Matches in SemOpenAlex for { <https://semopenalex.org/work/W2007667198> ?p ?o ?g. }
- W2007667198 endingPage "2890" @default.
- W2007667198 startingPage "2890" @default.
- W2007667198 abstract "ContextAlthough recent US Preventive Services Task Force guidelines recommend bone densitometry for all women older than 65 years, identifying younger women at increased risk for osteoporosis and women with occult vertebral fractures remains a clinical challenge. We investigated whether physical signs are useful as a screening tool either for early referral to bone densitometry or for occult spinal fractures.ObjectiveTo review the accuracy and precision of physical examination findings for the diagnosis of osteopenia, osteoporosis, or spinal fracture.Data SourcesWe conducted a MEDLINE search for articles published from 1966 through August 2004, manually reviewed bibliographies, consulted 4 clinical skills textbooks, and contacted experts in the field.Study SelectionStudies were included if they contained adequate original data on the accuracy or precision of physical examination for diagnosing osteopenia, osteoporosis, or spinal fracture. Two authors screened abstracts found by the search. Fourteen of 191 full articles reviewed met inclusion criteria.Data ExtractionTwo authors independently abstracted data from the included studies. Disagreements were resolved by discussion.Data SynthesisNo single maneuver is sufficient to rule in or rule out osteoporosis or spinal fracture without further testing. The following yielded the greatest positive likelihood ratios (LR+): weight less than 51 kg, LR+, 7.3 (95% confidence interval [CI], 5.0-10.8); tooth count less than 20, LR+, 3.4 (95% CI, 1.4-8.0); rib-pelvis distance less than 2 finger breadths, LR+, 3.8 (95% CI, 2.9-5.1); wall-occiput distance greater than 0 cm, LR+, 4.6 (95% CI, 2.9-7.3), and self-reported humped back, LR+, 3.0 (95% CI, 2.2-4.1).ConclusionsIn patients who do not meet current bone mineral density screening recommendations, several convenient examination maneuvers, especially low weight, can significantly change the pretest probability of osteoporosis and suggest the need for earlier screening. Wall-occiput distance greater than 0 cm and rib-pelvis distance less than 2 fingerbreadths suggest the presence of occult spinal fracture." @default.
- W2007667198 created "2016-06-24" @default.
- W2007667198 creator A5054780474 @default.
- W2007667198 date "2004-12-15" @default.
- W2007667198 modified "2023-10-18" @default.
- W2007667198 title "Does This Woman Have Osteoporosis?" @default.
- W2007667198 cites W126705310 @default.
- W2007667198 cites W1421002052 @default.
- W2007667198 cites W1475983599 @default.
- W2007667198 cites W15532880 @default.
- W2007667198 cites W1555073826 @default.
- W2007667198 cites W1559055432 @default.
- W2007667198 cites W1582610444 @default.
- W2007667198 cites W1825879321 @default.
- W2007667198 cites W186727987 @default.
- W2007667198 cites W1965947792 @default.
- W2007667198 cites W1966163167 @default.
- W2007667198 cites W1976759397 @default.
- W2007667198 cites W1979065599 @default.
- W2007667198 cites W1984165138 @default.
- W2007667198 cites W1984941837 @default.
- W2007667198 cites W1986238913 @default.
- W2007667198 cites W1987809980 @default.
- W2007667198 cites W1989870129 @default.
- W2007667198 cites W2003803144 @default.
- W2007667198 cites W2004186927 @default.
- W2007667198 cites W2004593391 @default.
- W2007667198 cites W2008879636 @default.
- W2007667198 cites W2018886290 @default.
- W2007667198 cites W2019218119 @default.
- W2007667198 cites W2019935401 @default.
- W2007667198 cites W2024113412 @default.
- W2007667198 cites W2025619337 @default.
- W2007667198 cites W2026154185 @default.
- W2007667198 cites W2032283336 @default.
- W2007667198 cites W2032315174 @default.
- W2007667198 cites W2033295330 @default.
- W2007667198 cites W2034939744 @default.
- W2007667198 cites W2038007500 @default.
- W2007667198 cites W2040110656 @default.
- W2007667198 cites W2043459058 @default.
- W2007667198 cites W2043492069 @default.
- W2007667198 cites W2047768993 @default.
- W2007667198 cites W2050643279 @default.
- W2007667198 cites W2056215586 @default.
- W2007667198 cites W2058004704 @default.
- W2007667198 cites W2059628154 @default.
- W2007667198 cites W2060846548 @default.
- W2007667198 cites W2065985955 @default.
- W2007667198 cites W2068453170 @default.
- W2007667198 cites W2069278713 @default.
- W2007667198 cites W2072414506 @default.
- W2007667198 cites W2079409256 @default.
- W2007667198 cites W2080442644 @default.
- W2007667198 cites W2080574746 @default.
- W2007667198 cites W2088373663 @default.
- W2007667198 cites W2090027936 @default.
- W2007667198 cites W2116705247 @default.
- W2007667198 cites W2132853388 @default.
- W2007667198 cites W2135010372 @default.
- W2007667198 cites W2140385851 @default.
- W2007667198 cites W2157913746 @default.
- W2007667198 cites W2160022156 @default.
- W2007667198 cites W2171181374 @default.
- W2007667198 cites W2172122220 @default.
- W2007667198 cites W2173900621 @default.
- W2007667198 cites W2188007603 @default.
- W2007667198 cites W2284736806 @default.
- W2007667198 cites W2320359217 @default.
- W2007667198 cites W2323830513 @default.
- W2007667198 cites W2408039388 @default.
- W2007667198 cites W2409639977 @default.
- W2007667198 cites W2417773308 @default.
- W2007667198 cites W2788612613 @default.
- W2007667198 cites W591695149 @default.
- W2007667198 cites W183504973 @default.
- W2007667198 cites W1969998440 @default.
- W2007667198 doi "https://doi.org/10.1001/jama.292.23.2890" @default.
- W2007667198 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15598921" @default.
- W2007667198 hasPublicationYear "2004" @default.
- W2007667198 type Work @default.
- W2007667198 sameAs 2007667198 @default.
- W2007667198 citedByCount "93" @default.
- W2007667198 countsByYear W20076671982012 @default.
- W2007667198 countsByYear W20076671982013 @default.
- W2007667198 countsByYear W20076671982014 @default.
- W2007667198 countsByYear W20076671982015 @default.
- W2007667198 countsByYear W20076671982016 @default.
- W2007667198 countsByYear W20076671982017 @default.
- W2007667198 countsByYear W20076671982018 @default.
- W2007667198 countsByYear W20076671982019 @default.
- W2007667198 countsByYear W20076671982020 @default.
- W2007667198 countsByYear W20076671982021 @default.
- W2007667198 countsByYear W20076671982022 @default.
- W2007667198 countsByYear W20076671982023 @default.
- W2007667198 crossrefType "journal-article" @default.
- W2007667198 hasAuthorship W2007667198A5054780474 @default.
- W2007667198 hasConcept C126322002 @default.