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Risk of imminent fracture following a previous fracture in a Swedish database study

Banefelt, J. (författare)
Quantify Research AB,Quantify Res, Sweden,Quantify Res, Stockholm, Sweden
Åkesson, K. E. (författare)
Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,Skåne University Hospital
Spångéus, A. (författare)
Linköping University,Linköping University Hospital
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Ljunggren, O. (författare)
Uppsala University Hospital,Uppsala Univ Hosp, Sweden
Karlsson, L. (författare)
Quantify Research AB,Quantify Res, Sweden,Quantify Res, Stockholm, Sweden
Ström, O. (författare)
Karolinska Institutet,Quantify Research AB
Ortsäter, G. (författare)
Quantify Research AB
Libanati, C. (författare)
UCB BioPharma SPRL,UCB Biopharma Sprl, Belgium,UCB Biopharma Sprl, Allee Rech 60, B-1070 Brussels, Belgium
Toth, E. (författare)
UCB BioPharma SPRL,UCB Biopharma Sprl, Belgium,UCB Biopharma Sprl, Allee Rech 60, B-1070 Brussels, Belgium
Strom, O. (författare)
Quantify Res, Sweden; Karolinska Inst, Sweden,Quantify Res, Stockholm, Sweden;Karolinska Inst, Stockholm, Sweden
Akesson, K. E. (författare)
Lund Univ, Sweden; Skane Univ Hosp, Sweden,Lund Univ, Dept Clin Sci Malmo, Clin & Mol Osteoporosis Res, Malmo, Sweden;Skane Univ Hosp, Dept Orthopaed, Malmo, Sweden
Spångeus, Anna (författare)
Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Endokrinmedicinska kliniken
Ortsater, G. (författare)
Quantify Res, Sweden,Quantify Res, Stockholm, Sweden
Spangeus, A. (författare)
Linkoping Univ, Linkoping Univ Hosp, Linkoping, Sweden
Ljunggren, Östen (författare)
Uppsala universitet,Endokrinologi och mineralmetabolism
Spangeus, A (författare)
Akesson, KE (författare)
Toth, E (författare)
Strom, O (författare)
Karolinska Institutet
Libanati, C (författare)
Ortsater, G (författare)
Banefelt, J (författare)
Ljunggren, O (författare)
Karlsson, L (författare)
visa färre...
Springer, 2019-01-24
Ingår i: Osteoporosis International. - : Springer. - 0937-941X .- 1433-2965. ; 30:3, s. 601-609
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • Summary: This study examined the imminent risk of a future fracture within 1 and 2 years following a first fracture in women aged 50 years and older and assessed independent factors associated with risk of subsequent fractures. The study highlights the need to intervene rapidly after a fracture to prevent further fractures. Introduction: This study aims to determine the imminent risk of subsequent fractures within 1 and 2 years following a first fracture and to assess independent factors associated with subsequent fractures. Methods: Retrospective, observational cohort study of women aged ≥ 50 years with a fragility fracture was identified from Swedish national registers. Clinical/demographic characteristics at the time of index fracture and cumulative fracture incidences up to 12 and 24 months following index fracture were calculated. Risk factors for subsequent fracture were identified using multivariate regression analysis. Results: Two hundred forty-two thousand one hundred eight women (mean [SD] age 74 [12.5] years) were included. The cumulative subsequent fracture incidence at 12 months was 7.1% (95% confidence interval [CI], 6.9–7.2) and at 24 months was 12.0% (95% CI, 11.8–12.1). The rate of subsequent fractures was highest in the first month (~ 15 fractures per 1000 patient-years) and remained steady between 4 and 24 months (~ 5 fractures/1000 patient-years). Higher age was an independent risk factor for imminent subsequent fractures (at 24 months, sub-distribution hazard ratio [HR], 3.07; p < 0.001 for women 80–89 years [reference 50–59 years]). Index vertebral fracture was a strong independent risk factor for subsequent fracture (sub-distribution HR, 2.72 versus hip fracture; p < 0.001 over 12 months; HR, 2.23; p < 0.001 over 24 months). Conclusions: Our findings highlight the need to intervene rapidly after any fragility fracture in postmenopausal women. The occurrence of a fragility fracture provides healthcare systems with a unique opportunity to intervene to reduce the increased risk of subsequent fractures.


MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopedics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopaedics (hsv//eng)


Fracture risk
Fragility fracture
Fracture risk; Fragility fracture; Near-term; Osteoporosis

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