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dc.contributor.CRUESPUNIVERSIDADE DE ESTADUAL DE CAMPINASpt
dc.identifier.isbnpt
dc.typeArtigo de periódicopt
dc.titleReview Of Comparative Studies Between Bone Densitometry And Quantitative Ultrasound Of The Calcaneus In Osteoporosispt
dc.contributor.authordos Santos Floter M.pt
dc.contributor.authorBittar C.K.pt
dc.contributor.authorZabeu J.L.A.pt
dc.contributor.authorCarneiro A.C.R.pt
unicamp.authordos Santos Flöter, M., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazilpt
unicamp.authorBittar, C.K., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazil, Orthopedics Department, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazilpt
unicamp.authorZabeu, J.L.A., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazilpt
unicamp.authorCarneiro, A.C.R., Orthopedics Department, Faculty of Medical Sciences, Pontifical Catholic University of Campinas (PUC-CAMPINAS), Campinas, Brazilpt
dc.description.abstractObjective: To assess the utility of quantitative ultrasound (QUS) of the calcaneus for diagnosing osteoporosis compared to the gold standard, bone densitometry using dual-emission X-ray absorptiometry (DXA), according to published reports. Design: In this systematic review, the Medline/ /PUB MED, Medline Ovid and Journals@Ovid, and Wilson General Sciences Full Text database were used. The search strategy involved use of the following MeSH descriptors: [osteoporosis AND (densitometry OR ultrasonography)], and 39 articles published between 2001 and April 2010 were assessed. However, only six articles met the inclusion criteria: sensitivity and specificity of QUS, sample (women or men with no treatment or other di sease likely to change bone mass index), devices used, comparative T-score between QUS of the calcaneus and DXA. The GE-Lunar Achilles and Hologic Sahara devices were used in most of the tests reported and were effective. Results: All studies assessed compared QUS of the calcaneus to DXA of the lumbar spine or femoral neck, as the gold standard. QUS sensitivity ranged from 79% to 93% and specificity ranged from 28% to 90% when at the lower threshold. It is a controversial parameter, because the gold-standard threshold (T-score < -2.5, DXA) could not be used for QUS without errors in osteoporosis diagnosis. All studies had a threshold determined by the authors' criteria, with a variability of -1.7 (pDXA T--score) and -2.4 for QUS, leading to the same prevalence of osteoporosis, and a T-score of < -3.65 for QUS was equivalent to a T-score < -2.5 for DXA.Conclusions: Based on the analysis of seven stu -dies, we conclude that QUS of the calcaneus still cannot be used to confirm diagnosis of osteoporosis by comparing the results to those of patients who had already received such a diagnosis based on DXA. However, further research should be conducted in this area, because it is possible to improve the number diagnoses by varying the cutoff T-score. Furthermore, using QUS of the calcaneus was a helpful tool for assessing pathological fractures, whether or not they were associated with osteoporosis.en
dc.relation.ispartofActa Reumatologica Portuguesapt_BR
dc.publisherpt
dc.date.issued2011pt
dc.identifier.citationActa Reumatologica Portuguesa. , v. 36, n. 4, p. 327 - 335, 2011.pt
dc.language.isoenpt
dc.description.volume36pt
dc.description.issuenumber4pt
dc.description.initialpage327pt
dc.description.lastpage335pt
dc.rightsabertopt
dc.sourceScopuspt
dc.identifier.issn0303464Xpt
dc.identifier.doipt
dc.identifier.urlhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84864742944&partnerID=40&md5=c3f6aae50bbcdf7d49a1d0a1f29cdcdcen
dc.date.available2015-06-30T20:26:52Z
dc.date.available2015-11-26T14:49:35Z-
dc.date.accessioned2015-06-30T20:26:52Z
dc.date.accessioned2015-11-26T14:49:35Z-
dc.description.provenanceMade available in DSpace on 2015-06-30T20:26:52Z (GMT). No. of bitstreams: 1 2-s2.0-84864742944.pdf: 786967 bytes, checksum: b0e55e506badcffe9fd41a18b4b1bbe8 (MD5) Previous issue date: 2011en
dc.description.provenanceMade available in DSpace on 2015-11-26T14:49:35Z (GMT). No. of bitstreams: 1 2-s2.0-84864742944.pdf: 786967 bytes, checksum: b0e55e506badcffe9fd41a18b4b1bbe8 (MD5) Previous issue date: 2011en
dc.identifier.urihttp://www.repositorio.unicamp.br/handle/REPOSIP/107971
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/107971-
dc.identifier.idScopus2-s2.0-84864742944pt
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