作为二次骨质疏松症查的一部分,对多发性骨髓瘤的查收益率较低
Joanna Y Gong1, Sandra Iuliano2, Aye N Tint3
1Department of Diabetes and Endocrinology, The Royal Melbourne Hospital, University of Melbourne, Parkville, Vic, Australia; Department of Endocrinology and Diabetes, Western Health, St Albans, Vic, Australia; Baker Heart and Diabetes Institute, Melbourne, Vic, Australia; Department of Medicine, University of Melbourne, Parkville, Vic, Australia; School of Translational Medicine, Monash University, Melbourne, Vic, Australia.
Pathology
|January 23, 2026
概括
在脆弱性骨折后对多发性骨髓瘤 (MM) 的普遍查具有低的诊断产量和高成本. 现有的病理学测试有效地识别新的MM病例,质疑常规查的好处.
科学领域:
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
- 老年医学 老年医学
背景情况:
- 多发性骨髓瘤 (MM) 是已知的骨质疏松症的次要原因.
- 建议在脆弱性骨折后进行MM的普遍查.
研究的目的:
- 在骨折联络服务 (FLS) 中评估二次骨质疏松症查MM的纵向收益率和成本效益.
主要方法:
- 对FLS数据 (2009-2014) 的回顾性分析,包括人口统计,骨折类型,骨密度和血清学测试 (血清蛋白电泳,尿液Bense Jones蛋白,血清自由光链).
- 将SPE结果分类为正常,炎症或单克隆 (MGUS/MM).
- 对单克隆队列的随访以确定MGUS和MM诊断.
主要成果:
- 在5年的时间里,分析了1589名患者的1592次骨折,初始SPE结果为1026次.
- 查显示了5%的单克隆结果,随访时MGUS的4.2%和MM的0.3%的诊断率.
- 全球MM查的总成本为88,638澳元,所有新的MM病例都是通过其他常规检测发现的.
结论:
- 骨折后的MM查显示了低的诊断产量和显著的成本.
- 常规的病理学测试似乎足以识别新的MM病例,这表明需要重新考虑通用查协议.
相关概念视频
Genetic Screens
5.6K
Genetic screens are tools used to identify genes and mutations responsible for phenotypes of interest. Genetic screens help identify individuals or a group of people at risk of developing genetic diseases and help them with early intervention, targeted therapy, and reproductive options.
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
5.6K
ATP Yield
78.4K
Cellular respiration produces 30 - 32 ATP per glucose molecule. Although most of the ATP results from oxidative phosphorylation and the electron transport chain (ETC), 4 ATP are gained beforehand (2 from glycolysis and 2 from the citric acid cycle).
The ETC is embedded in the inner mitochondrial membrane and is comprised of four main protein complexes and an ATP synthase. NADH and FADH2 pass electrons to these complexes, which pump protons into the intermembrane space. This distribution of...
The ETC is embedded in the inner mitochondrial membrane and is comprised of four main protein complexes and an ATP synthase. NADH and FADH2 pass electrons to these complexes, which pump protons into the intermembrane space. This distribution of...
78.4K
Reaction Yield
59.4K
The theoretical yield of a reaction is the amount of product estimated to form based on the stoichiometry of the balanced chemical equation. The theoretical yield assumes the complete conversion of the limiting reactant into the desired product. The amount of product that is obtained by performing the reaction is called the actual yield, and it may be less than or (very rarely) equal to the theoretical yield.
59.4K
Secondary Active Transport
137.4K
One example of how cells use the energy contained in electrochemical gradients is demonstrated by glucose transport into cells. The ion vital to this process is sodium (Na+), which is typically present in higher concentrations extracellularly than in the cytosol. Such a concentration difference is due, in part, to the action of an enzyme “pump” embedded in the cellular membrane that actively expels Na+ from a cell. Importantly, as this pump contributes to the high concentration of...
137.4K
Secondary Active Transport
9.4K
One example of how cells use the energy contained in electrochemical gradients is demonstrated by glucose transport into cells. The ion vital to this process is sodium (Na+), which is typically present in higher concentrations extracellularly than in the cytosol. Such a concentration difference is due, in part, to the action of an enzyme "pump" embedded in the cellular membrane that actively expels Na+ from a cell. Importantly, as this pump contributes to the high concentration of...
9.4K
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K


