在更年期妇女的远端半径骨折后,骨矿物密度测试的患病率和预测因素
Jessica M Welch1, Christopher S Klifto1, Kevin M Klifto2
1Duke University, Department of Orthopaedic Surgery, Durham, NC, United States.
Injury
|February 21, 2025
概括
远距离半径骨折 (DRF) 后更年期妇女的骨质疏松查率仍然很低,随着时间的推移,测试减少. 骨矿物密度 (BMD) 测试的延迟是常见的,已知的骨质疏松症风险因素无法可靠地预测吸收.
科学领域:
- 整形外科 整形外科 整形外科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 准则建议在脆弱性骨折后进行骨矿物密度 (BMD) 测试,但查率通常很低.
- 了解影响骨折后BMD测试的因素对于骨质疏松症管理和二次骨折预防至关重要.
研究的目的:
- 为了评估 BMD 测试在更年期妇女的患病率,时间和预测因素,在偏距半径骨折 (DRF) 之后.
主要方法:
- 对国家保险数据库 (2013-2020年) 的分析,以识别患有DRF的绝经妇女 (45-64岁).
- 在受伤后一年内测试骨硬化率的计算.
- 多变量后勤回归用于识别患者和受伤相关的骨质疏松测试预测因素.
主要成果:
- 在31728名妇女中,只有12.2%的妇女在DRF的一年内接受了BMD测试;从2015年到2020年,这一比例下降了.
- 测试BMD的平均时间为4.7个月.
- 年龄较大 (60-64岁),手术干预,类风湿/骨关节炎,乳腺癌和维生素D缺乏症增加了测试的可能性. 烟草使用,医疗补助/医疗保险以及美国南部/西部居住的可能性下降.
结论:
- 更年期妇女在DRF后的BMD测试率很低,并且正在下降,诊断的延迟很大.
- 测试的预测因素是复杂的,已确定的骨质疏松症风险因素并不总是推动BMD测试的普及.
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