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Low Body Mass Index Can Identify Majority of Osteoporotic Inflammatory Bowel Disease Patients Missed by Current Guidelines
Joint Authors
Atreja, Ashish
Licata, Angelo A.
Lashner, Bret A.
Aggarwal, Ashish
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-03
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Background.
Patients with inflammatory bowel disease (IBD) are at high risk of developing osteoporosis.
Our objective was to determine the usefulness of IBD guidelines in identifying patients at risk for developing osteoporosis.
Methods.
We utilized institutional repository to identify patients seen in IBD center and extracted data on demographics, disease history, conventional, and nonconventional risk factors for osteoporosis and Dual Energy X-ray Absorptiometry (DXA) findings.
Results.
59% of patients (1004/1703) in our IBD cohort had at least one risk factor for osteoporosis screening.
DXA was documented in 263 patients with indication of screening (provider adherence, 26.2%), and of these, 196 patients had DXA completed (“at-risk” group).
Ninety-five patients not meeting guidelines-based risk factors also had DXA completed (“not at-risk” group).
139 (70.9%) patients in “at-risk” group had low BMD, while 51 (53.7%) of “not-at-risk” patients had low BMD.
Majority of the patients with osteoporosis (83.3%) missed by the current guidelines had low BMI.
Multivariate logistic regression analysis showed that low BMI was the strongest risk factor for osteoporosis (OR 3.07; 95% CI, 1.47–6.42; P=0.003).
Conclusions.
Provider adherence to current guidelines is suboptimal.
Low BMI can identify majority of the patients with osteoporosis that are missed by current guidelines.
American Psychological Association (APA)
Atreja, Ashish& Aggarwal, Ashish& Licata, Angelo A.& Lashner, Bret A.. 2012. Low Body Mass Index Can Identify Majority of Osteoporotic Inflammatory Bowel Disease Patients Missed by Current Guidelines. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-499656
Modern Language Association (MLA)
Atreja, Ashish…[et al.]. Low Body Mass Index Can Identify Majority of Osteoporotic Inflammatory Bowel Disease Patients Missed by Current Guidelines. The Scientific World Journal No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-499656
American Medical Association (AMA)
Atreja, Ashish& Aggarwal, Ashish& Licata, Angelo A.& Lashner, Bret A.. Low Body Mass Index Can Identify Majority of Osteoporotic Inflammatory Bowel Disease Patients Missed by Current Guidelines. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-499656
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-499656