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Tytuł oryginału: Is the predictive power of previous fractures for new spine and non-spine fractures associated with biochemical evidence of altered bone remodelling? The EPOS study.
Autorzy: Vergnaud P., Lunt M., Scheidt-Nave C., Poor G., Gennari C., Hoszowski K., Lopez Vaz A., Reid D. M., Benevolenskaya L., Grazio S., Weber K., Miazgowski T., Stepan J. J., Masaryk P., Galan F., Bruges Armas J., Lorenc R., Havelka S., Perez Cano R., Seibel M., Armbrecht G., Kaptoge S., O'Neill T. W., Silman A. J., Felsenberg D., Reeve J., Delmas P. D.
Źródło: Clin. Chim. Acta 2002: 322 (1/2) s.121-132, tab., bibliogr. 49 poz.
Sygnatura GBL: 303,881

Hasła klasyfikacyjne GBL:
  • endokrynologia
  • traumatologia i ortopedia

    Typ dokumentu:
  • praca kliniczna
  • praca opublikowana za granicą
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie

    Streszczenie angielskie: Bacground: In the European Prospective Osteoporosis Study (EPOS), a past spine fracture increased risk of an incident fracture 3.6 - 12-fold even after adjusting for BMD. We examined the possibility that biochemical marker levels were associated with this unexplained BMD-independent element of fracture risk. Each of 182 cases in EPOS of spine or non-spine fracture that occurred in 3.8 years of follow-up was matched by age, sex and study centre with two randomly assigned never-fractured controls and one case of past fracture. Analysis measured blind were: osteocalcin, bone-specific alkaline phosphatase, total alkaline phosphatase, serum creatinine, calcium, phosphatase and albumin, together with the collagen cross-links degradation products serum CTS and urine CTX. Most subjects also had bone density neasured by DXA. Results: Cases who had recent fractures did not differ in marlker levels from cases who had their had last fracture more than 3 years previously. No statistically significant effect of recent fracture was found for any marker except osteocalcin, which was 17.6 p.c. lower in recent peripheral cases compared to unfractured controls (p 0.05) and this was independent of BMD. Conclusion: Past fracture as a risk indicator for future fracture is not strongly mediated through increased bone turnover.

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