Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients

Higuchi, Ryo; Uemura, Keisuke; Kono, Sotaro; Mae, Hirokazu; Takashima, Kazuma; Abe, Hirohito; Imagama, Takashi; Sakai, Takashi; Okada, Seiji; Hamada, Hidetoshi

doi:https://doi.org/10.1007/s00774-024-01569-5

Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients

Higuchi, Ryo; Uemura, Keisuke; Kono, Sotaro et al.

Journal of Bone and Mineral Metabolism, 2024, e0266452

Number of Access:1,142（2025-07-18 17:06 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/100131

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Title	Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients
Creator	CreatorName Higuchi, Ryo
	NRID 1000070871367 1000070871367 researchmap permalink keisukeuemura keisukeuemura Scopus Author ID 57203910709 57203910709 ORCID 0000-0002-9245-1743 0000-0002-9245-1743 CreatorName Uemura, Keisuke
	ORCID 0009-0008-8393-2781 0009-0008-8393-2781 CreatorName Kono, Sotaro
	NRID 1000060978261 1000060978261 ORCID 0009-0000-4617-0409 0009-0000-4617-0409 CreatorName Mae, Hirokazu
	NRID 1000010964801 1000010964801 researchmap permalink tk-sm tk-sm CreatorName Takashima, Kazuma
	CreatorName Abe, Hirohito
	NRID 1000000634734 1000000634734 CreatorName Imagama, Takashi
	NRID 1000000444539 1000000444539 CreatorName Sakai, Takashi
	NRID 1000030448435 1000030448435 ORCID 0000-0002-5107-8209 0000-0002-5107-8209 researchmap permalink okadaseiji okadaseiji Scopus Author ID 35079139100 35079139100 CreatorName Okada, Seiji
	NRID 1000090778705 1000090778705 researchmap permalink x_y_z x_y_z Scopus Author ID 55917324800 55917324800 ORCID 0000-0003-3652-9400 0000-0003-3652-9400 CreatorName Hamada, Hidetoshi
Subject	Bone mineral density
	Hip arthroplasty
	Osteoporosis
	Proximal femoral fracture
	Screening
Description	The version of record of this article, first published in Social Indicators Research, is available online at Publisher’s website: https://doi.org/10.1007/s00774-024-01569-5.
Abstract	Objectives: As many patients with osteoporosis remain undiagnosed, we aimed to develop a simple method to efficiently screen for osteoporosis using a combination of anteroposterior hip X-ray assessment and the Osteoporosis Self-Assessment Tool for Asians (OSTA), which is calculated as (body weight − age) × 0.2. Methods: One hundred Japanese women (age: 73 ± 11 years, body weight: 54.4 ± 11.1 kg) who underwent hip surgery, anteroposterior hip X-ray, and DXA were included. Based on the DXA results of the total proximal femur, 35 cases were diagnosed with osteoporosis. Fifteen orthopaedic surgeons visually inspected the hip X-ray images and scored the suspicion of osteoporosis on a scale of 1–4 (1: very unlikely, 4: very suspicious), which is referred to as “pred-score.” In addition, OSTA was calculated as a continuous variable (OSTA score). Osteoporosis was screened using the pred-score and OSTA score, and both scores were analyzed using the receiver operating characteristic curves. Results: The area under the curves (AUCs) of the pred-score and OSTA score were 0.626–0.875 and 0.817 across surgeons, respectively. When both scores were used, the AUC for screening osteoporosis ranged from 0.821 to 0.915 across surgeons. Significant improvement from AUCs calculated with the pred-score or OSTA score was found in 11 surgeons (73.3%). Conclusion: The combination of X-ray assessment and OSTA can be used to screen for osteoporosis and has the potential to be used as a new simple screening tool in daily clinical practice.
Publisher	Springer
Source Title	Journal of Bone and Mineral Metabolism
Page	e0266452
Date of Issued	2024-12-10
Language	English
Handle URL	https://hdl.handle.net/11094/100131
PISSN	09148779
eISSN	14355604
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1007/s00774-024-01569-5
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	Journal of Bone and Mineral Metabolism. 2024, p. e0266452
DC.title	Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients
DC.creator	Higuchi, Ryo
	Uemura, Keisuke
	Kono, Sotaro
	Mae, Hirokazu
	Takashima, Kazuma
	Abe, Hirohito
	Imagama, Takashi
	Sakai, Takashi
	Okada, Seiji
	Hamada, Hidetoshi
DC.publisher	Springer
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-12-10
DC.identifier	https://doi.org/10.1007/s00774-024-01569-5
DC.subject	Bone mineral density
	Hip arthroplasty
	Osteoporosis
	Proximal femoral fracture
	Screening
DC.description	The version of record of this article, first published in Social Indicators Research, is available online at Publisher’s website: https://doi.org/10.1007/s00774-024-01569-5.
DCTERMS.abstract	Objectives: As many patients with osteoporosis remain undiagnosed, we aimed to develop a simple method to efficiently screen for osteoporosis using a combination of anteroposterior hip X-ray assessment and the Osteoporosis Self-Assessment Tool for Asians (OSTA), which is calculated as (body weight − age) × 0.2. Methods: One hundred Japanese women (age: 73 ± 11 years, body weight: 54.4 ± 11.1 kg) who underwent hip surgery, anteroposterior hip X-ray, and DXA were included. Based on the DXA results of the total proximal femur, 35 cases were diagnosed with osteoporosis. Fifteen orthopaedic surgeons visually inspected the hip X-ray images and scored the suspicion of osteoporosis on a scale of 1–4 (1: very unlikely, 4: very suspicious), which is referred to as “pred-score.” In addition, OSTA was calculated as a continuous variable (OSTA score). Osteoporosis was screened using the pred-score and OSTA score, and both scores were analyzed using the receiver operating characteristic curves. Results: The area under the curves (AUCs) of the pred-score and OSTA score were 0.626–0.875 and 0.817 across surgeons, respectively. When both scores were used, the AUC for screening osteoporosis ranged from 0.821 to 0.915 across surgeons. Significant improvement from AUCs calculated with the pred-score or OSTA score was found in 11 surgeons (73.3%). Conclusion: The combination of X-ray assessment and OSTA can be used to screen for osteoporosis and has the potential to be used as a new simple screening tool in daily clinical practice.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	100131
citation_title	Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients
citation_author	Higuchi, Ryo
	Uemura, Keisuke
	Kono, Sotaro
	Mae, Hirokazu
	Takashima, Kazuma
	Abe, Hirohito
	Imagama, Takashi
	Sakai, Takashi
	Okada, Seiji
	Hamada, Hidetoshi
citation_publisher	Springer
citation_language	English
citation_date	2024-12-10
citation_journal_title	Journal of Bone and Mineral Metabolism
citation_firstpage	e0266452
citation_doi	https://doi.org/10.1007/s00774-024-01569-5
citation_public_url	https://hdl.handle.net/11094/100131

Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients

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