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Bandung, Indonesia

Fransiska Y.,Hasan Sadikin General Hospital
Journal of orthopaedic surgery (Hong Kong) | Year: 2012

To evaluate the male osteoporosis risk estimation score (MORES) and the osteoporosis self-assessment screening tool (OST) score as a means of screening for osteoporosis in men. Records of 113 Indonesian men aged 50 to 91 (mean, 71) years who underwent evaluation of bone mineral density (T-score) using Dual-energy X-ray absorptiometry were retrospectively reviewed. The MORES was determined by 3 osteoporosis risk factors: age (in years), body weight (in kg), and chronic obstructive pulmonary disorder. A MORES of ≥6 indicated osteoporosis and corresponded to a T-score of ≤-2.5. The OST score was calculated as body weight (in kg) minus age (in years) multiplied by 0.2. An OST score of ≤2 indicated osteoporosis and corresponded to a T-score of ≤-2.5. Sensitivity, specificity, and positive and negative predictive values of the MORES and the OST score were determined. Respectively for the MORES and the OST score, sensitivity values were 100% and 74%, specificity values were 7% and 41%, positive predictive values were 25% and 28%, and negative predictive values were 100% and 83%. Using receiver operating characteristic curves, the area under curve was 0.535 for the MORES and 0.574 for the OST score. The MORES and the OST score should be used together to screen for osteoporosis in men. Source

Guex J.-J.,boulevard Dubouchage | Rabe E.,University of Bonn | Escotto S.I.,National Autonomous University of Mexico | Escudero J.-R.,Hospital de la Santa Creu i Sant Pau | And 2 more authors.
Phlebolymphology | Year: 2012

The Vein Consult Program is an international, observational, prospective survey that aims to collect global epidemiological data on chronic venous disorder (CVD)-related symptoms and signs based on the Clinical, Etiological, Anatomical, and Pathophysiological (CEAP) classification, assess the impact CVD may have on an individual's daily activities, and identify CVD management practices worldwide. The survey was organized within the framework of ordinary consultations with general practitioners (GPs) trained in the use of the CEAP classification. Screening for CVD was performed by enrolling all consecutive outpatients over 18 years of age, whatever the reason for their consultation. Patients' data were recorded and patients were classified according to the CEAP, from stage C0s to C6. GPs were able to refer screened patients with CVD to a venous specialist for further ultrasound investigation. A total of 6232 GPs participated in the program and 91545 subjects were analysed, of whom 15290 (19.7%) were assigned to category C0s. The percentage of the global survey population eligible for a venous specialist consultation was 22.2%, but C0s subjects comprised only 4.1% (n=634). In the total survey population only 43% of eligible patients visited a specialist, but surprisingly most C0s patients eligible for referral did visit a specialist. Among the C0s patients a duplex scan investigation was performed in 14%. The majority were found to have reflux, which was mostly superficial, but an appreciable percentage (18%) had deep reflux. C0s individuals were younger with a lower body mass index compared with the C1 to C6 subjects (48.6 versus 55.5 years; and 25.76 versus 27.24 kg/m2, respectively), and had fewer CVD risk factors. Of all screened women, 18.5% were at the C0s stage versus 22.4% of screened men. Whatever the age group, men were more likely to be assigned to the C0s class of the CEAP than women, except in the 18-34 age bracket. Although the quality of life of C0s subjects was impaired, they were often not considered to have CVD by GPs (25.5% in C0s versus 71% in the total survey population), and were poorly treated (13% received lifestyle advice). It is not known whether C0s subjects deserve more investigation and treatment as longitudinal studies providing information on the possible progression of disease in such patients are lacking. Nevertheless, given the inflammatory nature of CVD, we can speculate that treatments able to hamper inflammation would at least relieve C0s symptoms. Source

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