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Prediction of fracture from low bone mineral density measurements overestimates risk

Kanis, J.A. (author)
University of Sheffield
Johnell, O. (author)
Malmö University
Oden, A. (author)
Gothia Innovation
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De Laet, C. (author)
Institute for Medical Technology Assessment
Jönsson, Bengt (author)
Stockholm School of Economics,Handelshögskolan i Stockholm
Dawson, A. (author)
Lilly Research Centre Ltd
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 (creator_code:org_t)
Elsevier Inc, 2000
2000
English.
In: Bone (New York, N.Y.). - : Elsevier Inc. - 1873-2763 .- 8756-3282. ; 26:4, s. 387-391
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • There is a well-established relationship between bone mineral density (BMD) and fracture risk. Estimates of the relative risk of fracture from BMD have been derived mainly from short-term studies in which the correlation between BMD at assessment and BMD in later life ranged from 0.8 to 0.9. Because individuals lose bone mineral at different rates throughout later life, the long-term predictive value of low BMD is likely to decrease progressively with time. This article examines and formalizes the relationship between current BMD, correlation coefficients, and long-term risk. The loss of predictive value has important implications for early assessment and supports the view that measurements should be optimally targeted at the time interventions are contemplated and, when necessary, repeated in later life.

Subject headings

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

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By the author/editor
Kanis, J.A.
Johnell, O.
Oden, A.
De Laet, C.
Jönsson, Bengt
Dawson, A.
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Orthopaedics
Articles in the publication
Bone (New York, ...
By the university
Stockholm School of Economics

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