Molecular Targets for Nonhormonal Treatment Based on a Multistep Process of Adenomyosis Development
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 30, Heft 3, S. 743-760
ISSN: 1933-7205
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In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 30, Heft 3, S. 743-760
ISSN: 1933-7205
In: Journal of the City Planning Institute of Japan, Band 47, Heft 3, S. 787-792
ISSN: 2185-0593
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 31, Heft 2, S. 320-331
ISSN: 1933-7205
In: Journal of the City Planning Institute of Japan, Band 55, Heft 3, S. 592-599
ISSN: 2185-0593
In: Journal of the City Planning Institute of Japan, Band 50, Heft 2, S. 239-245
ISSN: 2185-0593
In: Journal of the City Planning Institute of Japan, Band 48, Heft 3, S. 159-164
ISSN: 2185-0593
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 29, Heft 3, S. 653-667
ISSN: 1933-7205
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 29, Heft 8, S. 2165-2178
ISSN: 1933-7205
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 27, Heft 3, S. 771-778
ISSN: 1933-7205
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 27, Heft 5, S. 1089-1096
ISSN: 1933-7205
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 31, Heft 4, S. 906-916
ISSN: 1933-7205
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 24, Heft 11, S. 1493-1502
ISSN: 1933-7205
PURPOSE: Early diagnosis of degenerative cervical spondylosis (DCM) is desirable because late treatment can lead to irreversible sequelae. No screening method has yet been established. Grip strength is commonly used in primary care settings to evaluate disease activity and diagnose sarcopenia. This single-center, cross-sectional study aimed to determine the diagnostic accuracy of grip strength for cervical myelopathy (DCM) and cutoff values for primary care DCM screening using area under the curve (AUC) and sensitivity values. PATIENTS AND METHODS: The DCM group comprised 249 consecutive participants (165 males, 84 females; mean age, 65.1 years) with DCM who had undergone surgery at the affiliated hospital. The control group comprised 735 (280 males, 455 females; mean age, 65.8 years) participants undertaking a local government health checkup. Stratifying by age and sex, receiver operating characteristic (ROC) analyses were constructed for each group using minimum grip strength values for both hands. Based on ROC analysis, cut-off values were established so that the screening sensitivity would be 90% for either sex or age group, respectively. RESULTS: According to age group and sex (males/females [M/F]), AUC values for a diagnosis of DCM in M/F were as follows: 40–59 years, 0.92/0.87; 60–69 years, 0.94/0.89; 70–79 years, 0.89/0.91; and 80–89 years, 0.97/0.97. Calculated M/F cutoff values were 41/24.5, 27/16, 27/15, and 20/10 kg, which were similar to cutoff scores for sarcopenia in M/F patients aged 60–69 and 70–79 years. M/F sensitivities in each age groups were 0.94/0.91, 0.92/0.90, 0.95/0.96, and 0.92/0.93. M/F specificities were 0.62/0.59, 0.84/0.83, 0.61/0.71, and 0.83/0.88. CONCLUSION: Grip strength had moderate-to-high diagnostic accuracy for DCM between participants in the control and DCM groups. We developed easily applicable cutoff values for primary care DCM screening with ≥90% sensitivity. In patients with sarcopenia, DCM should be differentially diagnosed in primary care.
BASE
Hiroshi Kobayashi, Koji Otani, Takuya Nikaido, Kazuyuki Watanabe, Kinshi Kato, Junichi Handa, Shoji Yabuki, Shin-Ichi Konno Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JapanCorrespondence: Hiroshi Kobayashi 1-Hikarigaoka, Fukushima, 960-1295, JapanTel +8124-547-1276Fax +81 24-548-5505Email hiroshik@fmu.ac.jpPurpose: Early diagnosis of degenerative cervical spondylosis (DCM) is desirable because late treatment can lead to irreversible sequelae. No screening method has yet been established. Grip strength is commonly used in primary care settings to evaluate disease activity and diagnose sarcopenia. This single-center, cross-sectional study aimed to determine the diagnostic accuracy of grip strength for cervical myelopathy (DCM) and cutoff values for primary care DCM screening using area under the curve (AUC) and sensitivity values.Patients and Methods: The DCM group comprised 249 consecutive participants (165 males, 84 females; mean age, 65.1 years) with DCM who had undergone surgery at the affiliated hospital. The control group comprised 735 (280 males, 455 females; mean age, 65.8 years) participants undertaking a local government health checkup. Stratifying by age and sex, receiver operating characteristic (ROC) analyses were constructed for each group using minimum grip strength values for both hands. Based on ROC analysis, cut-off values were established so that the screening sensitivity would be 90% for either sex or age group, respectively.Results: According to age group and sex (males/females [M/F]), AUC values for a diagnosis of DCM in M/F were as follows: 40– 59 years, 0.92/0.87; 60– 69 years, 0.94/0.89; 70– 79 years, 0.89/0.91; and 80– 89 years, 0.97/0.97. Calculated M/F cutoff values were 41/24.5, 27/16, 27/15, and 20/10 kg, which were similar to cutoff scores for sarcopenia in M/F patients aged 60– 69 and 70– 79 years. M/F sensitivities in each age groups were 0.94/0.91, 0.92/0.90, 0.95/0.96, and 0.92/0.93. M/F specificities were 0.62/0.59, 0.84/0.83, 0.61/0.71, and 0.83/0.88.Conclusion: Grip strength had moderate-to-high diagnostic accuracy for DCM between participants in the control and DCM groups. We developed easily applicable cutoff values for primary care DCM screening with ≥ 90% sensitivity. In patients with sarcopenia, DCM should be differentially diagnosed in primary care.Keywords: degenerative cervical myelopathy, cervical spondylotic myelopathy, ossification of posterior longitudinal ligament, cervical disc herniation, primary care, early detection, sarcopenia
BASE
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 21, Heft 8, S. 966-972
ISSN: 1933-7205