Evidence map›Paper›PMID 38448801›Full record

ArticleBMC geriatrics2024

Bone mineral density in lower thoracic vertebra for osteoporosis diagnosis in older adults during CT lung cancer screening.

Nandong Hu, Miaomiao Wang, Meng Yang, Xin Chen, Jiangchuan Wang, Chao Xie, Bin Zhang, Zhongqiu Wang, Xiao Chen

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Nandong Hu *Department of Radiology, the Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong road, 210029, Nanjing, China.
Miaomiao Wang *Department of Radiology, the Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong road, 210029, Nanjing, China.
Meng Yang *Bengbu Medical College, 2600 Donghai road, 233030, Bengbu, China.
Xin ChenDepartment of Radiology, Shanghai Longhua Hospital, 200032, Shanghai, China.
Jiangchuan WangDepartment of Radiology, the Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong road, 210029, Nanjing, China.
Chao XieDepartment of Orthopaedics, University of Rochester School of Medicine, 14642, Rochester, NY, USA.
Bin ZhangDepartment of Thoracic surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Zhongqiu WangDepartment of Radiology, the Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong road, 210029, Nanjing, China.
Xiao ChenDepartment of Radiology, the Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong road, 210029, Nanjing, China. fsyy00597@njucm.edu.cn.ORCID 0000-0002-8354-9087
Nanjing University of Chinese Medicine · CNBengbu Medical College · CNUniversity of Rochester · US

Funding

National Natural Science foundation of China 81773460
6 · The paper itself

Abstract

backgroundQuantitative computed tomography (QCT)-based lumbar bone mineral density (LBMD) has been used to diagnose osteoporosis. This study explored the value of lower thoracic BMD (TBMD) in diagnosing osteoporosis in older adults during CT lung cancer screening.

methodsThis study included 751 subjects who underwent QCT scans with both LBMD and TBMD. 141 of them was selected for a validation. Osteoporosis was diagnosed based on LBMD using the ACR criteria (gold standard). TBMD thresholds were obtained using receiver operating characteristic curve. TBMD was also translated into LBMD (TTBMD) and osteoporosis was defined based on TTBMD using ACR criteria. The performance of TBMD and TTBMD in identifying osteoporosis was determined by Kappa test. The associations between TBMD- and TTBMD-based osteoporosis and fracture were tested in 227 subjects with followed up status of spine fracture.

resultsThe performance of TBMD in identifying osteoporosis was low (kappa = 0.66) if using the ACR criteria. Two thresholds of TBMD for identifying osteopenia (128 mg/cm

conclusionCalculating the threshold of TBMD or normalizing TBMD to LBMD are both useful in identifying osteoporosis in older adults during CT lung cancer screening.

Indexed as

Bone Diseases, MetabolicFractures, BoneLung NeoplasmsOsteoporosisAgedBone DensityEarly Detection of CancerHumansThoracic VertebraeTomography, X-Ray ComputedComputed tomographyLung cancerOsteoporosisQuantitative computed tomographyThoracic vertebral bone mineral density

Identifiers

PMID38448801
PMCPMC10918915
OpenAlexW4392503865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.