Journal of Bone and Mineral Research最新文献

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A systematic review and meta-analysis of the effects of probiotics on bone outcomes in rodent models. 益生菌对啮齿类动物模型骨骼结果影响的系统回顾和荟萃分析。
IF 5.1 1区 医学
Journal of Bone and Mineral Research Pub Date : 2024-11-15 DOI: 10.1093/jbmr/zjae187
Jenalyn L Yumol, William Gittings, Russell J de Souza, Wendy E Ward
{"title":"A systematic review and meta-analysis of the effects of probiotics on bone outcomes in rodent models.","authors":"Jenalyn L Yumol, William Gittings, Russell J de Souza, Wendy E Ward","doi":"10.1093/jbmr/zjae187","DOIUrl":"https://doi.org/10.1093/jbmr/zjae187","url":null,"abstract":"<p><p>Emerging evidence demonstrates an opportunity for using probiotics to support bone health but findings in humans are limited. This systematic review investigated if probiotic supplementation improves bone mineral density and bone structure in rodent models compared to no supplementation. Studies (n = 71) examining the effect of oral consumption of any probiotic strain on bone mineral density or bone structure in rodents were included. Meta-analyses were conducted separately by study model (intact, ovariectomized) and bone site (femur, tibia, spine) to determine the probiotic effect (standardized mean difference, SMD) on volumetric bone mineral density (vBMD), bone volume fraction (BV/TV) and cortical thickness (Ct.Th). Reasons for heterogeneity were explored (probiotic genus, sex, type of rodent). In intact rodents, probiotics resulted in greater vBMD (SMD = 0.43, 95% CI [0.13, 0.74], I2 = 3%, P<.05) and higher BV/TV (SMD = 0.63, 95% CI [0.25, 1.02], I2 = 57%, P<.05) at the femur without changes in cortical bone structure. In ovariectomized models, probiotic supplementation resulted in greater vBMD (femur: SMD = 1.28, 95% CI [1.01, 1.55], I2 = 3%, P<.05; tibia: SMD = 1.29, 95% CI [0.52, 2.05], I2 = 67%, P<.05; and spine: SMD = 1.47, 95% CI [0.97, 1.97], I2 = 26%, P<.05) as well as higher BV/TV (femur: SMD = 1.16, 95% CI [0.80, 1.52], I2 = 56%, P<.05; tibia: SMD = 2.13; 95% CI [1.09, 3.17], I2 = 79%, P<.05; spine: SMD = 2.04, 95% CI [1.17, 2.90], I2 = 76%, P<.05) and Ct.Th at the tibia (SMD = 2.35; 95% CI [0.72, 3.97], I2 = 82%, P<.05) but not at the femur versus control. The syntheses support probiotics as a strategy to improve bone outcomes in rodent models.</p>","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142637966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to the Submitted Comment Regarding our Publication “Increased Bone Material Strength Index Is Positively Associated With the Risk of Incident Osteoporotic Fractures in Older Swedish Women” 对提交的关于我们出版物“骨材料强度指数增加与瑞典老年妇女骨质疏松性骨折风险呈正相关”的评论的回复
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-31 DOI: 10.1002/jbmr.4903
Raju Jaiswal, Michail Zoulakis, Kristian F. Axelsson, Daniel Sundh, Henrik Litsne, Lisa Johansson, Mattias Lorentzon
{"title":"Reply to the Submitted Comment Regarding our Publication “Increased Bone Material Strength Index Is Positively Associated With the Risk of Incident Osteoporotic Fractures in Older Swedish Women”","authors":"Raju Jaiswal,&nbsp;Michail Zoulakis,&nbsp;Kristian F. Axelsson,&nbsp;Daniel Sundh,&nbsp;Henrik Litsne,&nbsp;Lisa Johansson,&nbsp;Mattias Lorentzon","doi":"10.1002/jbmr.4903","DOIUrl":"10.1002/jbmr.4903","url":null,"abstract":"our study","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 10","pages":"1543-1544"},"PeriodicalIF":6.2,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bacterial Lipopolysaccharides Exacerbate Neurogenic Heterotopic Ossification Development 细菌脂多糖加剧神经源性异位骨化的发展。
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-21 DOI: 10.1002/jbmr.4905
Marjorie Salga, Selwin G Samuel, Hsu-Wen Tseng, Laure Gatin, Dorothée Girard, Bastien Rival, Valérie Barbier, Kavita Bisht, Svetlana Shatunova, Charlotte Debaud, Ingrid G Winkler, Julie Paquereau, Aurélien Dinh, Guillaume Genêt, Sébastien Kerever, Paer-Sélim Abback, Sébastien Banzet, François Genêt, Jean-Pierre Lévesque, Kylie A Alexander
{"title":"Bacterial Lipopolysaccharides Exacerbate Neurogenic Heterotopic Ossification Development","authors":"Marjorie Salga,&nbsp;Selwin G Samuel,&nbsp;Hsu-Wen Tseng,&nbsp;Laure Gatin,&nbsp;Dorothée Girard,&nbsp;Bastien Rival,&nbsp;Valérie Barbier,&nbsp;Kavita Bisht,&nbsp;Svetlana Shatunova,&nbsp;Charlotte Debaud,&nbsp;Ingrid G Winkler,&nbsp;Julie Paquereau,&nbsp;Aurélien Dinh,&nbsp;Guillaume Genêt,&nbsp;Sébastien Kerever,&nbsp;Paer-Sélim Abback,&nbsp;Sébastien Banzet,&nbsp;François Genêt,&nbsp;Jean-Pierre Lévesque,&nbsp;Kylie A Alexander","doi":"10.1002/jbmr.4905","DOIUrl":"10.1002/jbmr.4905","url":null,"abstract":"<p>Neurogenic heterotopic ossifications (NHO) are heterotopic bones that develop in periarticular muscles after severe central nervous system (CNS) injuries. Several retrospective studies have shown that NHO prevalence is higher in patients who suffer concomitant infections. However, it is unclear whether these infections directly contribute to NHO development or reflect the immunodepression observed in patients with CNS injury. Using our mouse model of NHO induced by spinal cord injury (SCI) between vertebrae T<sub>11</sub> to T<sub>13</sub>, we demonstrate that lipopolysaccharides (LPS) from gram-negative bacteria exacerbate NHO development in a toll-like receptor-4 (TLR4)-dependent manner, signaling through the TIR-domain-containing adapter-inducing interferon-β (TRIF/TICAM1) adaptor rather than the myeloid differentiation primary response-88 (MYD88) adaptor. We find that T<sub>11</sub> to T<sub>13</sub> SCI did not significantly alter intestinal integrity nor cause intestinal bacteria translocation or endotoxemia, suggesting that NHO development is not driven by endotoxins from the gut in this model of SCI-induced NHO. Relevant to the human pathology, LPS increased expression of osteoblast markers in cultures of human fibro-adipogenic progenitors isolated from muscles surrounding NHO biopsies. In a case–control retrospective study in patients with traumatic brain injuries, infections with gram-negative <i>Pseudomonas</i> species were significantly associated with NHO development. Together these data suggest a functional association between gram-negative bacterial infections and NHO development and highlights infection management as a key consideration to avoid NHO development in patients. © 2023 The Authors. <i>Journal of Bone and Mineral Research</i> published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).</p>","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 11","pages":"1700-1717"},"PeriodicalIF":6.2,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://asbmr.onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4905","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabidiol and Cannabigerol, Nonpsychotropic Cannabinoids, as Analgesics that Effectively Manage Bone Fracture Pain and Promote Healing in Mice 大麻二酚和大麻二酚,非精神性大麻酚类药物,作为有效治疗小鼠骨折疼痛和促进愈合的镇痛药。
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-19 DOI: 10.1002/jbmr.4902
Deepak Kumar Khajuria, Vengadeshprabhu Karuppagounder, Irena Nowak, Diana E. Sepulveda, Gregory S. Lewis, Christopher C. Norbury, Wesley M. Raup-Konsavage, Kent E. Vrana, Fadia Kamal, Reyad A. Elbarbary
{"title":"Cannabidiol and Cannabigerol, Nonpsychotropic Cannabinoids, as Analgesics that Effectively Manage Bone Fracture Pain and Promote Healing in Mice","authors":"Deepak Kumar Khajuria,&nbsp;Vengadeshprabhu Karuppagounder,&nbsp;Irena Nowak,&nbsp;Diana E. Sepulveda,&nbsp;Gregory S. Lewis,&nbsp;Christopher C. Norbury,&nbsp;Wesley M. Raup-Konsavage,&nbsp;Kent E. Vrana,&nbsp;Fadia Kamal,&nbsp;Reyad A. Elbarbary","doi":"10.1002/jbmr.4902","DOIUrl":"10.1002/jbmr.4902","url":null,"abstract":"<p>Bone fractures are among the most prevalent musculoskeletal injuries, and pain management is an essential part of fracture treatment. Fractures heal through an early inflammatory phase, followed by repair and remodeling. Nonsteroidal anti-inflammatory drugs (NSAIDs) are not recommended for fracture pain control as they potently inhibit the inflammatory phase and, thus, impair the healing. Opioids do not provide a better alternative for several reasons, including abuse potential. Accordingly, there is an unmet clinical need for analgesics that effectively ameliorate postfracture pain without impeding the healing. Here, we investigated the analgesic efficacy of two nonpsychotropic cannabinoids, cannabidiol (CBD) and cannabigerol (CBG), in a mouse model for tibial fracture. Mice with fractured tibiae exhibited increased sensitivity to mechanical, cold, and hot stimuli. Both CBD and CBG normalized pain sensitivity to all tested stimuli, and their analgesic effects were comparable to those of the NSAIDs. Interestingly, CBD and CBG promoted bone healing via multiple mechanisms during the early and late phases. During the early inflammatory phase, both cannabinoids increased the abundance of periosteal bone progenitors in the healing hematoma and promoted the osteogenic commitment of these progenitors. During the later phases of healing, CBD and CBG accelerated the fibrocartilaginous callus mineralization and enhanced the viability and proliferation of bone and bone-marrow cells. These effects culminated in higher bone volume fraction, higher bone mineral density, and improved mechanical quality of the newly formed bone. Together, our data suggest CBD and CBG as therapeutic agents that can replace NSAIDs in managing postfracture pain as both cannabinoids exert potent analgesic effects and, at the same time, promote bone healing. © 2023 The Authors. <i>Journal of Bone and Mineral Research</i> published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).</p>","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 11","pages":"1560-1576"},"PeriodicalIF":6.2,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://asbmr.onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10025062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Journal of Bone and Mineral Research: Volume 38, Number 8, August 2023 骨与矿物研究杂志:38卷,第8期,2023年8月
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-18 DOI: 10.1002/jbmr.4597
{"title":"Journal of Bone and Mineral Research: Volume 38, Number 8, August 2023","authors":"","doi":"10.1002/jbmr.4597","DOIUrl":"https://doi.org/10.1002/jbmr.4597","url":null,"abstract":"","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 8","pages":"C1"},"PeriodicalIF":6.2,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4597","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"5710948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Issue Information - Declaration of Helsinki 发行资料-《赫尔辛基宣言
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-18 DOI: 10.1002/jbmr.4598
{"title":"Issue Information - Declaration of Helsinki","authors":"","doi":"10.1002/jbmr.4598","DOIUrl":"https://doi.org/10.1002/jbmr.4598","url":null,"abstract":"","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 8","pages":"BMi-BMii"},"PeriodicalIF":6.2,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"5696947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ed Bd, Masthead, Comm List and TOC Ed Bd,报头,通信列表和TOC
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-18 DOI: 10.1002/jbmr.4599
{"title":"Ed Bd, Masthead, Comm List and TOC","authors":"","doi":"10.1002/jbmr.4599","DOIUrl":"https://doi.org/10.1002/jbmr.4599","url":null,"abstract":"","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 8","pages":"FMi-FMv"},"PeriodicalIF":6.2,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"5741119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fracture Risk in Patients with Anorexia Nervosa Over a 40-Year Period 40年间神经性厌食症患者骨折风险分析
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-14 DOI: 10.1002/jbmr.4901
Mette Søeby, Sigrid Bjerge Gribsholt, Loa Clausen, Bjørn Richelsen
{"title":"Fracture Risk in Patients with Anorexia Nervosa Over a 40-Year Period","authors":"Mette Søeby,&nbsp;Sigrid Bjerge Gribsholt,&nbsp;Loa Clausen,&nbsp;Bjørn Richelsen","doi":"10.1002/jbmr.4901","DOIUrl":"10.1002/jbmr.4901","url":null,"abstract":"<p>Researchers have reported increased fracture risk in patients with anorexia nervosa (AN), but more knowledge on the long-term risk and the effects of age, male sex, and time-related changes is still needed. We examined the long-term (up to 40 years) fracture risk among patients with AN compared to a matched comparison cohort from the general population. We utilized data from the Danish Health Care Registers to identify 14,414 patients with AN (13,474 females and 940 males) diagnosed between 1977 and 2018, with a median age of 18.6 years and median follow-up time of 9.65 years. We calculated adjusted hazard ratios (aHRs) with 95% confidence intervals (CIs) using Cox regression analysis for overall and site-specific fracture risks. The overall aHR of any fracture was 1.46 [95% CI: 1.36 to 1.48], with an aHR of 1.50 [95% CI: 1.43 to 1.57] for females and 0.95 [95% CI: 0.82 to 1.1] for males. For specific fractures we found an association with femur fractures both in females 4.06 [95% CI: 3.39 to 4.46] and in males 2.79 [95% CI: 1.45 to 2.37] and for fractures of the spine (females 2.38 [95% CI: 2.00 to 2.84], males 2.31 [95% CI: 1.20 to 4.42]). The aHR of any fracture decreased from 1.66 [95% CI: 1.52 to 1.81] in the period from 1977 to 1997 to 1.40 [95% CI: 1.33 to 1.40] from 1998 to 2018. In conclusion, we found that AN was associated with a 46% increased risk of any fracture up to 40 years after diagnosis. We found no overall increased risk in males, but in both sexes we found a particularly high site-specific fracture risk in the spine and femur. Fracture risk decreased in recent decades, indicating that more patients with AN have been diagnosed with presumably less severe disease and that the earlier detection and intervention of AN in recent years may translate into a lower facture risk. © 2023 The Authors. <i>Journal of Bone and Mineral Research</i> published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).</p>","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 11","pages":"1586-1593"},"PeriodicalIF":6.2,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://asbmr.onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10108888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteocyte RANKL Drives Bone Resorption in Mouse Ligature-Induced Periodontitis 骨细胞RANKL在小鼠连字诱导的牙周炎中驱动骨吸收
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-08 DOI: 10.1002/jbmr.4897
Mizuho Kittaka, Tetsuya Yoshimoto, Marcus E Levitan, Rina Urata, Roy B Choi, Yayoi Teno, Yixia Xie, Yukiko Kitase, Matthew Prideaux, Sarah L Dallas, Alexander G Robling, Yasuyoshi Ueki
{"title":"Osteocyte RANKL Drives Bone Resorption in Mouse Ligature-Induced Periodontitis","authors":"Mizuho Kittaka,&nbsp;Tetsuya Yoshimoto,&nbsp;Marcus E Levitan,&nbsp;Rina Urata,&nbsp;Roy B Choi,&nbsp;Yayoi Teno,&nbsp;Yixia Xie,&nbsp;Yukiko Kitase,&nbsp;Matthew Prideaux,&nbsp;Sarah L Dallas,&nbsp;Alexander G Robling,&nbsp;Yasuyoshi Ueki","doi":"10.1002/jbmr.4897","DOIUrl":"10.1002/jbmr.4897","url":null,"abstract":"<p>Mouse ligature-induced periodontitis (LIP) has been used to study bone loss in periodontitis. However, the role of osteocytes in LIP remains unclear. Furthermore, there is no consensus on the choice of alveolar bone parameters and time points to evaluate LIP. Here, we investigated the dynamics of changes in osteoclastogenesis and bone volume (BV) loss in LIP over 14 days. Time-course analysis revealed that osteoclast induction peaked on days 3 and 5, followed by the peak of BV loss on day 7. Notably, BV was restored by day 14. The bone formation phase after the bone resorption phase was suggested to be responsible for the recovery of bone loss. Electron microscopy identified bacteria in the osteocyte lacunar space beyond the periodontal ligament (PDL) tissue. We investigated how osteocytes affect bone resorption of LIP and found that mice lacking receptor activator of NF-κB ligand (RANKL), predominantly in osteocytes, protected against bone loss in LIP, whereas recombination activating 1 (RAG1)-deficient mice failed to resist it. These results indicate that T/B cells are dispensable for osteoclast induction in LIP and that RANKL from osteocytes and mature osteoblasts regulates bone resorption by LIP. Remarkably, mice lacking the myeloid differentiation primary response gene 88 (MYD88) did not show protection against LIP-induced bone loss. Instead, osteocytic cells expressed nucleotide-binding oligomerization domain containing 1 (NOD1), and primary osteocytes induced significantly higher <i>Rankl</i> than primary osteoblasts when stimulated with a NOD1 agonist. Taken together, LIP induced both bone resorption and bone formation in a stage-dependent manner, suggesting that the selection of time points is critical for quantifying bone loss in mouse LIP. Pathogenetically, the current study suggests that bacterial activation of osteocytes via NOD1 is involved in the mechanism of osteoclastogenesis in LIP. The NOD1-RANKL axis in osteocytes may be a therapeutic target for bone resorption in periodontitis. © 2023 The Authors. <i>Journal of Bone and Mineral Research</i> published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).</p>","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 10","pages":"1521-1540"},"PeriodicalIF":6.2,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10113817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Race/Ethnicity on United States FRAX Calculations and Treatment Qualification: A Registry-Based Study 种族/民族对美国FRAX计算和治疗资格的影响:一项基于登记的研究。
IF 6.2 1区 医学
Journal of Bone and Mineral Research Pub Date : 2023-08-07 DOI: 10.1002/jbmr.4896
William D Leslie, for the ASBMR Task Force on Clinical Algorithms for Fracture Risk
{"title":"Effect of Race/Ethnicity on United States FRAX Calculations and Treatment Qualification: A Registry-Based Study","authors":"William D Leslie,&nbsp;for the ASBMR Task Force on Clinical Algorithms for Fracture Risk","doi":"10.1002/jbmr.4896","DOIUrl":"10.1002/jbmr.4896","url":null,"abstract":"<p>Since 2008. the United States has had four race/ethnic fracture risk assessment tool (FRAX) calculators: White (“Caucasian”), Black, Asian, and Hispanic. The American Society for Bone and Mineral Research Task Force on Clinical Algorithms for Fracture Risk has been examining the implications of retaining race/ethnicity in the US FRAX calculators. To inform the Task Force, we computed FRAX scores according to each US calculator in 114,942 White, 485 Black, and 2816 Asian women (self-reported race/ethnicity) aged 50 years and older. We estimated treatment qualification based upon FRAX thresholds (3% for hip fracture, 20% for major osteoporotic fracture [MOF]). Finally, we examined measures for a hypothetical population-based FRAX calculator derived as the weighted mean for the US population based upon US Census Bureau statistics. With identical inputs, the highest FRAX measurements were found with the White FRAX calculator, lowest measurements with the Black calculator, and intermediate measurements for the Asian and Hispanic calculators. The percentage of women with FRAX scores exceeding the hip fracture treatment threshold was 32.0% for White, 1.9% for Black, and 19.7% for Asian women; the MOF treatment threshold was exceeded for 14.9% of White, 0.0% of Black, and 3.5% of Asian women. Disparities in treatment qualification were reduced after considering additional criteria (fracture history and dual-energy X-ray absorptiometry [DXA] <i>T</i>-score −2.5 or lower). When fracture risk was recalculated for non-White women using the White FRAX calculator, mean values for Asian women slightly exceeded those for White women but for Black women remained substantially below those for White women. When using a single population–based FRAX calculator, the mean probability of fracture and treatment qualification increased for non-White women across the age range. In summary, use of a single population–based FRAX calculator, rather than existing US race/ethnic FRAX calculators, will reduce differences in treatment qualification and may ultimately enhance equity and access to osteoporosis treatment. © 2023 The Authors. <i>Journal of Bone and Mineral Research</i> published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).</p>","PeriodicalId":185,"journal":{"name":"Journal of Bone and Mineral Research","volume":"38 12","pages":"1742-1748"},"PeriodicalIF":6.2,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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