title: Prevalence of Osteoporosis and Effectiveness of Screening Test Using Ultrasound Bone Densitometry and Education in a Community-Dwelling Population.
abstract: This prospective intervention study was undertaken to estimate the prevalence and treatment rate of osteoporosis following osteoporosis screening tests in the same cohort. From November 1, 2014 to August 31, 2015, participants received screening tests for osteoporosis using ultrasound bone densitometry and education concerning osteoporosis and related conditions. The participants were interviewed using a questionnaire on the diagnosis and initiation of osteoporosis treatment during the follow-up period. Of 960 potential participants, 595 people (68.8%; 150 men and 445 women) were given bone densitometry measurements and completed the questionnaire. The mean age of the participants was 74.0 years. Of the 595 participants, 393 people (66.1%; 67 men and 326 woman) were diagnosed with osteoporosis (T score < -2.5). The prevalence of osteoporosis showed an increasing trend, from 48.1% in 2004 to 66.1% in 2015. Of the 393 participants diagnosed with osteoporosis, 65 participants received additional bone densitometry measurements while hospitalized and osteoporosis management was re-initiated in 44 patients. The osteoporosis management rate in the study cohort increased from 21.6% to 32.8%, with osteoporosis diagnosed in 66.2% of participants at the latest follow-up. This prospective intervention study demonstrated that a screening test and an educational brochure increased the treatment rate from 21.6% to 32.8%.
authors.affiliation: Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Yu Jun
authors.identifier: http://orcid.org/0000-0003-4700-3076
authors.initials: YJ
authors.lastname: Kwon
authors.affiliation: Department of Preventive Medicine and Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
authors.forename: Ki Soo
authors.identifier: http://orcid.org/0000-0001-5571-3639
authors.initials: KS
authors.lastname: Park
authors.affiliation: Department of Nuclear Medicine and Molecular Imaging, Gyeongsang National University, Jinju, Korea.
authors.forename: Bong Hoi
authors.identifier: http://orcid.org/0000-0002-7131-351X
authors.initials: BH
authors.lastname: Choi
authors.affiliation: Jinju-shi Health Center, Jinju, Korea.
authors.forename: Byung Sung
authors.identifier: http://orcid.org/0000-0002-4982-7987
authors.initials: BS
authors.lastname: Kim
authors.affiliation: Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. hayongch@naver.com.
authors.forename: Yong Chan
authors.identifier: http://orcid.org/0000-0002-6249-0581
authors.initials: YC
authors.lastname: Ha
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014463:Ultrasonography
keywords: Diagnosis; Education; Ibansung Cohort; Osteoporosis; Prevalence; Treatment Rate