Evidence mapPaperPMID 38840246Full record

ArticleBMC musculoskeletal disorders2024

Bone metabolism factors in predicting the risk of osteoporosis fracture in the elderly.

Jun Zhang, Yi Hu, Weifan Cai

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Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jun ZhangDepartment of Orthopedic, Changde Hospital, Xiangya School of Medicine, Central South University (The First People'S Hospital Of Changde City), No.818, Renmin Road, Wuling District, Changde City, Hunan Province, 415000, PR China. zhangjunchangde@21cn.com.
Yi HuDepartment of Orthopedic, Changde Hospital, Xiangya School of Medicine, Central South University (The First People'S Hospital Of Changde City), No.818, Renmin Road, Wuling District, Changde City, Hunan Province, 415000, PR China.
Weifan CaiDepartment of Orthopedic, Changde Hospital, Xiangya School of Medicine, Central South University (The First People'S Hospital Of Changde City), No.818, Renmin Road, Wuling District, Changde City, Hunan Province, 415000, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteoporosis (OS) is a systemic bone disease characterized by low bone mass and bone microstructure damage. This study.

methodsAccording to the T value, 88 elderly fracture patients were grouped as the control group (without OS, 43 cases) and observation group (with T value <-2.5, which could be diagnosed as OS, 45 cases). The content of boney containing protein (BGP), total type 1 collagen amino terminal extender peptide (TPINP), β-Crosslaps (β-CTX), parathyroid hormone (PTH) and insulin-like growth factors-1 (IGF-1) was compared. Multivariate logistic regression was adopted to analyze the correlation between biochemical indexes and the occurrence of senile OS fracture and the related risk factors. The diagnostic value in the elderly was analyzed by receiver operating characteristic (ROC) curve.

resultsThe levels of BGP, TPINP, β-CTX, PTH and IGF-1 were elevated, and the level of IGF-1 was decreased in the observation group compared with the control group (P < 0.05). The elevated content of BGP, TPINP, β-CTX and PTH, and the decreased expression of IGF-1 were influencing factors for OS fractures in the elderly (P < 0.05). The sensitivity and specificity to predict the occurrence of OS fractures in the elderly were 91.70% and 90.50%, respectively. The AUC of combined detection was 0.976 (95% CI: 0.952-1.000), which was memorably higher than single indicator detection (P < 0.05). Among 45 patients, 32 cases had good prognosis and 13 had poor prognosis. In comparison with the good prognosis group, the content of BGP, TPINP, β-CTX and PTH were sensibly higher, the level of IGF-1 was prominently lower, and the proportion of fracture history was much higher in poor prognosis group (P < 0.05). Fracture history, BGP, TPINP, β-CTX, PTH and IGF-1 were independent risk factors for poor prognosis of elderly OS fractures (P < 0.05).

conclusionBone metabolism factors were associated with poor prognosis of OS in the elderly. The combined detection had higher diagnostic value in calculating the risk of OS fracture in the elderly than single indicator detection.

Indexed as

Insulin-Like Growth Factor IOsteoporotic FracturesParathyroid HormoneAgedAged, 80 and overBiomarkersCase-Control StudiesCollagen Type IFemaleHumansMaleMiddle AgedOsteoporosisPredictive Value of TestsRisk AssessmentRisk FactorsBiomarkersCollagen Type IIGF1 protein, humanInsulin-Like Growth Factor IParathyroid HormoneBiochemical indicators of bone metabolismEarly prognosisFractureOsteoporotic in the elderlyRisk of occurrence

Identifiers

PMID38840246
PMCPMC11155048

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.