Association Between Prior Non-Spine Non-Hip Fractures or Prevalent Radiographic Vertebral Deformities Known to be at Least 10 Years Old and Incident Hip Fracture

摘要: In this large cohort of elderly women, prior non-spine non-hip fractures and radiographic vertebral deformities >10 years old were modestly associated with incident hip fracture, but the excess risks fracture attributable to those seem wane over time. Introduction: Whereas clinical prevalent are well-documented predictors may decrease time. Current guidelines regarding assessment risk do not consider elapsed time since or ascertainment deformity. Materials Methods: We ascertained self-reported history calcaneal total bone BMD performed lateral spine radiographs in a 9516 community-dwelling women who had fracture. prospectively followed them assess Prevalent identified at baseline using morphometry, confirmed by review reports during three follow-up periods (0–5, >5–10, after exam). Results: Among survived for 10 more exam without having age 50 reported study examination was 21% age- BMD–adjusted (hazard ratio [HR], 1.21; 95% CI, 1.01–1.45) subsequent Baseline deformity 41% BMD-adjusted (HR, 1.41; 1.15–1.73) follow-up. comparison, HRs first 5 1.70 (95% 1.30–2.22) 2.10 1.58–2.78), respectively. Conclusions: Self-reported known be least The association between these predictor seems increased Hip strategies incorporating should also fractures.