ArticlePloS one2015
Development and Validation of an Osteoporosis Self-Assessment Tool for Taiwan (OSTAi) Postmenopausal Women-A Sub-Study of the Taiwan OsteoPorosis Survey (TOPS).
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Performance of clinical prediction models for identifying postmenopausal osteoporosis: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Performance and interventional cutoffs of osteoporosis self-assessment tools in the community: implications for screening and early referral.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Validation of Ten Osteoporosis Screening Tools in Rural Communities of Taiwan.Calcified tissue international · 2024Article
- Decomposing and simplifying the Fracture Risk Assessment Tool-a module from the Taiwan-specific calculator.JBMR plus · 2024Article
- Article
- Quantitative imaging of ultrasound backscattered signals with information entropy for bone microstructure characterization.Scientific reports · 2022Article
- Exploration of the Molecular Mechanism of Polygonati Rhizoma in the Treatment of Osteoporosis Based on Network Pharmacology and Molecular Docking.Frontiers in endocrinology · 2021Article
- Simple Self-Assessment Tool to Predict Osteoporosis in Taiwanese Men.Frontiers in medicine · 2021Article
- Estimating regional bone mineral density-based T-scores using clinical information; tools validated for postmenopausal women in Sri Lanka.Osteoporosis and sarcopenia · 2020Article
- Novel algorithm generating strategy to identify high fracture risk population using a hybrid intervention threshold.Journal of bone and mineral metabolism · 2020Article
- Evaluation of two tools for the early screening of osteoporosis in postmenopausal Chinese women with type 2 diabetes mellitus.The Journal of international medical research · 2020Article
- 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
- Observational
- BFH-OSTM, a new predictive screening tool for identifying osteoporosis in elderly Han Chinese males.Clinical interventions in aging · 2017Article
- 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
- BFH-OST, a new predictive screening tool for identifying osteoporosis in postmenopausal Han Chinese women.Clinical interventions in aging · 2016Article
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9 authors.
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Abstract
backgroundTo develop an OSTAi tool and compare this with the National Osteoporosis Foundation recommendations in 2013 (NOF 2013) for bone mineral density (BMD) testing among Taiwan postmenopausal women.
methodsTaiwan Osteoporosis Association (TOA) conducted a nationwide BMD survey by a bus installed with a dual energy X-ray absorptiometry (DXA) between 2008 and 2011. All of the participants completed questionnaire, which included demographics and risk factors of osteoporotic fracture in FRAX tool. We used the database to analyze potential risk factors for osteoporosis and followed the model by Koh et al. to develop a risk index via multiple variable regression analysis and item reduction. We used the index values to set up a simple algorithm (namely OSTAi) to identify those who need BMD measurement. Receiver operating characteristic (ROC) curve and the area under the curve (AUC) was used to compare the sensitivity/specificity analysis of this model with that of recommendations by NOF 2013.
resultsA total of 12,175 Taiwan postmenopausal women enrolled in this survey. The index value was derived by age and body weight of the participants according to weighted odds of each risk factor and the selected cutoff value was set at "-1". There are 6393 (52.5%) participants whose index value is below "-1" and whose risk of osteoporosis was 57.5% (3674/6393). The AUC for OSTAi and NOF 2013 were 0.739 (95% confidence interval (CI), 0.728-0.749, P<0.001) and 0.618 (95% CI, 0.606-0.630, P<0.001), respectively. The sensitivity and specificity of OSTAi, at the selected cutoff value of -1, and NOF 2013 to identify osteoporosis were 73.1%, 62.0% and 78.3%, 45.7%, respectively.
conclusionsAs OSTA for Asian populations, OSTAi is an useful tool to identify Taiwan postmenopausal women with osteoporosis, In comparison with NOF 2013, OSTAi may be an easier and better tool for referral to BMD measurement by DXA in this area.
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