通过系统检测检测发现的二次骨质疏松症的实验室异常的高患病率
Nandi Shah1, Hayley Galitzer2, Swaytha Yalamanchi3
1Department of Medicine, Division of Endocrinology and Diabetes, University of California, San Diego, CA 92093, United States.
JBMR plus
|June 30, 2025
概括
二次性骨质疏松症在患有骨密度低或骨折的患者中很常见. 常规的实验室查经常会发现异常,支持对骨脆弱性的系统测试.
科学领域:
- 内分泌学 在内分泌学.
- 代谢性骨疾病 代谢性骨疾病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 骨质疏松指南建议对二次原因进行查.
- 关于二次性骨质疏松症常规实验室检测诊断产量的数据有限.
研究的目的:
- 为了确定异常的实验室结果的频率,表明二次骨质疏松症在患有低骨密度或骨折的患者.
- 在代谢骨科诊所环境中评估标准实验室测试的实用性.
主要方法:
- 对890名被转诊到代谢骨科诊所的患者进行了回顾性图表审查 (2018年10月 - 2021年12月).
- 标准化实验室测试的分析,包括综合代谢面板,25OHD,PTH,甲状腺功能,CBC,,组织转胺酶抗体和24小时尿液/肌素.
主要成果:
- 67%的患者表现出至少一个实验室异常.
- 最常见的异常:25-基维生素D (25OHD) 缺乏 (22.4%) 和副甲状腺激素 (PTH) 的升高 (19.1%).
- 尿液测试完成率较低 (34%),其中26.5%显示低度和25.2%显示高度.
结论:
- 暗示二次骨质疏松症的实验室异常在患有低骨密度和骨折的患者中非常普遍.
- 对所有表现为骨脆弱的患者,系统的实验室评估是必要的.
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