Evidence-based Screening for Low Bone Mineral Density in HIV-infected Men

被引：1

作者：

Albright, Patsi ^{[1
]}

Du, Ping ^{[2
]}

Haas, Richard E. ^{[3
,4
]}

Pugh, Linda C. ^{[5
]}

机构：

[1] Penn State Milton S Hershey Med Ctr, Hershey, PA 17033 USA

[2] Penn State Coll Med, Dept Med, Hershey, PA USA

[3] York Coll Penn, Grad Programs Nursing, York, PA USA

[4] York Coll Penn, Nursing Practice Program, York, PA USA

[5] York Coll Penn, York, PA USA

来源：

JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2014年 / 25卷 / 06期

关键词：

bone diseases; HIV; low bone mineral density; osteoporosis self-assessment tool; quantitative ultrasound; HUMAN-IMMUNODEFICIENCY-VIRUS; QUANTITATIVE ULTRASOUND; AMERICAN-COLLEGE; OSTEOPOROSIS; FRACTURES; TOOL; CARE; POPULATION; MANAGEMENT; SOCIETY;

D O I：

10.1016/j.jana.2014.03.006

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Low bone mineral density, which leads to osteoporosis and fracture risk, is an emerging clinical problem in HIV-infected patients. Our evidence-based practice project screened a convenience sample of 225 HIV-infected men for low bone mineral density using the Osteoporosis Self-Assessment Tool, and of those men, 173 were also screened by quantitative ultrasound of the calcaneus. One hundred twelve men had low bone mineral density by either or both screening methods. Seventy-one of these 112 men were tested by dual-energy x-ray absorptiometry and 73% had low bone mineral density. The positive protective value of the Osteoporosis Self-Assessment Tool was 73% and for quantitative ultrasound was 88%. These results suggest that routine low bone mineral density screening should be included as standard practice for all HIV-infected patients. Copyright (C) 2014 Association of Nurses in AIDS Care

引用

页码：532 / 540

页数：9

共 41 条

[1] Primary Care Guidelines for the Management of Persons Infected with Human Immunodeficiency Virus: 2009 Update by the HIV Medicine Association of the Infectious Diseases Society of America [J].

Aberg, Judith A. ;

Kaplan, Jonathan E. ;

Libman, Howard ;

Emmanuel, Patricia ;

Anderson, Jean R. ;

Stone, Valerie E. ;

Oleske, James M. ;

Currier, Judith S. ;

Gallant, Joel E. .

CLINICAL INFECTIOUS DISEASES, 2009, 49 (05) :651-681

[2] Performance of the osteoporosis self-assessment screening tool for osteoporosis in American men [J].

Adler, RA ;

Tran, MT ;

Petkov, VI .

MAYO CLINIC PROCEEDINGS, 2003, 78 (06) :723-727

[3]

Agency for Healthcare Research and Quality, 2011, SCREEN RISK ASS OST

[4]

American Academy of Orthopedic Surgeons, 2007, OST TESTS

[5]

[Anonymous], 2011, HIV SURV REP 2011

[6]

[Anonymous], 2007, WHO scientific group on the assessment of osteoporosis at primary care level

[7] Decreased bone mineral density and increased fracture risk in aging men with or at risk for HIV infection [J].

Arnsten, Julia H. ;

Freeman, Ruth ;

Howard, Andrea A. ;

Floris-Moore, Michelle ;

Lo, Yungtai ;

Klein, Robert S. .

AIDS, 2007, 21 (05) :617-623

[8] Metabolic bone disease in HIV infection [J].

Borderi, Marco ;

Gibellini, Davide ;

Vescini, Fabio ;

De Crignis, Elisa ;

Cimatti, Laura ;

Biagetti, Carlo ;

Tampellini, Livia ;

Re, Maria C. .

AIDS, 2009, 23 (11) :1297-1310

[9]

Brown T. T., 2007, AIDS, V16, P785

[10]

Brown T. T., 2007, SELECTED ENDOCRINE T

← 1 2 3 4 5 →