caa a22 4500 605462984 CHVBK 20210128100251.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00774-014-0625-3 doi (NATIONALLICENCE)springer-10.1007/s00774-014-0625-3 Comparison of expert and nonexpert physicians in the assessment of vertebral fractures using the semiquantitative method in Japan [Elektronische Daten] [Yukari Uemura, Nobuaki Miyakawa, Hajime Orimo, Masataka Shiraki, Toshitaka Nakamura, Satoshi Mori] Assessment of vertebral fracture is critically important for the diagnosis and treatment of osteoporosis. This study aimed to clarify the effectiveness of the semiquantitative (SQ) method in the assessment of vertebral fractures in Japanese clinical practice. Forty-four physicians (seven experts and 37 nonexperts) assessed the spinal radiographs of 40 patients participating in the Adequate Treatment of Osteoporosis (A-TOP) Japanese Osteoporosis Intervention Trial (JOINT)-02 at the baseline, 12months, and 24months using the SQ method. The proportion of diagnosed fracture cases per spine was higher in the nonexpert group than in the expert group at each time point, and was especially high in the upper thoracic spine (T4-T6). The least mean squares spinal fracture index was significantly higher in the nonexpert group than in the expert group for all time points. The kappa statistics were also higher in the expert group than in the nonexpert group for all vertebral levels at all time points. Assessment of vertebral fractures using the SQ method tended to be overestimated by nonexpert physicians compared with the experts, with poor nonexpert interobserver reliability and well-matched expert interobserver reliability. Conscious efforts to avoid overestimation and to obtain higher reliability with the SQ method should be made to achieve more precise diagnoses and treatment of osteoporosis in Japanese clinical practice. The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 Osteoporosis nationallicence Semiquantitative method nationallicence Spinal fracture index nationallicence Vertebral fracture nationallicence Uemura Yukari Department of Biostatistics, School of Public Health, The University of Tokyo, Tokyo, Japan aut Miyakawa Nobuaki Public Health Research Foundation, Tokyo, Japan aut Orimo Hajime Japan Osteoporosis Foundation, Tokyo, Japan aut Shiraki Masataka Department of Internal Medicine, Research Institute and Practice for Involutional Diseases, Nagano, Japan aut Nakamura Toshitaka National Center for Global Health and Medicine, Tokyo, Japan aut Mori Satoshi Bone and Joint Surgery, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, 430-8558, Hamamatsu, Shizuoka, Japan aut Journal of Bone and Mineral Metabolism Springer Japan 33/6(2015-11-01), 642-650 0914-8779 33:6<642 2015 33 774 https://doi.org/10.1007/s00774-014-0625-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00774-014-0625-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Uemura Yukari Department of Biostatistics, School of Public Health, The University of Tokyo, Tokyo, Japan aut NATIONALLICENCE 700 1- Miyakawa Nobuaki Public Health Research Foundation, Tokyo, Japan aut NATIONALLICENCE 700 1- Orimo Hajime Japan Osteoporosis Foundation, Tokyo, Japan aut NATIONALLICENCE 700 1- Shiraki Masataka Department of Internal Medicine, Research Institute and Practice for Involutional Diseases, Nagano, Japan aut NATIONALLICENCE 700 1- Nakamura Toshitaka National Center for Global Health and Medicine, Tokyo, Japan aut NATIONALLICENCE 700 1- Mori Satoshi Bone and Joint Surgery, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Naka-ku, 430-8558, Hamamatsu, Shizuoka, Japan aut NATIONALLICENCE 773 0- Journal of Bone and Mineral Metabolism Springer Japan 33/6(2015-11-01), 642-650 0914-8779 33:6<642 2015 33 774