Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 배상철 | - |
dc.date.accessioned | 2019-12-05T15:03:46Z | - |
dc.date.available | 2019-12-05T15:03:46Z | - |
dc.date.issued | 2018-02 | - |
dc.identifier.citation | BMC MUSCULOSKELETAL DISORDERS, v. 19, Article no. 46 | en_US |
dc.identifier.issn | 1471-2474 | - |
dc.identifier.uri | https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-018-1958-1 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/117591 | - |
dc.description.abstract | Background: Vertebral Fracture Assessment (VFA) is a useful tool to detect the vertebral fracture (VF) with low cost and radiation exposure. We aimed to compare screening strategies including VFA and spine radiography (X-ray) for detecting VF in terms of clinical effectiveness, cost and radiation exposure. Methods: Three screening strategies: 1) X-ray following VFA, 2) VFA only, and 3) X-ray only were compared using a Markov model based on administrative data from South Korea in a population aged >= 50 years. We compared the incidence of new VFs, cost-effectiveness of reducing new VFs and radiation exposure in each strategy. Results: The incidence of new VFs was reduced in all screening strategies compared to no screening: 29.4% for women and 12.5% for men in both X-ray following the VFA and VFA only strategies and 35% for women and 17. 5% for men in the X-ray only strategy. The X-ray following VFA strategy had the lowest cost, followed by the X-ray only, and VFA only strategies. The radiation doses for X-ray only were 2,647-2,989 mu Sv and 3,253-3,398 mu Sv higher than in the X-ray following VFA and VFA only strategies. The new VF prevention effect was greater in women, and more prominent in older people (women >= 70, men >= 80) than people >= 50 years. Conclusions: The X-ray following VFA strategy is a cost-effective option for screening prevalent VF to prevent new VF in people aged >= 50 years due to its high effectiveness, lowest cost, and least radiation exposure. | en_US |
dc.description.sponsorship | This study was completed as part of the health technology assessment project (no. NA-2013-007) funded by the National Evidence-based Healthcare Collaborating Agency in South Korea. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | BIOMED CENTRAL LTD | en_US |
dc.subject | Spinal fracture | en_US |
dc.subject | Radiography | en_US |
dc.subject | Diagnostic imaging | en_US |
dc.subject | Cost effectiveness | en_US |
dc.subject | RadiationRadiation | en_US |
dc.title | Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography | en_US |
dc.type | Article | en_US |
dc.relation.volume | 19 | - |
dc.identifier.doi | 10.1186/s12891-018-1958-1 | - |
dc.relation.page | 1-9 | - |
dc.relation.journal | BMC MUSCULOSKELETAL DISORDERS | - |
dc.contributor.googleauthor | Oh, Sung-Hee | - |
dc.contributor.googleauthor | Kim, Dam | - |
dc.contributor.googleauthor | Lee, Young Eun | - |
dc.contributor.googleauthor | Kim, Deog-Yoon | - |
dc.contributor.googleauthor | Lee, Yu Kyung | - |
dc.contributor.googleauthor | Lee, Joo-Hyun | - |
dc.contributor.googleauthor | Bae, Sang-Cheol | - |
dc.contributor.googleauthor | Choi, Yun Young | - |
dc.contributor.googleauthor | Pyo, Junhee | - |
dc.contributor.googleauthor | Ahn, Jeonghoon | - |
dc.relation.code | 2018004301 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | scbae | - |
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