Dilip ShahDr. Dilip Shah's Clinic, India
Title: A prospective multicenter study on the prevalence of osteoporosis in Indian patients undergoing elective arthroplasty and spinal procedures: PROPESI
Background: The study was conducted to determine the prevalence of osteoporosis and osteopenia in patients undergoing elective arthroplasty and spinal procedures in India.
Methods: A prospective, multicenter study included either gender (N=127), their BMD was measured using dual-energy X-ray absorptiometry (DEXA) and fracture risk was evaluated using Fracture Risk Assessment Tool (FRAX®). (ISRCTN: 14543098)
Results: Majority (76.4%: [97/127]) had low BMD (based on T-Score) (osteoporosis: 39.4%; osteopenia: 37%, including those undergoing TKR/THR (total: 75.6%; osteoporosis: 38.5%; osteopenia: 37.2%) and spinal procedures (total: 93.10% [27/29]; osteoporosis: 65.5%; osteopenia: 27.6%). Radial BMD measurements showed higher prevalence of osteoporosis and osteopenia. Based on FRAX score, nearly 30% patients were at a high risk of hip fracture in the next 10 years. As per NOF guidelines, most (59.79%; 58/97) patients with osteoporosis/osteopenia met criteria for pharmacological treatment.
Conclusions: Regular pre-operative bone health evaluation should be adopted and Osteoporosis/Osteopenia patients should be adequately managed pharmacologically in India
Dr. Dilip Shah is an Orthopedic surgeon and has an experience of more than 40 years in this field. He completed MBBS from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1978 and MS - Orthopedics from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1980. He is winner of the Highest Fellowship in World SICOT in 1885 in Milano Italy. Awarded AO fellowship to West Germany in 1995. Editor in Chief: ASOR Acta Scientific Orthopedics, On Editorial Board of Forte Journal of Orthopedics & Sports Medicine. PROFESSOR in MUHS, Mumbai University, Professor in College of Physicians & Surgeons, Examiner for Post Graduate Exams, Recognized Inspector for Recognition of Institution for PG Teaching. Editor in Chief ASOR, On Board of Editors of many Journals.