Can mandibular bone resorption predict hip fracture in elderly women? A systematic review of diagnostic test accuracy. (16th October 2013)

• Record Type: Journal Article
• Authors: Devlin, Hugh; Whelton, Christopher
• Is Part Of: Gerodontology. Volume 32:Number 3(2015:Sep.)
• Page Start: 163
• Page End: 168
• Publication Date: 2013-10-16
• Subjects: Older people -- Dental care -- Periodicals; 617.60846
• DOI: 10.1111/ger.12077
• Languages: English
• ISSNs: 0734-0664

Abstract

<abstract abstract-type="main" id="ger12077-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ger12077-sec-0001" sec-type="section"> <title>Objectives</title> <p>The aim of this systematic review was to determine the diagnostic accuracy of the mandibular cortical width measurements and porosity in detecting hip osteoporosis.</p> </sec> <sec id="ger12077-sec-0002" sec-type="section"> <title>Background</title> <p>All of the included studies used measurements on panoramic radiographs.</p> </sec> <sec id="ger12077-sec-0003" sec-type="section"> <title>Materials and methods</title> <p>Studies were included if they compared the radiographic measurements (or index tests) with central dual energy X‐ray absorptiometry (DXA) of the hip as the reference standard. A measure of diagnostic accuracy such as sensitivity and specificity or area under the receiver operating characteristic curve was also required for inclusion.</p> </sec> <sec id="ger12077-sec-0004" sec-type="section"> <title>Results</title> <p>Seven studies were identified. Meta‐analysis was not possible because of the heterogeneity of the studies. The studies all demonstrated moderate diagnostic accuracy.</p> </sec> <sec id="ger12077-sec-0005" sec-type="section"> <title>Conclusion</title> <p>If a patient with a thin or porous mandibular cortex is identified by a chance radiographic finding, additional clinical risk factors need to be considered and the patient referred for further investigation with DXA where necessary.</p> </sec> </abstract>