Comparison of Singh’s Index Accuracy and Dexa in the Measurement of Bone Mineral Density for Evaluating Osteoporosis in Post Menopausal Women
|IJOCP | Volume 2015| Issue – 2015| Article ID – 2015:35
Conference: Poona Orthopaedic Society Annual Conference POSAC-2015, India [Click for Full details]
Authors: Hitesh Vhora, Sanjay Patil, Priyadarshan Potdar
Authors Affiliations: Department of Orthopaedics, Bharati Vidyapeeth, Pune
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Introduction:Osteoporosis may not cause any symptom until a fracture occurs.Osteoporosis or low BMD is estimated to occur in about 55% of the population age 50 and over DEXA scan is the gold standard for measurement of BMD for clinical use and has been shown to have high short-term and long-term precision as well as low rate of error in reproducibility in measurement of BMD. It can detect osteoporosis at a relatively early stage. Use of DEXA for mass screening of osteoporosis is not feasible as it is expensive and not easily accessible. Hence the relatively cheap method to assess bone mass is Singh’s Index which is commenly used but is relatively insensitive and detect osteoporotic changes at a relatively later stage.
Material And Methods: Females with 45 Years and above coming to OPD and IPD with Pathological Fractures or low energy fractures around hip.Then both x-ray of hip joint and DEXA for BMD was done in all the study patients. The result of both the investigation were calculated and compared.
Results: Agewise distribution of the study women showed that majority were between the age of 50-69 years (56.67%). It was observed that using Sing’s Index osteoporosis was diagnosed in 26.67% post menopausal women with fracture whereas by using DEXA for BMD it was 63.33%.When kappa statics was applied to see the agreement between Singh’s Index and DEXA it was observed that strength of agreement was fair (k=0.348).
Conclusion: The Singh’s Index cannot be used for evaluating and osteoporosis diagnosis because of its low reliability
|How to Cite this Abstract|
|Vhora H, Patil S, Potdar P. Comparison of Singh’s Index Accuracy and Dexa in the Measurement of Bone Mineral Density for Evaluating Osteoporosis in Post Menopausal Women. International Journal of Conference Proceedings 2015;(2015):35|