Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography
DC Field | Value | Language |
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dc.contributor.author | Oh, Sung-Hee | - |
dc.contributor.author | Kim, Dam | - |
dc.contributor.author | Lee, Young Eun | - |
dc.contributor.author | Kim, Deog-Yoon | - |
dc.contributor.author | Lee, Yu Kyung | - |
dc.contributor.author | Lee, Joo-Hyun | - |
dc.contributor.author | Bae, Sang-Cheol | - |
dc.contributor.author | Choi, Yun Young | - |
dc.contributor.author | Pyo, Junhee | - |
dc.contributor.author | Ahn, Jeonghoon | - |
dc.contributor.author | Sung, Yoon-Kyoung | - |
dc.date.accessioned | 2021-07-30T04:58:20Z | - |
dc.date.available | 2021-07-30T04:58:20Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2018-02 | - |
dc.identifier.issn | 1471-2474 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/2425 | - |
dc.description.abstract | Background: Vertebral Fracture Assessment (VFA) is a useful tool to detect the vertebral fracture (VF) with low cost and radiation exposure. We aimed to compare screening strategies including VFA and spine radiography (X-ray) for detecting VF in terms of clinical effectiveness, cost and radiation exposure. Methods: Three screening strategies: 1) X-ray following VFA, 2) VFA only, and 3) X-ray only were compared using a Markov model based on administrative data from South Korea in a population aged >= 50 years. We compared the incidence of new VFs, cost-effectiveness of reducing new VFs and radiation exposure in each strategy. Results: The incidence of new VFs was reduced in all screening strategies compared to no screening: 29.4% for women and 12.5% for men in both X-ray following the VFA and VFA only strategies and 35% for women and 17. 5% for men in the X-ray only strategy. The X-ray following VFA strategy had the lowest cost, followed by the X-ray only, and VFA only strategies. The radiation doses for X-ray only were 2,647-2,989 mu Sv and 3,253-3,398 mu Sv higher than in the X-ray following VFA and VFA only strategies. The new VF prevention effect was greater in women, and more prominent in older people (women >= 70, men >= 80) than people >= 50 years. Conclusions: The X-ray following VFA strategy is a cost-effective option for screening prevalent VF to prevent new VF in people aged >= 50 years due to its high effectiveness, lowest cost, and least radiation exposure. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | BIOMED CENTRAL LTD | - |
dc.title | Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Dam | - |
dc.contributor.affiliatedAuthor | Bae, Sang-Cheol | - |
dc.contributor.affiliatedAuthor | Choi, Yun Young | - |
dc.contributor.affiliatedAuthor | Sung, Yoon-Kyoung | - |
dc.identifier.doi | 10.1186/s12891-018-1958-1 | - |
dc.identifier.scopusid | 2-s2.0-85041997726 | - |
dc.identifier.wosid | 000424786300001 | - |
dc.identifier.bibliographicCitation | BMC MUSCULOSKELETAL DISORDERS, v.19 | - |
dc.relation.isPartOf | BMC MUSCULOSKELETAL DISORDERS | - |
dc.citation.title | BMC MUSCULOSKELETAL DISORDERS | - |
dc.citation.volume | 19 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Rheumatology | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Rheumatology | - |
dc.subject.keywordPlus | X-RAY ABSORPTIOMETRY | - |
dc.subject.keywordPlus | POSTMENOPAUSAL WOMEN | - |
dc.subject.keywordPlus | CLINICAL-DENSITOMETRY | - |
dc.subject.keywordPlus | INTERNATIONAL-SOCIETY | - |
dc.subject.keywordPlus | OSTEOPOROSIS | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordPlus | MEN | - |
dc.subject.keywordPlus | DEFORMITIES | - |
dc.subject.keywordAuthor | Spinal fracture | - |
dc.subject.keywordAuthor | Radiography | - |
dc.subject.keywordAuthor | Diagnostic imaging | - |
dc.subject.keywordAuthor | Cost effectiveness | - |
dc.subject.keywordAuthor | Radiation | - |
dc.identifier.url | https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-018-1958-1 | - |
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