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Title: Calcaneous ultrasonography es measurement of osteoporosis prevalence in the general population in relation to the diagnostic criterion utilized. Data of the study GIUMO
Authors: Sosa Henríquez, M. 
Saavedra Santana, Pedro 
Alegre López, J.
Gómez Alonso, C.
González Macías, J.
Guañabens Gay, N.
Hawkins Carranza, F.
Lozano Tonkin, C.
Martínez Izquierdo, M. T.
Mosquera Martínez, J.
Muñoz Torres, M.
Pérez Cano, R.
Quesada Gómez, J. M.
Salas Heredia, E.
Mínguez, M.
Cannata Andía, J. B.
Rodríguez Rebollar, A.
Martín Ordóñez, F.
Mateos Fernández, J. J.
Díez Pérez, A.
Nogués Solán, X.
Álvarez Lario, B.
Alonso Valdivieso, J. L.
Olmos Martínez, J.
Valero Díaz de la Madrid, C.
García de Córdoba, Beatriz
Mezquita Raya, P.
López Rodríguez, F.
Hernández Hernández, D.
Martín Alamo, N.
Sarmiento Santana, J.
Jódar Gimeno, E.
Martínez, G.
Jareño Chaumel, J.
Castro Lago, A.
Gómez de Tejada Romero, M. J. 
Pérez Temprano, A.
Issue Date: 2003
Publisher: 0014-2565
Journal: Revista clínica española (Ed. impresa) 
Abstract: Context. In recent years, a large number of techniques have been developed to estimate the bone mineral density for the diagnosis of osteoporosis. However, diagnostic criteria established by WHO are invariably applied for the interpretation of dual radiological densitometry (DEXA), which could not be correct in the case of the interpretation of ultrasound. Method. We studied 2,589 randomly chosen people of both sexes, 1,138 males and 1,451 women from 10 to 99 years, in 11 spanish provinces. We carried out a measurement of the following calcaneous ultrasound parameters with the Sahara® and Hologic® devices: speed of the sound (SOS), coefficient of attenuation of wide band (BUA), index of consistency (QUI) and estimated bone mineral density (est. BMD). The prevalence of osteopenia and osteoporosis was calculated by applying the WHO criteria (osteopenia Tscore ≤1 and osteoporosis Tscore ≤2.5) and the prevalence of osteoporosis by applying a Tscore -1.8 as threshold. Results. According to the WHO criteria, osteoporosis (Tscore ≤2.5) is seen in 1.5 % males and 5.9 % females from 51 to 70 years, and in 2.6% males and 22.1% females over 70 years. Using a Tscore -1.8 as threshold, osteoporosis prevalence increases to 8.2% males and 21.9% females from 51 to 70 years, and to 8.4% males and 40.9% females over 70 years. Conclusion. Osteoporosis prevalence in spanish people of both sexes differs notably when applying the cut off point in a Tscore of -2.5, as WHO recommends, or in a Tscore of -1.8 as is suggested by other authors. Consensus is necessary to establish the appropriate cut off point or threshold for the diagnosis of osteoporosis with quantitative ultrasonography of calcaneum.
ISSN: 0014-2565
Source: Revista Clinica Espanola[ISSN 0014-2565],v. 203, p. 329-333
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