Andriardi, Nurully and dr. Dini Rachma Erawati,, SpRad(K), and Dr. dr. Nur Samsu,, Sp.PD-KGH, Finasim, and Dr. dr. Nanik Setjowati,, M.Kes (2023) Kesesuaian Radiografi Manus Dengan Bmd Pada Pasien Hemodialisis Rutin. Magister thesis, Universitas Brawijaya.
Abstract
Pendahuluan: CKD merupakan faktor resiko independen osteoporosis. Risiko fraktur pada pasien yang menjalani Hemodialisis rutin meningkat 5 kali lipat. KDIGO menganjurkan pemeriksaan DXA BMD untuk menilai densitas tulang pasien jika akan berpengaruh pada keputusan terapi. Mesin DXA untuk pemeriksaan BMD tidak tersedia di semua layanan Kesehatan,sedangkan mesin X-ray tersedia di semua pusat layanan Kesehatan. Hasil penelitian: Penelitian ini merupakan penelitian penelitian retrospektif, melibatkan 50 subyek usia>18 tahun, dari pemeriksaan radiografi manus dan nilai BMD pada pasien yang menjalani hemodialisis dibandingkan dengan kontrol. Pembahasan: didapatkan kesesuaian nilai CTR dengan nilai BMD pada pasien hemodialisis rutin (p = 1.00) dan tidak ada perbedaan signifikan pada nilai CTR (p = 0.433) dan nilai BMD, baik T score; p = 0.62 (p>0,05) dan Z score; p = 0.25 (p>0,05) antara pasien Hemodialisis rutin dan kontrol. Kesimpulan: Didapatkan kesesuaian nilai CTR dan BMD pada pasien Hemodialisis rutin
English Abstract
Introduction: CKD stage V is an independent risk factor for osteoporosis. The risk of fracture in routine hemodialysis patients increases five times. KDIGO suggest DXA BMD examination to assess the patient’s bone density if this will affect the patient’s therapy. DXA machines are not available at every healthcare center that provides hemodialysis, while X-ray machines for radiographic examination are available at every health center. Research report: This research is a retrospective study involving 50 patients aged >18 years, consisting of 25 stage V CKD patients undergoing routine hemodialysis and control patients who met the criteria. This research compared the second metacarpal cortex thickness ratio value from human radiography examination with the BMD value in patients undergoing routine hemodialysis and compared the CTR value and BMD value between patients undergoing routine hemodialysis and controls. Discussion: Conformity was found between CTR values and BMD values in routine hemodialysis patients (p = 1.00, kappa = 1.00) and there were no significant differences in CTR values (p = 0.433) or BMD values T score; p = 0.62 (p>0,05) and Z score; p = 0.25 (p>0,05)) between hemodialysis patients routine and control. Conclusion: It was found that CTR and BMD values were compatible in routine hemodialysis patients
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 052306 |
| Uncontrolled Keywords: | hemodialsis rutin, radiografi manus, rasio ketebalan kortex, routine hemodialysis, hand radiography, cortical thickness ratio, DXA BMD |
| Divisions: | Fakultas Ilmu Sosial dan Ilmu Politik > Hubungan Internasional |
| Depositing User: | Unnamed user with username ihwan |
| Date Deposited: | 15 Jan 2024 01:42 |
| Last Modified: | 15 Jan 2024 01:42 |
| URI: | http://repository.ub.ac.id/id/eprint/209611 |
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