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The role of the den...
The role of the dental surgeon in detecting osteoporosis : the OSTEODENT study
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Devlin, Hugh (författare)
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Allen, Philip (författare)
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Graham, Jim (författare)
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Jacobs, Reinhilde (författare)
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Nicopoulou-Karayianni, Katy (författare)
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- Lindh, Christina (författare)
- Malmö högskola,Odontologiska fakulteten (OD)
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Marjanovic, Elizabeth (författare)
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Adams, Judith (författare)
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Pavitt, Susan (författare)
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van der Stelt, Paul F (författare)
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Horner, Keith (författare)
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(creator_code:org_t)
- 2008-04-18
- 2008
- Engelska.
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Ingår i: British Dental Journal. - : Springer Science and Business Media LLC. - 0007-0610 .- 1476-5373. ; 204:10
- Relaterad länk:
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https://www.nature.c...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- OBJECTIVE: To determine if thinning (<3 mm width) of the lower cortical border of the mandible on dental panoramic radiographs, as well as other clinical risk factors, may provide a useful diagnostic test for osteoporosis in young postmenopausal women. DESIGN: Six hundred and fifty-two subjects (age range 45-70 years) were involved in this multi-centre, cross-sectional study. SETTING: Patients were recruited from centres in Leuven (Belgium), Athens (Greece), Manchester (UK), and Malmo (Sweden). SUBJECTS AND METHODS: The subject's age, body weight, whether the patient took hormone replacement therapy or had a history of low trauma fracture were used to form a clinical osteoporosis risk assessment (the OSteoporosis Index of RISk or OSIRIS index). Each patient also received a dental panoramic radiographic examination. RESULTS: One hundred and forty subjects had osteoporosis involving at least one of the measurement sites (lumbar spine, femoral neck or total hip). Those with osteoporosis tended to have a low OSIRIS score and a thinned cortical mandibular border. The area under the ROC curve for using both cortical width and OSIRIS to predict osteoporosis was 0.90 (95% CI = 0.87 to 0.92). There was a significant improvement in the diagnostic ability of the combined OSIRIS and cortical width test over both tests applied separately (p <0.001). The cost effectiveness of the cortical width and OSIRIS model was improved by using a high specificity threshold rather than high sensitivity. However, this analysis ignores the costs associated with missed cases of osteoporosis. CONCLUSION: Dentists have a role to play in the detection and referral of patients at high risk of osteoporosis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
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- pop (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Devlin, Hugh
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Allen, Philip
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Graham, Jim
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Jacobs, Reinhild ...
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Nicopoulou-Karay ...
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Lindh, Christina
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visa fler...
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Marjanovic, Eliz ...
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Adams, Judith
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Pavitt, Susan
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van der Stelt, P ...
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Horner, Keith
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Odontologi
- Artiklar i publikationen
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British Dental J ...
- Av lärosätet
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Malmö universitet