Journal of Clinical Densitometry
Volume 11, Issue 2 , Pages 250-259 , April 2008

Differences in Site-Specific Fracture Risk Among Older Women with Discordant Results for Osteoporosis at Hip and Spine: Study of Osteoporotic Fractures

  • Howard A. Fink

      Affiliations

    • Geriatric Research Education & Clinical Center, Minneapolis, MN, USA
    • Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN, USA
    • Department of Medicine, University of Minnesota, Minneapolis, MN, USA
    • Corresponding Author InformationAddress correspondence to: Howard A. Fink, MD, MPH, VA Medical Center, Geriatric Research, Education & Clinical Center, One Veterans Drive, Box 11G, Minneapolis, MN 55417.
    • ,
  • Stephanie L. Harrison

      Affiliations

    • San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA
    • ,
  • Brent C. Taylor

      Affiliations

    • Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN, USA
    • Department of Medicine, University of Minnesota, Minneapolis, MN, USA
    • ,
  • Steven R. Cummings

      Affiliations

    • San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA
    • University of California, San Francisco, CA, USA
    • ,
  • John T. Schousboe

      Affiliations

    • Park Nicollet Clinic, Minneapolis, MN, USA
    • Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, MN, USA
    • ,
  • Michael A. Kuskowski

      Affiliations

    • Geriatric Research Education & Clinical Center, Minneapolis, MN, USA
    • ,
  • Katie L. Stone

      Affiliations

    • San Francisco Coordinating Center, California Pacific Medical Center Research Institute, San Francisco, CA, USA
    • ,
  • Kristine E. Ensrud

      Affiliations

    • Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN, USA
    • Department of Medicine, University of Minnesota, Minneapolis, MN, USA
    • ,
  • for the Study of Osteoporotic Fractures (SOF) Group

Received 10 August 2007 ,Revised 20 December 2007 ,Accepted 20 December 2007.

References 

  1. Marshall D, Johnell O, Wedel H. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ. 1996;312:1254–1259
  2. Cummings SR, Bates D, Black DM. Clinical use of bone densitometry: scientific review. JAMA. 2002;288:1889–1897
  3. Kanis JA. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporos Int. 1994;4:368–381
  4. Leslie WD, Adler RA, El Hajj FG, et al. Application of the 1994 WHO classification to populations other than postmenopausal Caucasian women: the 2005 ISCD Official Positions. J Clin Densitom. 2006;9:22–30
  5. Varney LF, Parker RA, Vincelette A, Greenspan SL. Classification of osteoporosis and osteopenia in postmenopausal women is dependent on site-specific analysis. J Clin Densitom. 1999;2:275–283
  6. Woodson G. Dual X-ray absorptiometry T-score concordance and discordance between the hip and spine measurement sites. J Clin Densitom. 2000;3:319–324
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  10. Management of osteoporosis in postmenopausal women: 2006 position statement of The North American Menopause Society. Menopause. 2006;13:340–367
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  13. Cummings SR, Nevitt MC, Browner WS, et al. Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. N Engl J Med. 1995;332:767–773
  14. Black DM, Cummings SR, Genant HK, et al. Axial and appendicular bone density predict fractures in older women. J Bone Miner Res. 1992;7:633–638
  15. Looker AC, Wahner HW, Dunn WL, et al. Updated data on proximal femur bone mineral levels of US adults. Osteoporos Int. 1998;8:468–489
  16. Nevitt MC, Cummings SR, Browner WS, et al. The accuracy of self-report of fractures in elderly women: evidence from a prospective study. Am J Epidemiol. 1992;135:490–499
  17. Eastell R, Cedel SL, Wahner HW, et al. Classification of vertebral fractures. J Bone Miner Res. 1991;6:207–215
  18. Black DM, Palermo L, Nevitt MC, et al. Comparison of methods for defining prevalent vertebral deformities: the Study of Osteoporotic Fractures. J Bone Miner Res. 1995;10:890–902
  19. Black DM, Cummings SR, Stone K, et al. A new approach to defining normal vertebral dimensions. J Bone Miner Res. 1991;6:883–892
  20. Leslie WD, Tsang JF, Caftan PA, Lix LM. Number of osteoporotic sites and fracture risk assessment: a cohort study from the manitoba bone density program. J Bone Miner Res. 2007;22:476–483
  21. Lu Y, Genant HK, Shepherd J, et al. Classification of osteoporosis based on bone mineral densities. J Bone Miner Res. 2001;16:901–910
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  23. Tsang JF, Leslie WD. Exclusion of focal vertebral artifacts from spine bone densitometry and fracture prediction: a comparison of expert physicians, three computer algorithms, and the minimum vertebra. J Bone Miner Res. 2007;22:789–798

PII: S1094-6950(07)00267-3

doi: 10.1016/j.jocd.2007.12.018

Journal of Clinical Densitometry
Volume 11, Issue 2 , Pages 250-259 , April 2008

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