Towards the diagnosis of osteoporosis – contributions from coincidental diagnostic imaging findings in chiropractors' practice.
Background: Osteoporosis is significantly associated with fractures and burdens the health of especially older people. Osteoporotic fractures cause pain, disability, and increased mortality. Early diagnosis of osteoporosis allows earlier initiation of treatment, thereby reducing the risk of osteopor...
| Publicado en: | Chiropractic & Manual Therapies Vol. 32; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , |
| Formato: | algorithm diagnostic images equations & formulas pictorial review tables/charts Journal Article |
| Publicado: |
BioMed Central
6/24/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178065814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178065814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2045709X BG1Z jtl: Chiropractic & Manual Therapies issn: 2045709X maglogo: N pubinfo: dt: 6/24/2024 vid: 32 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 178065814 178065814 178065814 10.1186/s12998-024-00545-0 178065814 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Towards the diagnosis of osteoporosis – contributions from coincidental diagnostic imaging findings in chiropractors' practice. aug: au: Uhrenholt, Lars Bakkegaard, Jakob Hermannsen Hansen, Kasper Doktor, Klaus Knarberg affil: https://ror.org/01aj84f44 Department of Forensic Medicine, Aarhus University, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark sug: subj: Chiropractors Chiropractic Practice Osteoporosis Radiography Diagnostic Imaging Methods Bone Density Chiropractic Assessment Professional Practice, Evidence-Based Osteoporosis Complications Osteoporotic Fractures Etiology Tomography, X-Ray Multidisciplinary Care Team Spinal Fractures Radiography Referral and Consultation Early Diagnosis ab: Background: Osteoporosis is significantly associated with fractures and burdens the health of especially older people. Osteoporotic fractures cause pain, disability, and increased mortality. Early diagnosis of osteoporosis allows earlier initiation of treatment, thereby reducing the risk of osteoporotic fractures. Chiropractors encounter potential osteoporotic patients daily, and perform radiological evaluation of these and other patients, including evaluation of X-rays done for other purposes than osteoporosis. Therefore, chiropractors may identify vertebral fractures, vertebral deformity or osteopenia not otherwise suspected or recorded. Methods: This study examines procedures available to the chiropractor to describe conventional X-rays with the focus of osteoporosis related findings. We review the indications for radiological examination in chiropractic practice, and in the realm of osteoporosis we describe radiological methods available for examination of conventional radiographs, and the necessity of inter-disciplinary communication. Results: National guidelines are available regarding referral for X-rays in chiropractic practice. Standardized protocols ensure image acquisition of the highest quality in the chiropractors' radiological department. Conventional X-ray examination is not indicated on clinical suspicion of osteoporosis alone, as bone mineral density testing is the diagnostic test. Radiological assessment of all available X-rays of patients above the age of 50 years should include evaluation of the bone quality, and hip and vertebral fracture assessment. The Singh index, Genant Semi-Quantitative tool (GSQ), and Algorithm-Based Qualitative method (ABQ) should be used consistently during interpretation. Referral for additional imaging and evaluation should be prompt and systematic when needed. Conclusions: This article presents an overview of evidence-based radiological procedures for the purpose of promoting early diagnosis of osteoporosis. We present recommendations to the clinicians where we propose an opportunistic evaluation of X-rays, done for any reason, which include systematic evaluation of bone quality, presence of hip and vertebral fractures, and vertebral deformation of all patients above the age of 50 years. Detailed referral to healthcare professionals for further diagnostic evaluation is performed when needed. Consistent, high-quality radiological procedures in chiropractic practices could feasibly contribute to the timely diagnosis of osteoporosis, ultimately minimizing the impact of osteoporosis-related complications on patients' health. pubtype: Academic Journal doctype: algorithm diagnostic images equations & formulas pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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