The Osteoporosis Risk Assessment Instrument (ORAI): Difference between revisions

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'''Original Editor '''- Your name will be added here if you created the original content for this page.
'''Original Editor '''- [[User:Ajay Upadhyay|Ajay Upadhyay]]


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;  
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;  
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== Objective<br>  ==
== Objective<br>  ==


The Osteoporosis Risk Assessment Instrument (ORIA) can be used to select women for bone densitometry. This can help reduce the number of women who are screened so that resources can be used for those at risk. The authors are from several medical institutions in Toronto including the University of Toronto.
The Osteoporosis Risk Assessment Instrument (ORIA) can be used to select women for bone densitometry. This can help reduce the number of women who are screened so that resources can be used for those at risk. The authors are from several medical institutions in Toronto including the University of Toronto.  


== Patient selection<br>  ==
== Patient selection<br>  ==


Canadian women aged >= 45 years of age (osteoporosis has a prevalence < 1% in women < 45 years)
Canadian women aged &gt;= 45 years of age (osteoporosis has a prevalence &lt; 1% in women &lt; 45 years)  


== Exclusion criteria  ==
== Exclusion criteria  ==


women with a diagnosis of osteoporosis or taking bone active medications other than estrogen-progesterone (calcitonin, biphosphonates, fluoride).
women with a diagnosis of osteoporosis or taking bone active medications other than estrogen-progesterone (calcitonin, biphosphonates, fluoride).  


== Parameters<br>  ==
== Parameters<br>  ==
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ORIA score = (SUM(points for all 3 parameters)<br>


== Interpretation<br>  ==


• minimum score: 0 <br> • maximum score: 26 <br> • Bone densitometry should be done if the woman has a total score &gt;= 9. <br>


== Performance<br>  ==


• The sensitivity was 93.3% and specificity 46.4% for identifying Canadian women with low bone density. The sensitivity was 94.4% for women with osteoporosis.


 
<br>  
ORIA score = (SUM(points for all 3 parameters)<br>
 
== Interpretation<br> ==
 
• minimum score: 0 <br>
• maximum score: 26 <br>
• Bone densitometry should be done if the woman has a total score >= 9. <br>
 
== Performance<br> ==
 
• The sensitivity was 93.3% and specificity 46.4% for identifying Canadian women with low bone density. The sensitivity was 94.4% for women with osteoporosis.
 


== Reference<br>  ==
== Reference<br>  ==
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Cadarette SM, Jaglal SB, et al. Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry. CMAJ (Canadian Medical Assoc J). 2000; 162: 1289-1294.  
Cadarette SM, Jaglal SB, et al. Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry. CMAJ (Canadian Medical Assoc J). 2000; 162: 1289-1294.  


 
<br>


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1roWqUHnCMOq0KYkEQwgqXsaBJHnEqdekPJeGpUAiHRHmm9IAF|charset=UTF-8|short|max=10</rss>  
<rss>http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1roWqUHnCMOq0KYkEQwgqXsaBJHnEqdekPJeGpUAiHRHmm9IAF|charset=UTF-8|short|max=10</rss>  
</div>  
</div>  
== References  ==
== References  ==



Revision as of 12:01, 7 June 2014

Original Editor - Ajay Upadhyay

Top Contributors - Ajay Upadhyay, WikiSysop and Kim Jackson  


Objective
[edit | edit source]

The Osteoporosis Risk Assessment Instrument (ORIA) can be used to select women for bone densitometry. This can help reduce the number of women who are screened so that resources can be used for those at risk. The authors are from several medical institutions in Toronto including the University of Toronto.

Patient selection
[edit | edit source]

Canadian women aged >= 45 years of age (osteoporosis has a prevalence < 1% in women < 45 years)

Exclusion criteria[edit | edit source]

women with a diagnosis of osteoporosis or taking bone active medications other than estrogen-progesterone (calcitonin, biphosphonates, fluoride).

Parameters
[edit | edit source]

(1) age in years
(2) weight in kilograms
(3) current estrogen use

ORAI.png

















ORIA score = (SUM(points for all 3 parameters)

Interpretation
[edit | edit source]

• minimum score: 0
• maximum score: 26
• Bone densitometry should be done if the woman has a total score >= 9.

Performance
[edit | edit source]

• The sensitivity was 93.3% and specificity 46.4% for identifying Canadian women with low bone density. The sensitivity was 94.4% for women with osteoporosis.


Reference
[edit | edit source]

Cadarette SM, Jaglal SB, et al. Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometry. CMAJ (Canadian Medical Assoc J). 2000; 162: 1289-1294.


Recent Related Research (from Pubmed)[edit | edit source]

Failed to load RSS feed from http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1roWqUHnCMOq0KYkEQwgqXsaBJHnEqdekPJeGpUAiHRHmm9IAF|charset=UTF-8|short|max=10: Error parsing XML for RSS

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

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