Akademik Veri Yönetim Sistemi
HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI, sa.4, ss.140-144, 2008 (ESCI)
Osteoporosis is a metabolic bone disease characterised by decrease in bone mineral density with a subsequent increase in risk of fractures. It is one of the leading problems of public health, in order to decrease any fracture, early diagnosis and treatment is important. Singh Index (SI) was developed by Singh et al, for diagnosing are evaluating osteoporosis, This study was planned to test the reliability of this simpie and inexpensive method. Anteroposterior radiographs of both hips were taken from 131 (96.3%) women arid 5 (3.7%) men with a mean age of 59.8 +/- 10.2 (min, 21, max. 90) who attended our out-patient clinic. Three specialist in orthopaedics were involved m the determination. of the interobserver and intraobserver variations in the evaluation of all radiographs according to the criteria described by Singh et at Kappa Statistic was used for the statistical analyses, The mean kappa values for interobserver evaluation in the first and second evalution were 0.213 +/- 0.09 and 0.197 +/- 0.11. The mean kappa value was 0.459 +/- 0.08 for the intraobserver evaluation. When a scale with three grades was used instead of the original with six ktrades, the mean kappa values were 0.313 +/- 0.09, 0.331 +/- 0.16 and 0.508 +/- 0.17, respectively. The harmony was average both in the interobserver and the intraobserver evaluation even in the three graded scale. It hs been concluded that St is not a sufficient tool in evaluating osteoporosis.