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Postgrad Med J 79:581-584 doi:10.1136/pmj.79.936.581
  • Original article

Performance of clinical referral criteria for bone densitometry in patients under 65 years of age assessed by spine bone mineral density

Table 3

Characteristics of subjects referred with a single criterion for bone densitometry; values are mean (SD) unless stated otherwise

Referral criteria Female (n) Male (n) Age (years) BMI (kg/m2) Spine Z score Osteoporosis (%) Osteopenia (%)
BMD, bone mineral density; BMI, body mass index; RCP, Royal College of Physicians.
†p⩽0.001, ‡p = 0.008 compared with mean age of rest of women referred for scans; ***p⩽0.001, **p<0.01, *p<0.05, and #p = 0.065 represent the significances of differences of the mean spine Z score from 0 (T test).
RCP criteria 116 31 49.1(11.6) 26.1(5.4) −0.47(1.38)*** 19.7 38.8
    Osteopenia 17 3 54.5(7.1) 24.3(5.0) −0.97(1.29)** 45 40
    Oestrogen deficiency 26 45.2(11.2) 25.7(5.3) −0.58(1.13)* 15.4 42.3
    Associated diseases 11 10 38.8(13.4) 26.5(7.0) −0.58(1.35)# 9.5 38.1
    Fractures 27 3 54.0(9.4) 26.2(4.7) −0.38(1.44) 23.3 33.3
    Corticosteroid users 29 14 49.8(10.5) 26.7(5.8) −0.28(1.40) 14 41.9
    Kyphosis 6 1 52.9(10.4) 27.2(2.4) 0.21(2.12) 14.3 28.6
Non-RCP criteria 185 2 51.4(7.3) 26.2(5.2) 0.35(1.41)*** 6.4 34.2
    Perimenopausal 122 52.4(4.7 26.0(4.4) 0.37(1.24)*** 4.9 34.4
    Miscellaneous 40 1 46.0(10.9) 27.0(7.5) −0.13(1.39) 12.2 34.1
    Back pain 4 1 53.2(5.9) 28.8(5.4) 0.92(1.76) 0 20.0
    Treated without BMD 19 0 56.0(5.8) 24.9(3.6) 1.08(1.99)* 5.3 36.8

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