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Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Oh, Sung-Hee | - |
dc.contributor.author | Kim, Dam | - |
dc.contributor.author | Lee, Young Eun | - |
dc.contributor.author | Kim, Deog-Yoon | - |
dc.contributor.author | Lee, Yu Kyung | - |
dc.contributor.author | Lee, Joo-Hyun | - |
dc.contributor.author | Bae, Sang-Cheol | - |
dc.contributor.author | Choi, Yun Young | - |
dc.contributor.author | Pyo, Junhee | - |
dc.contributor.author | Ahn, Jeonghoon | - |
dc.contributor.author | Sung, Yoon-Kyoung | - |
dc.date.accessioned | 2018-02-20T07:03:50Z | - |
dc.date.available | 2018-02-20T16:05:34Z | - |
dc.date.issued | 2018-02-12 | - |
dc.identifier.citation | BMC Musculoskeletal Disorders, 19(1):46 | ko_KR |
dc.identifier.issn | 1471-2474 | - |
dc.identifier.uri | https://hdl.handle.net/10371/139585 | - |
dc.description.abstract | Background
Vertebral Fracture Assessment (VFA) is a useful tool to detect the vertebral fracture (VF) with low cost and radiation exposure. We aimed to compare screening strategies including VFA and spine radiography (X-ray) for detecting VF in terms of clinical effectiveness, cost and radiation exposure. Methods Three screening strategies: 1) X-ray following VFA, 2) VFA only, and 3) X-ray only were compared using a Markov model based on administrative data from South Korea in a population aged ≥50 years. We compared the incidence of new VFs, cost-effectiveness of reducing new VFs and radiation exposure in each strategy. Results The incidence of new VFs was reduced in all screening strategies compared to no screening: 29.4% for women and 12.5% for men in both X-ray following the VFA and VFA only strategies and 35% for women and 17.5% for men in the X-ray only strategy. The X-ray following VFA strategy had the lowest cost, followed by the X-ray only, and VFA only strategies. The radiation doses for X-ray only were 2,647–2,989 μSv and 3,253–3,398 μSv higher than in the X-ray following VFA and VFA only strategies. The new VF prevention effect was greater in women, and more prominent in older people (women ≥ 70, men ≥ 80) than people ≥ 50 years. Conclusions The X-ray following VFA strategy is a cost-effective option for screening prevalent VF to prevent new VF in people aged ≥50 years due to its high effectiveness, lowest cost, and least radiation exposure. | ko_KR |
dc.description.sponsorship | This study was completed as part of the health technology assessment project (no. NA-2013-007) funded by the National Evidence-based Healthcare Collaborating Agency in South Korea. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BioMed Central | ko_KR |
dc.subject | Spinal fracture | ko_KR |
dc.subject | Radiography | ko_KR |
dc.subject | Diagnostic imaging | ko_KR |
dc.subject | Cost effectiveness | ko_KR |
dc.subject | Radiation | ko_KR |
dc.title | Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 오성희 | - |
dc.contributor.AlternativeAuthor | 김담 | - |
dc.contributor.AlternativeAuthor | 이영은 | - |
dc.contributor.AlternativeAuthor | 김덕윤 | - |
dc.contributor.AlternativeAuthor | 이유경 | - |
dc.contributor.AlternativeAuthor | 이주현 | - |
dc.contributor.AlternativeAuthor | 배상철 | - |
dc.identifier.doi | 10.1186/s12891-018-1958-1 | - |
dc.rights.holder | The Author(s). | - |
dc.date.updated | 2018-02-18T04:19:18Z | - |
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