]
  • 19.Weinstein L., Ullery B. Identification of at-risk women for osteoporosis screening. Am J Obstet Gynecol. 2000;183:547–549. doi: 10.1067/mob.2000.106594. [DOI] [PubMed] [Google Scholar]
  • 20.Leib E.S., Lewiecki E.M., Binkley N., Hamdy R.C. Official positions of the International Society for Clinical Densitometry. J Clin Densitom. 2004;7:1–5. doi: 10.1385/jcd:7:1:1. [DOI] [PubMed] [Google Scholar]
  • 21.Plà de Salut de la Regió Sanitària Costa de Ponent 1996-1998. Barcelona: Departament de Sanitat i Seguretat Social, Generalitat de Catalunya; 1997.
  • 22.Walker-Bone K., Dennison E., Cooper C. Epidemiology of osteoporosis. Rheum Dis Clin North Am. 2001;18:1–18. doi: 10.1016/s0889-857x(05)70185-x. [DOI] [PubMed] [Google Scholar]
  • 23.Moreno Girao M.C., Centelles Mañosa F., Jovell Fernández E. Indicación de densitometría en mujeres mayores de 40 años. Aten Primaria. 2005;35:253–257. doi: 10.1157/13072790. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Roig D., Valero C., Romera M., Rozadilla A., Mateo L., Juanola X. 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. Reumatol Clin. 2005;1:12–19. doi: 10.1016/S1699-258X(05)72707-8. [DOI] [PubMed] [Google Scholar]
  • 25.Peris P. Consumo de calcio y vitamina D en mujeres posmenopáusicas. Med Clin (Barc) 1999;113:36. [PubMed] [Google Scholar]

Articles from Atencion Primaria are provided here courtesy of Elsevier

RESOURCES