SynthesisOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2007
Performance of the Osteoporosis Self-Assessment Tool in ruling out low bone mineral density in postmenopausal women: a systematic review.
Synthesis in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Risk Assessment Tools for Osteoporosis Screening in Postmenopausal Women: A Systematic Review.Current osteoporosis reports · 2015Pooled it
- The Osteoporosis Self-Assessment Tool versus alternative tests for selecting postmenopausal women for bone mineral density assessment: a comparative systematic review of accuracy.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2009Pooled it
- Osteoporosis screening using X-ray assessment and osteoporosis self-assessment tool for Asians in hip surgery patients.Journal of bone and mineral metabolism · 2025Article
- Comparison of three tools for predicting primary osteoporosis in an elderly male population in Beijing: a cross-sectional study.Clinical interventions in aging · 2018Article
- Chronic joint pain and handgrip strength correlates with osteoporosis in mid-life women: a Singaporean cohort.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Article
- BFH-OSTM, a new predictive screening tool for identifying osteoporosis in elderly Han Chinese males.Clinical interventions in aging · 2017Article
- Risk assessment instruments for screening bone mineral density in a Mediterranean population.World journal of orthopedics · 2016Article
- BFH-OST, a new predictive screening tool for identifying osteoporosis in postmenopausal Han Chinese women.Clinical interventions in aging · 2016Article
- Clinical performance of seven prescreening tools for osteoporosis in Iranian postmenopausal women.Rheumatology international · 2015Article
- Who should receive bone mineral density testing?Canadian family physician Medecin de famille canadien · 2015Article
- Development and validation of osteoporosis prescreening model for Iranian postmenopausal women.Journal of diabetes and metabolic disorders · 2015Article
- Article
- Comparison of three different osteoporosis risk assessment tools: ORAI (osteoporosis risk assessment instrument), SCORE (simple calculated osteoporosis risk estimation) and OST (osteoporosis self-assessment tool).Medical journal of the Islamic Republic of Iran · 2014Article
- Osteoporosis self-assessment tool performance in a large sample of postmenopausal women of mendoza, Argentina.Journal of osteoporosis · 2013Article
- Cost-effectiveness of bone densitometry among Caucasian women and men without a prior fracture according to age and body weight.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- Osteoporosis among Fallers without Concomitant Fracture Identified in an Emergency Department: Frequencies and Risk Factors.Advances in orthopedics · 2011Article
- Application of Osteorisk to postmenopausal patients with osteoporosis.Sao Paulo medical journal = Revista paulista de medicina · 2010Article
- Weight and body mass index predict bone mineral density and fractures in women aged 40 to 59 years.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2009Article
- Elevated bone mass: a weighty matter?Skeletal radiology · 2008Review
- Clinical performance of osteoporosis risk assessment tools in women aged 67 years and older.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2008Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThe Osteoporosis Self-Assessment Tool (OST) is a simple test that may be of clinical value to rule-out low bone mineral density. We performed a systematic review to assess its performance in postmenopausal women. We included 36 studies. OST performed moderately in ruling-out femoral neck T-score <or= -2.5, but poorly in ruling-out lumbar spine T-score <or= -2.5. Methodological study quality was generally low.
introductionThe Osteoporosis Self-Assessment Tool (OST) is a simple clinical decision rule based on age and weight that may be of clinical value to rule-out low bone mineral density (BMD). Our aim was to systematically assess the performance of OST in postmenopausal women.
methodsWe searched PubMed, Embase, Web of Science, citation lists and conference proceedings for studies evaluating OST using dual X-ray absorptiometry (DXA) as reference test to measure BMD. We evaluated methodological quality using the QUADAS checklist. Our main outcome was the likelihood ratio of a negative OST result (LR-).
resultsOST performed moderately in ruling-out femoral neck T-score <or= -2.5 in whites, summary LR- (sLR-) 0.19 (95% CI, 0.17-0.21) and between-study heterogeneity was low (I(2) = 7%). The corresponding performance in Asians was similar, sLR- 0.19 (0.14-0.28), but there was considerable heterogeneity (I(2) = 64%). OST performed poorly in ruling-out lumbar spine T-score <or= -2.5 in whites and Asians, sLR- 0.43 (0.31-0.59) and 0.32 (0.28-0.38), respectively. The performance in ruling-out T-score <or= -2.0 in whites was poor regardless of region (sLR- >or=0.28). Methodological study quality was generally low.
conclusionsThe clinical usefulness of OST is uncertain. OST could be useful for ruling-out femoral neck T-score <or= -2.5, but confirmatory high-quality studies are needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.