ArticleJournal of bone and mineral metabolism2013
Development and validation of osteoporosis risk-assessment model for Korean postmenopausal women.
Article in Journal of bone and mineral metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Performance of clinical prediction models for identifying postmenopausal osteoporosis: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Pooled it
- Systematic review and meta-analysis of the performance of clinical risk assessment instruments for screening for osteoporosis or low bone density.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015Pooled 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
- Assessing the utility of osteoporosis self-assessment tool for Asians in patients undergoing hip surgery.Osteoporosis and sarcopenia · 2024Article
- High systemic immune-inflammation index is relevant to osteoporosis among middle-aged and older people: A cross-sectional study.Immunity, inflammation and disease · 2023Article
- Routine chest CT combined with the osteoporosis self-assessment tool for Asians (OSTA): a screening tool for patients with osteoporosis.Skeletal radiology · 2023Article
- Estimating regional bone mineral density-based T-scores using clinical information; tools validated for postmenopausal women in Sri Lanka.Osteoporosis and sarcopenia · 2020Article
- Development of Osteoporosis Screening Algorithm for Population Aged 50 Years and above in Klang Valley, Malaysia.International journal of environmental research and public health · 2020Article
- A Novel Fracture Prediction Model Using Machine Learning in a Community-Based Cohort.JBMR plus · 2020Article
- [Evaluation of screening accuracy on osteoporosis self-assessment tool for Asians and its cut-off value in healthy physical examination population].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019Article
- Performance of Osteoporosis Self-Assessment Tool (OST) in Predicting Osteoporosis-A Review.International journal of environmental research and public health · 2018Review
- Impact of Sexual Dimorphism on Trauma Patterns and Clinical Outcomes of Patients with a High-Risk Score of the Osteoporosis Self-Assessment Tool for Asians: A Propensity Score-Matched Analysis.International journal of environmental research and public health · 2018Article
- BFH-OSTM, a new predictive screening tool for identifying osteoporosis in elderly Han Chinese males.Clinical interventions in aging · 2017Article
- Association between the Osteoporosis Self-Assessment Tool for Asians Score and Mortality in Patients with Isolated Moderate and Severe Traumatic Brain Injury: A Propensity Score-Matched Analysis.International journal of environmental research and public health · 2016Article
- Association of Osteoporosis Self-Assessment Tool for Asians (OSTA) Score with Clinical Presentation and Expenditure in Hospitalized Trauma Patients with Femoral Fractures.International journal of environmental research and public health · 2016Article
- Development and Validation of Osteoporosis Risk-Assessment Model for Korean Men.Yonsei medical journal · 2016Article
- BFH-OST, a new predictive screening tool for identifying osteoporosis in postmenopausal Han Chinese women.Clinical interventions in aging · 2016Article
- Diagnostic value of osteoporosis self-assessment tool for Asians (OSTA) and quantitative bone ultrasound (QUS) in detecting high-risk populations for osteoporosis among elderly Chinese men.Journal of bone and mineral metabolism · 2015Article
- Association between the awareness of osteoporosis and the quality of care for bone health among Korean women with osteoporosis.BMC musculoskeletal disorders · 2014Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Currently, dual-energy X-ray absorptiometry (DXA) is the gold standard for detecting osteoporosis, but is not recommended for general population screening. Therefore, this study aims to develop an osteoporosis risk-assessment model to identify high-risk individuals among Korean postmenopausal women. Data from 1,209 and 1,046 postmenopausal women who participated in the 2009 and 2010 Korean National Health and Nutrition Examination Survey, respectively, were used for development and validation of an osteoporosis risk-assessment model. Osteoporosis was defined as T score less than or equal to -2.5 at either the femoral neck or lumbar spine. Performance of the candidate models and the Osteoporosis Self assessment Tool for Asians (OSTA) were compared with respect to sensitivity, specificity, and area under the receiver operating characteristics curve (AUC). To compare the developed Korean Osteoporosis Risk-Assessment Model (KORAM) with OSTA, a net reclassification improvement was further calculated. In the development dataset, the prevalence of osteoporosis was 33.9 %. KORAM, consisting of age, weight, and hormone therapy, had a sensitivity of 91.2 %, a specificity of 50.6 %, and an AUC of 0.709 with a specific cut-off score of -9. Comparable results were shown in the validation dataset: sensitivity 84.8 %, specificity 51.6 %, and AUC 0.682. Additionally, risk categorization with KORAM showed improved reclassification over that of OSTA from 7.4 to 41.7 %. KORAM can be easily used as a pre-screening tool to identify candidates for DXA tests. Further studies investigating cost-effectiveness and replicability in other datasets are required to establish the clinical utility of KORAM.
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