Sökning: onr:"swepub:oai:gup.ub.gu.se/293541" > Fractures, Bone Min...
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000 | 04347naa a2200589 4500 | |
001 | oai:gup.ub.gu.se/293541 | |
003 | SwePub | |
008 | 240528s2020 | |||||||||||000 ||eng| | |
024 | 7 | a https://gup.ub.gu.se/publication/2935412 URI |
024 | 7 | a https://doi.org/10.1210/clinem/dgz2792 DOI |
040 | a (SwePub)gu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a van Santen, S. S.4 aut |
245 | 1 0 | a Fractures, Bone Mineral Density, and Final Height in Craniopharyngioma Patients with a Follow-up of 16 Years |
264 | c 2020-03-07 | |
264 | 1 | b The Endocrine Society,c 2020 |
520 | a Context: Pituitary hormonal deficiencies in patients with craniopharyngioma may impair their bone health. Objective: To investigate bone health in patients with craniopharyngioma. Design: Retrospective cross-sectional study. Setting: Dutch and Swedish referral centers. Patients: Patients with craniopharyngioma (n = 177) with available data on bone health after a median follow-up of 16 years (range, 1-62) were included (106 [60%] Dutch, 93 [53%] male, 84 [48%] childhood-onset disease). Main outcome measures: Fractures, dual X-ray absorptiometry-derived bone mineral density (BMD), and final height were evaluated. Low BMD was defined as T- or Z-score <=-1 and very low BMD as <=-2.5 or <=-2.0, respectively. Results: Fractures occurred in 31 patients (18%) and were more frequent in men than in women (26% vs. 8%, P = .002). Mean BMD was normal (Z-score total body 0.1 [range, -4.1 to 3.5]) but T- or Z-score <=-1 occurred in 47 (50%) patients and T-score <=-2.5 or Z-score <=-2.0 in 22 (24%) patients. Men received less often treatment for low BMD than women (7% vs. 18%, P = .02). Female sex (OR 0.3, P = .004) and surgery (odds ratio [OR], 0.2; P = .01) were both independent protective factors for fractures, whereas antiepileptic medication was a risk factor (OR, 3.6; P = .03), whereas T-score <=-2.5 or Z-score <=-2.0 was not (OR, 2.1; P = .21). Mean final height was normal and did not differ between men and women, or adulthood and childhood-onset patients. Conclusions: Men with craniopharyngioma are at higher risk than women for fractures. In patients with craniopharyngioma, a very low BMD (T-score <=-2.5 or Z-score <=-2.0) seems not to be a good predictor for fracture risk. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng |
653 | a craniopharyngioma | |
653 | a bone health | |
653 | a fractures | |
653 | a bone mineral density | |
653 | a final | |
653 | a height | |
653 | a growth-hormone deficiency | |
653 | a childhood-onset craniopharyngioma | |
653 | a replacement therapy | |
653 | a endocrine sequelae | |
653 | a body-composition | |
653 | a children | |
653 | a osteoporosis | |
653 | a risk | |
653 | a weight | |
653 | a women | |
653 | a Endocrinology & Metabolism | |
700 | 1 | a Olsson, Daniel S,d 1983u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition4 aut0 (Swepub:gu)xolssd |
700 | 1 | a van den Heuvel-Eibrink, M. M.4 aut |
700 | 1 | a Wijnen, M.4 aut |
700 | 1 | a Hammarstrand, Casper,d 1990u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition4 aut0 (Swepub:gu)xhammc |
700 | 1 | a Janssen, Jamjl4 aut |
700 | 1 | a Johansson, G.4 aut |
700 | 1 | a van der Lely, A. J.4 aut |
700 | 1 | a Neggers, Sjcmm4 aut |
710 | 2 | a Göteborgs universitetb Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition4 org |
773 | 0 | t Journal of Clinical Endocrinology & Metabolismd : The Endocrine Societyg 105:4q 105:4x 0021-972Xx 1945-7197 |
856 | 4 | u https://academic.oup.com/jcem/article-pdf/105/4/e1397/33636544/dgz279.pdf |
856 | 4 8 | u https://gup.ub.gu.se/publication/293541 |
856 | 4 8 | u https://doi.org/10.1210/clinem/dgz279 |
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