目的 比较新型北京友谊医院绝经后妇女骨质疏松筛查工具(Beijing Friendship Hospital osteoporosis self-assessment tool,BFH-OST)和亚洲人骨质疏松自我筛查工具(osteoporosis self-assessment tool for Asians,OSTA)对绝经后妇女骨质疏松风险的预测作用.方法 随机选取2021年1月至2022年11月就诊于民航总医院的115例绝经后妇女,以双能X射线吸收法(dual energy X-ray absorptiometry,DXA)为诊断标准,通过受试者操作特征曲线(receiver operating characteristic curve,ROC曲线)分析BFH-OST、OSTA的诊断效能.结果 BFH-OST和OSTA均与DXA诊断骨质疏松存在明显相关性(P＜0.01),BFH-OST的曲线下面积(area under the curve,AUC)为0.819,截断值≤12.2,敏感度为81.25％,特异性为75.90％;OSTA的AUC为0.809,截断值≤-1.2,敏感度为81.25％,特异性72.29％.BFH-OST和OSTA的ROC曲线比较,差异有统计学意义(P＜0.05).结论 BFH-OST和OSTA对绝经后妇女骨质疏松风险均有预测作用,BFH-OST的诊断效能优于OSTA.
Comparative study of BFH-OST and OSTA in predicting the risk of osteoporosis in postmenopausal women
Objective To compare the predictive effect on the risk of osteoporosis in postmenopausal women with the new Beijing Friendship Hospital osteoporosis self-assessment tool(BFH-OST)and osteoporosis self-assessment tool for Asians(OSTA).Methods A total of 115 postmenopausal women who met the criteria in Civil Aviation General Hospital from January 2021 to November 2022 were randomly enrolled,and dual energy X-ray absorptiometry(DXA)was used as the diagnostic criterion.Analyzing the diagnostic efficacy of BFH-OST and OSTA through receiver operating characteristic(ROC)curve analysis.Results BFH-OST and OSTA were significantly correlated with DXA in the diagnosis of osteoporosis(P＜0.01),the area under the curve(AUC)of BFH-OST was 0.819,the cut-off value was ≤12.2,the sensitivity was 81.25％,and the specificity was 75.90％.The AUC of OSTA was 0.809,the cut-off value was ≤-1.2,the sensitivity was 81.25％,and the specificity was 72.29％.There was a significant difference between the ROC curves of BFH-OST and OSTA(P＜0.05).Conclusion BFH-OST and OSTA have predictive effects on the risk of osteoporosis in postmenopausal women.BFH-OST is better than OSTA in predicting and diagnosing osteoporosis in postmenopausal women.
Postmenopausal osteoporosisOsteoporosis screening toolsBone mineral densitySensitivitySpecificity
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