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Does osteoporosis therapy invalidate FRAX for fracture prediction?

Leslie, William D (author)
Lix, Lisa M (author)
Johansson, Helena, 1981 (author)
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Odén, Anders, 1942 (author)
McCloskey, Eugene (author)
Kanis, John A (author)
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2012-05-17
2012
English.
In: Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research. - : Wiley. - 1523-4681. ; 27:6, s. 1243-51
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Ten-year fracture risk assessment with the fracture risk assessment system (FRAX) is increasingly used to guide treatment decisions. Osteoporosis pharmacotherapy reduces fracture risk, but the effect is greater than can be explained from the increase in bone mineral density (BMD). Whether this invalidates fracture predictions with FRAX is uncertain. A total of 35,764 women (age ≥50 years) and baseline BMD testing (1996–2007) had FRAX probabilities retroactively calculated. A provincial pharmacy database was used to identify osteoporosis medication use. Women were categorized as untreated, current high adherence users [medication possession ratio (MPR) ≥0.80 in the year after BMD testing], current low adherence users (MPR

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

epidemiology
Canada
diagnosis
epidemiology
Aged
Area Under Curve
diagnosis
Risk Assessment
Osteoporotic Fractures
ROC Curve
epidemiology
Humans
Proportional Hazards Models
therapy
Middle Aged
Femoral Neck Fractures
methods
Female
Cohort Studies
Reproducibility of Results

Publication and Content Type

art (subject category)
ref (subject category)

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