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A Model of Lifetime Osteoporosis Impact
Abstract
The study goal was to use population-based data to model aspects of lifetime osteoporosis impact not previously studied, specifically: (1) to estimate person-years of fracture-related functional impairment against the trajectory of functional status in the general population; (2) jointly to consider hip, vertebral, and Colles' fractures in estimating the percent of women who will ever fracture; and (3) to estimate the lifetime number of fractures expected in a cohort of 10,000 50-year-old white postmenopausal women. The model estimates that 54% of 50-year-old women will sustain osteoporosis-related fractures during their remaining lifetimes. Beyond the functional impairment expected in similarly aged, unfractured women, osteoporosis-related fractures are estimated to cause 6.7% of women to become dependent in basic activities of daily living; 7.8% are expected to require nursing home care for an average of 7.6 years.
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“Levothyroxine was also associated with an increase in hip fractures specifically, which carry the greatest morbidity and mortality for older adults.55”
From Levothyroxine dose and risk of fractures in older adults: nested case-control study (2011) · cites this paper as [55]
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Proximale Femurfrakturen im Alter
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BackgroundMethodResultInfluentialDual-energy X-ray absorptiometry in clinical practice
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How many people develop fractures with what outcome?
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“3%.(5,24) Similar estimates are probably valid for Canada.”
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“5 million individuals experience bone fractures secondary to skeletal diseases annually [2, 3].”
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“The vertebral compression fracture is one of the most common osteoporotic fractures [ 6 ].”
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Can we induce osteoporosis in animals comparable to the human situation?
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The changing face of fractures of the hip in Northern Ireland
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Patient preference in the management of postmenopausal osteoporosis with bisphosphonates
Reginster, J., & Rabenda, V. (2006) · Clinical Interventions in Aging · doi:10.2147/ciia.2006.1.4.415 · Cited by 42
“Nonvertebral fractures, especially hip fractures, are devastating; around half of the patients who experience a hip fracture will never be able to walk again without assistance (Johnell 1997) and as many as 30% of hip fracture patients require permanent institutional care (Lips et al 1999).”
BackgroundRole of zoledronic acid in the prevention and treatment of osteoporosis
Ste‐Marie, L., Rakel, A., Boucher, A., & Ste‐Marie, L. (2011) · Clinical Interventions in Aging · doi:10.2147/cia.s7282 · Cited by 40
Osteoporosis and Its Implications for Dental Patients
Edwards, B. J.-A., & Migliorati, C. A. (2008) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2008.0214 · Cited by 42
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“The estimation is that half of the women and a quarter of men aged 50 years or older will suffer an osteoporosis related fracture within their lifetime [2].”
BackgroundHochberg, M. C., Williamson, J. D., Skinner, E. A., Guralnik, J. M., Kasper, J. D., & Fried, L. P. (1998) · Osteoporosis International · doi:10.1007/s001980050079 · Cited by 40
“For this reason, and others, hip fracture is a major cause of longterm nursing home care and institutionalization and a major contributor to health care costs [ 11-13 ].”
BackgroundEffects of teriparatide versus alendronate for treatment of postmenopausal osteoporosis
Wang, Y.-K., Qin, S., Ma, T., Song, W., Jiang, R., Guo, J., Li, K., & Zhang, Y. (2017) · Medicine · doi:10.1097/md.0000000000006970 · Cited by 40
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Self-citationOsteoporosis Prevention and the Orthopaedic Surgeon
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Osteoporosis: disease severity and consequent fracture management
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“The Markov model that has been developed to estimate the risk of fragility fracture predicts that 35% of 50-year old women will sustain a vertebral deformity, 18% a hip fracture, and 17% a wrist fracture in their remaining lifetimes [13].”
BackgroundMethodSugimoto, T., Shiraki, M., Fukunaga, M., Kishimoto, H., Hagino, H., Sone, T., Nakano, T., Ito, M., Yoshikawa, H., Minamida, T., et al. (2019) · Osteoporosis International · doi:10.1007/s00198-019-05111-6 · Cited by 37
A review of teriparatide and its clinical efficacy in the treatment of osteoporosis
Dobnig, H. (2004) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.5.5.1153 · Cited by 37
“Hip fracture is the most devastating complication of osteoporosis because 25% of patients die within the first few months following the fracture and of those surviving, ∼ 50% will never reach the functional mobility they had before the fracture [2].”
BackgroundOutcomes of Osteoporotic Fractures
Greendale, G. A., & Barrett-Connor, E. L. (2001) · Elsevier eBooks · doi:10.1016/b978-012470862-4/50035-0 · Cited by 37
Dietary acid load, kidney function, osteoporosis, and risk of fractures in elderly men and women
Jia, T., Byberg, L., Lindholm, B., Larsson, T., Lind, L., Michaëlsson, K., & Carrero, J. (2015) · Osteoporosis International · doi:10.1007/s00198-014-2888-x · Cited by 35
“Osteoporosis and its complications, in particular osteoporosisrelated fractures, represent major public health problems among elderly [1, 2].”
BackgroundOsteoporosis screening for men: are family physicians following the guidelines?
Cheng, N., & Green, M. (2008) · PubMed Central · Cited by 36
QUALITY OF LIFE IN OSTEOPOROSIS
Ioannidis, G., Gordon, M., & Adachi, J. D. (2001) · Nursing Clinics of North America · doi:10.1016/s0029-6465(22)02570-1 · Cited by 36
MANAGING PATIENTS WITH COMPLICATIONS OF OSTEOPOROSIS
Gold, D. T., Shipp, K. M., & Lyles, K. W. (1998) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(05)70018-9 · Cited by 35
Kijowski, R., Tuite, M. J., Krüger, D., del Río, A. M., Kleerekoper, M., & Binkley, N. (2012) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.1595 · Cited by 35
Mortality After Atypical Femoral Fractures: A Cohort Study
Kharazmi, M., Hallberg, P., Schilcher, J., Aspenberg, P., & Michaëlsson, K. (2015) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.2767 · Cited by 34
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Nazarian, A., Cory, E., Müller, R., & Snyder, B. D. (2008) · Osteoporosis International · doi:10.1007/s00198-008-0632-0 · Cited by 32
“Fragility fractures of the hip, spine or wrist are common causes of disability affecting 1.5 million Americans annually [1, 2 ]. A 50-year-old white woman has a 15– 20% lifetime risk of sustaining a hip fracture associated with long-term morbidity and a 20–33% mortality rate 1 year after fracture [3].”
BackgroundInfluentialLuckey, M. M., Gilchrist, N., Bone, H. G., Davie, M. W., de Villiers, T. J., Wu, M., Daifotis, A. G., Santora, A. C., & Orloff, J. J. (2003) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(03)00008-5 · Cited by 32
A Review of Clinical Trials of Therapies for Osteoporosis Using Fracture as an End Point
Blank, R. D., & Bockman, R. S. (1999) · Journal of Clinical Densitometry · doi:10.1016/s1094-6950(06)60409-5 · Cited by 32
Huang, Y., Hou, Q., Su, H., Chen, D., Luo, Y., & Jiang, T. (2019) · Molecular Medicine Reports · doi:10.3892/mmr.2019.10613 · Cited by 31
Computational analyses of small endosseous implants in osteoporotic bone
Wirth, A. J., Müller, R., & van Lenthe, H. (2010) · European Cells and Materials · doi:10.22203/ecm.v020a06 · Cited by 31
“estimated that half of women and a quarter of men aged 50 years or older will suffer a fracture related to osteoporosis within their remaining lifetime (Chrischilles et al., 1991).”
Background
Metadata
- Authors
- Chrischilles, E. A.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Chrischilles, Elizabeth A.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1991-10-01
- Volume
- 151
- Issue
- 10
- Pages
- 2026
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2094251460
- Cited by
- 467
- References
- 36
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 12 · 2022: 2 · 2021: 6 · 2020: 9 · 2019: 11 · 2018: 12 · 2017: 11 · 2016: 11 · 2015: 10 · 2014: 13 · 2013: 15 · 2012: 15
- FWCI
- 8.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- osteoporosis, hip fracture, vertebral fractures, Colles' fracture, functional disability, activities of daily living, nursing home care, postmenopausal women, fracture risk prediction model
- MeSH terms
- Colles' Fracture, Female, Fractures, Spontaneous, Health Status, Hip Fractures, Humans, Markov Chains, Mathematical Computing, Middle Aged, Prognosis, Recurrence, Models, Statistical, Cohort Studies, Osteoporosis, Postmenopausal, Spinal Fractures
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