Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Convergence Study on Diagnostic Agreement between Occurrence of Osteoporosis and Doctor's Diagnosis of Osteoporosis

골다공증 유무와 골다공증 의사진단여부와의 진단 일치율 융합연구

  • Kim, Young-Ran (Department of Radiology, Wonkwang Health Science University) ;
  • Park, Chang-Soo (Department of Nuclear Medicine, Chungnam National University Hospital)
  • 김영란 (원광보건대학교 방사선과) ;
  • 박창수 (충남대학교병원 핵의학과)
  • Received : 2018.10.19
  • Accepted : 2019.01.20
  • Published : 2019.01.28
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Abstract

This study, which checked diagnostic agreement at the femoral region and lumbar region during diagnosis of osteoporosis and surveyed errors related with choosing measured parts, aimed at providing basic date for right diagnosis of osteoporosis. The study, using the first, second years of the fifth period from initial data from National Nutrition Survey, surveyed 1,637 men and 2,128 women at the age of 50 years or older. The study used kappa test to grasp the agreement between the occurrence of osteoporosis at the femoral region and lumbar region and whether or not received doctor's diagnosis. Women showed diagnostic agreement of osteoporosis at all of the femoral region and lumbar region, with diagnostic agreement of the lumbar region being higher than that of the femoral region. While, men showed diagnostic agreement of osteoporosis only at the lumbar region. Bone density changes with the age and varies depending on parts, and so, the study believes, measuring bone density should conduct all of the femoral region and lumbar region and diagnosis had better be made focused on the lumbar region.

골다공증 진단 시 대퇴부위와 요추부위에서 골다공증에 대한 진단의 일치율을 파악하여, 측정부위선정과 관련된 오류를 조사하고 올바른 골다공증 진단에 대한 기초 자료를 제공하고자 한다. 국민건강영양조사 원시자료 중 제5기 1,2차년도를 사용하여 50세 이상 남성 1,637명, 여자 2,128명을 대상으로 하였다. 요추 및 대퇴부의 골다공증 유무와 골다공증 의사진단여부와의 일치율을 파악하기 위해 kappa test를 사용하였다. 여자는 요추와 대퇴부 모두에서 골다공증 진단의 일치를 보였으며, 요추가 대퇴부보다 진단 일치율이 높았다. 남성은 요추에서만 골다공증 진단의 일치를 보였다. 골밀도는 연령증가에 따라 변화되고 부위에 따라 서로 차이가 있으므로 골밀도 측정시 요추와 대퇴골에서 모두 측정을 해야 하며, 특히 요추를 중심으로 진단을 하는 것이 바람직할 것으로 사료된다.

Keywords

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Fig. 1. Osteoporosis Diagnosis and osteoporosis in lumbar spine and total hip

Table 1. General characteristics of study population

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Table 2. The Diagnosis Result of Crosstabulation between Osteoporosis Diagnosis and osteoporosis in lumbar spine in women.

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Table 3. The Diagnosis Result of Crosstabulation between Osteoporosis Diagnosis and osteoporosis in lumbar spine in men.

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Table 4. The Diagnosis Result of Crosstabulation between Osteoporosis Diagnosis and osteoporosis in total hip in women.

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Table 5. The Diagnosis Result of Crosstabulation between Osteoporosis Diagnosis and osteoporosis in total hip in men.

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