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• W2019244807 abstract "Diagnostic discordance for osteoporosis is the presence of different categories of T-scores in 2 skeletal sites of an individual patient, falling into 2 different diagnostic categories identified by the World Health Organization classification system. To evaluate the prevalence and risk factors for T-score discordance between spine and total hip measurement sites. Demographic data, anthropometric measurements, and risk factors for osteoporosis were derived from a database of 3479 patients referred to a community-based outpatient osteoporosis testing center. Dual-energy x-ray absorptiometry (DXA) was performed on L1-L4 lumbar spine and total hips for all cases. Minor discordance was defined as present when the difference between 2 sites was no more than 1 World Health Organization diagnostic class. Major discordance was present when 1 site is osteoporotic and the other is normal. Subjects with incomplete data were excluded. In 3479 participants (2871 women; mean age, 55.7 ± 11.9 years), concordance of T-scores, minor discordance, and major discordance were seen in 54, 42, and 4%, respectively. In multivariate logistic regression analysis, age, menopause, and obesity were identified as risk factors against T-score discordance. Densitometrists and clinicians should expect that at least 4 of every 10 patients tested by DXA to demonstrate T-score discordance between spine and total hip measurement sites. T-score discordance can occur for a variety of reasons related to physiologic and pathologic patient factors as well as the performance or analysis of DXA itself." @default.
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• W2019244807 date "2009-06-01" @default.
• W2019244807 modified "2023-10-07" @default.
• W2019244807 title "Discordance Between Hip and Spine Bone Mineral Density Measurement Using DXA: Prevalence and Risk Factors" @default.
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• W2019244807 doi "https://doi.org/10.1016/j.semarthrit.2008.04.001" @default.
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