Fracture Risk Reduction with Alendronate in Women with Osteoporosis: The Fracture Intervention Trial

作者: Dennis M Black , Desmond E Thompson , Douglas C Bauer , Kris Ensrud , Thomas Musliner

DOI: 10.1210/JCEM.85.11.6953

关键词:

摘要: We examined the effect of alendronate treatment for 3-4 yr on risk new fracture among 3658 women with osteoporosis enrolled in Fracture Intervention Trial. This cohort included existing vertebral and those as defined by T score less than -2.5 at femoral neck but without fracture. All analyses were prespecified data analysis plan. The magnitudes reduction incidence similar both groups. two groups were, therefore, pooled to obtain a more precise estimate relative (relative risk, 95% confidence interval): hip (0.47, 0.26-0.79), radiographic (0.52, 0.42-0.66), clinical (0.55, 0.36-0.82), all fractures (0.70, 0.59-0.82). Reductions statistically significant 12 months into trial. conclude that reductions during are consistent such bone mineral density osteoporotic range. Furthermore, is evident early course treatment. provides antifracture efficacy prior reports.

参考文章(20)
D. Oakes, D.R. Cox, Analysis of Survival Data ,(1984)
Statistical Aspects of the Analysis of Data From Retrospective Studies of Disease Journal of the National Cancer Institute. ,vol. 22, pp. 719- 748 ,(1959) , 10.1093/JNCI/22.4.719
Dennis M Black, Steven R Cummings, David B Karpf, Jane A Cauley, Desmond E Thompson, Michael C Nevitt, Douglas C Bauer, Harry K Genant, William L Haskell, Robert Marcus, Susan M Ott, James C Torner, Sara A Quandt, Theodore F Reiss, Kristine E Ensrud, Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures The Lancet. ,vol. 348, pp. 1535- 1541 ,(1996) , 10.1016/S0140-6736(96)07088-2
Steven R Cummings, Dennis M Black, Desmond E Thompson, William B Applegate, Elizabeth Barrett-Connor, Thomas A Musliner, Lisa Palermo, Ronald Prineas, Susan M Rubin, Jean C Scott, Thomas Vogt, Robert Wallace, A John Yates, Andrea Z LaCroix, Fracture Intervention Trial Research Group, Fracture Intervention Trial Research Group, Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures results from the fracture intervention trial JAMA. ,vol. 280, pp. 2077- 2082 ,(1998) , 10.1001/JAMA.280.24.2077
Uri A. Liberman, Stuart R. Weiss, Johann Bröll, Helmut W. Minne, Hui Quan, Norman H. Bell, Jose Rodriguez-Portales, Robert W. Downs, Jan Dequeker, Murray Favus, Ego Seeman, Robert R. Recker, Thomas Capizzi, Arthur C. Santora, Antonio Lombardi, Raksha V. Shah, Laurence J. Hirsch, David B. Karpf, Effect of Oral Alendronate on Bone Mineral Density and the Incidence of Fractures in Postmenopausal Osteoporosis The New England Journal of Medicine. ,vol. 333, pp. 1437- 1443 ,(1995) , 10.1056/NEJM199511303332201
Breslow Ne, Day Ne, Statistical methods in cancer research. Volume I - The analysis of case-control studies. IARC scientific publications. pp. 5- 338 ,(1980)
R.R. Recker, H.K. Genant, E. Seeman, E.S. Siris, Richard Prince, R.D. Wasnich, S.T. Harris, H.M. Heshmati, W.C. Sturtridge, C.K.P. Tou, J.A. Eisman, M.R. Mcclung, C.H. Chesnut, Chronic intermittent cyclical administration of tiludronate in postmenopausal osteoporosis: report of two multicenter studies in 2136 patients Chronic intermittent cyclical administration of tiludronate in postmenopausal osteoporosis: report of two multicenter studies in 2136 patients. ,(1998)
Murray Aitkin, J. D. Kalbfleisch, R. L. Prentice, The Statistical Analysis of Failure Time Data. Biometrics. ,vol. 37, pp. 622- ,(1981) , 10.2307/2530581
Se Il Suk, Choon Ki Lee, Heung Sik Kang, Ji Ho Lee, Hak Jin Min, Sang Hoon Cha, Yuong Jin Chung, Vertebral Fracture in Osteoporosis The Journal of The Korean Orthopaedic Association. ,vol. 28, pp. 980- 987 ,(1993) , 10.4055/JKOA.1993.28.3.980
A. C. Looker, H. W. Wahner, W. L. Dunn, M. S. Calvo, T. B. Harris, S. P. Heyse, C. C. Johnston, R. L. Lindsay, Proximal femur bone mineral levels of US adults Osteoporosis International. ,vol. 5, pp. 389- 409 ,(1995) , 10.1007/BF01622262