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Vertebral fracture assessment (VFA) in patients over 50 years of age with a non-severe peripheral fracture
Summary The prevalence of unknown vertebral fractures evaluated by systematic vertebral fracture assessment (VFA) was 21% in patients over 50 years of age who suffered from a recent low-trauma non-severe peripheral fracture. The outcome of VFA resulted in changes in the management of osteoporosis. I...
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| Published in: | Osteoporosis international 2020-08, Vol.31 (8), p.1477-1486 |
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| container_title | Osteoporosis international |
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| creator | Aboudiab, M. Grados, F. Batteux, B. Henry-Desailly, I. Fardellone, P. Goëb, V. |
| description | Summary
The prevalence of unknown vertebral fractures evaluated by systematic vertebral fracture assessment (VFA) was 21% in patients over 50 years of age who suffered from a recent low-trauma non-severe peripheral fracture. The outcome of VFA resulted in changes in the management of osteoporosis.
Introduction
The aim of this study was to evaluate the utility of VFA in detecting vertebral fractures (VFs) in patients over 50 years of age, who suffered from a recent low-trauma non-severe peripheral fracture.
Methods
This was an observational, single-center, cross-sectional study conducted in patients over 50 years of age, who presented a recent low-trauma non-severe peripheral fracture and were identified by the Fracture Liaison Service (FLS) of Amiens University Hospital between December 2017 and March 2019. VFA was interpreted by two trained rheumatologists providing a consensual reading using Genant semi-quantitative assessment.
Results
Of the 359 eligible patients, 114 patients (31.8%) were included (mean age 65.6 ± 8.4 years; 89.5% female). Twenty-four patients (21%) had one or more VF diagnosed by VFA. The total number of VF diagnosed by VFA was 30: 20 VF (66.7%) grade 1, 7 VF (23.3%) grade 2, and 3 VF (10%) grade 3. Among the 24 patients with at least one prevalent VF diagnosed by VFA, 18 patients had an osteoporosis medication adaptation after the VFA results (16 osteoporosis medication initiation and 2 treatment intensification), and 6 patients would have had an osteoporosis medication even without the VFA results (66.7% versus 33.3% respectively,
p
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| doi_str_mv | 10.1007/s00198-020-05400-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03564005v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2423651908</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-3442ef9fc072c03591e39c132ba1471afa1a145e1deaa6a7d83805f16ccfc5ab3</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhS1ERYfCC7BAlti0i9Dr38TLUUUp0khs2oqddcdz00nJJMFOWvVteBaeDJf0B7FgZfve7xz7-jD2TsBHAVAeJwDhqgIkFGA0QGFesIXQShXSWfOSLcCpsnBafNtnr1O6hixyrnzF9pWU1mqlF-z7JcWR1hFbXkcM4xSJY0qU0o66kR9eni6PeNPxAccmFxLvbyhyA79-3hHGfKw5XhG_bcYtR971XZEoE8QHis2wpb-N37C9GttEbx_WA3Zx-un85KxYff385WS5KoIGNxZKa0m1qwOUMoAyTpByQSi5RqFLgTWKvDEkNoRosdxUqgJTCxtCHQyu1QE7mn232PohNjuMd77Hxp8tV_6-lk1t_i9zIzJ7OLND7H9MlEa_a1KgtsWO-il5qarSGlDWZvTDP-h1P8UuT-Kllsoa4aDKlJypEPuUItVPLxDg72Pzc2w-x-b_xOZNFr1_sJ7WO9o8SR5zyoCagZRb3RXF57v_Y_sbVweiJQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2423651908</pqid></control><display><type>article</type><title>Vertebral fracture assessment (VFA) in patients over 50 years of age with a non-severe peripheral fracture</title><source>Springer Link</source><creator>Aboudiab, M. ; Grados, F. ; Batteux, B. ; Henry-Desailly, I. ; Fardellone, P. ; Goëb, V.</creator><creatorcontrib>Aboudiab, M. ; Grados, F. ; Batteux, B. ; Henry-Desailly, I. ; Fardellone, P. ; Goëb, V.</creatorcontrib><description>Summary
The prevalence of unknown vertebral fractures evaluated by systematic vertebral fracture assessment (VFA) was 21% in patients over 50 years of age who suffered from a recent low-trauma non-severe peripheral fracture. The outcome of VFA resulted in changes in the management of osteoporosis.
Introduction
The aim of this study was to evaluate the utility of VFA in detecting vertebral fractures (VFs) in patients over 50 years of age, who suffered from a recent low-trauma non-severe peripheral fracture.
Methods
This was an observational, single-center, cross-sectional study conducted in patients over 50 years of age, who presented a recent low-trauma non-severe peripheral fracture and were identified by the Fracture Liaison Service (FLS) of Amiens University Hospital between December 2017 and March 2019. VFA was interpreted by two trained rheumatologists providing a consensual reading using Genant semi-quantitative assessment.
Results
Of the 359 eligible patients, 114 patients (31.8%) were included (mean age 65.6 ± 8.4 years; 89.5% female). Twenty-four patients (21%) had one or more VF diagnosed by VFA. The total number of VF diagnosed by VFA was 30: 20 VF (66.7%) grade 1, 7 VF (23.3%) grade 2, and 3 VF (10%) grade 3. Among the 24 patients with at least one prevalent VF diagnosed by VFA, 18 patients had an osteoporosis medication adaptation after the VFA results (16 osteoporosis medication initiation and 2 treatment intensification), and 6 patients would have had an osteoporosis medication even without the VFA results (66.7% versus 33.3% respectively,
p
< 0.001). Of the 51 patients receiving an osteoporosis medication after DXA and VFA, 18 patients (35.3%) had a change in the management of osteoporosis after knowing the outcome of VFA. All the VFs diagnosed by VFA were unknown before. We did not evidence any threshold (age, T-score, height loss) below which no VF was detected.
Conclusions
Our study demonstrates the usefulness of systematic VFA to detect prevalent VF in patients over 50 years of age who suffer from a recent non-severe peripheral fracture.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-020-05400-5</identifier><identifier>PMID: 32266434</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Absorptiometry, Photon ; Age ; Aged ; Bone Density ; Cross-Sectional Studies ; Dual energy X-ray absorptiometry ; Endocrinology ; Female ; Fractures ; Humans ; Life Sciences ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Orthopedics ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - diagnosis ; Osteoporosis - drug therapy ; Osteoporotic Fractures - diagnostic imaging ; Osteoporotic Fractures - epidemiology ; Patients ; Rheumatology ; Spinal Fractures - diagnostic imaging ; Spinal Fractures - epidemiology ; Trauma ; Vertebrae</subject><ispartof>Osteoporosis international, 2020-08, Vol.31 (8), p.1477-1486</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2020</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2020.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-3442ef9fc072c03591e39c132ba1471afa1a145e1deaa6a7d83805f16ccfc5ab3</citedby><cites>FETCH-LOGICAL-c409t-3442ef9fc072c03591e39c132ba1471afa1a145e1deaa6a7d83805f16ccfc5ab3</cites><orcidid>0000-0002-3807-545X ; 0000-0003-3535-3060 ; 0000-0001-9466-7110</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32266434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-picardie.hal.science/hal-03564005$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Aboudiab, M.</creatorcontrib><creatorcontrib>Grados, F.</creatorcontrib><creatorcontrib>Batteux, B.</creatorcontrib><creatorcontrib>Henry-Desailly, I.</creatorcontrib><creatorcontrib>Fardellone, P.</creatorcontrib><creatorcontrib>Goëb, V.</creatorcontrib><title>Vertebral fracture assessment (VFA) in patients over 50 years of age with a non-severe peripheral fracture</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary
The prevalence of unknown vertebral fractures evaluated by systematic vertebral fracture assessment (VFA) was 21% in patients over 50 years of age who suffered from a recent low-trauma non-severe peripheral fracture. The outcome of VFA resulted in changes in the management of osteoporosis.
Introduction
The aim of this study was to evaluate the utility of VFA in detecting vertebral fractures (VFs) in patients over 50 years of age, who suffered from a recent low-trauma non-severe peripheral fracture.
Methods
This was an observational, single-center, cross-sectional study conducted in patients over 50 years of age, who presented a recent low-trauma non-severe peripheral fracture and were identified by the Fracture Liaison Service (FLS) of Amiens University Hospital between December 2017 and March 2019. VFA was interpreted by two trained rheumatologists providing a consensual reading using Genant semi-quantitative assessment.
Results
Of the 359 eligible patients, 114 patients (31.8%) were included (mean age 65.6 ± 8.4 years; 89.5% female). Twenty-four patients (21%) had one or more VF diagnosed by VFA. The total number of VF diagnosed by VFA was 30: 20 VF (66.7%) grade 1, 7 VF (23.3%) grade 2, and 3 VF (10%) grade 3. Among the 24 patients with at least one prevalent VF diagnosed by VFA, 18 patients had an osteoporosis medication adaptation after the VFA results (16 osteoporosis medication initiation and 2 treatment intensification), and 6 patients would have had an osteoporosis medication even without the VFA results (66.7% versus 33.3% respectively,
p
< 0.001). Of the 51 patients receiving an osteoporosis medication after DXA and VFA, 18 patients (35.3%) had a change in the management of osteoporosis after knowing the outcome of VFA. All the VFs diagnosed by VFA were unknown before. We did not evidence any threshold (age, T-score, height loss) below which no VF was detected.
Conclusions
Our study demonstrates the usefulness of systematic VFA to detect prevalent VF in patients over 50 years of age who suffer from a recent non-severe peripheral fracture.</description><subject>Absorptiometry, Photon</subject><subject>Age</subject><subject>Aged</subject><subject>Bone Density</subject><subject>Cross-Sectional Studies</subject><subject>Dual energy X-ray absorptiometry</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Fractures</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - diagnosis</subject><subject>Osteoporosis - drug therapy</subject><subject>Osteoporotic Fractures - diagnostic imaging</subject><subject>Osteoporotic Fractures - epidemiology</subject><subject>Patients</subject><subject>Rheumatology</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Spinal Fractures - epidemiology</subject><subject>Trauma</subject><subject>Vertebrae</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAUhS1ERYfCC7BAlti0i9Dr38TLUUUp0khs2oqddcdz00nJJMFOWvVteBaeDJf0B7FgZfve7xz7-jD2TsBHAVAeJwDhqgIkFGA0QGFesIXQShXSWfOSLcCpsnBafNtnr1O6hixyrnzF9pWU1mqlF-z7JcWR1hFbXkcM4xSJY0qU0o66kR9eni6PeNPxAccmFxLvbyhyA79-3hHGfKw5XhG_bcYtR971XZEoE8QHis2wpb-N37C9GttEbx_WA3Zx-un85KxYff385WS5KoIGNxZKa0m1qwOUMoAyTpByQSi5RqFLgTWKvDEkNoRosdxUqgJTCxtCHQyu1QE7mn232PohNjuMd77Hxp8tV_6-lk1t_i9zIzJ7OLND7H9MlEa_a1KgtsWO-il5qarSGlDWZvTDP-h1P8UuT-Kllsoa4aDKlJypEPuUItVPLxDg72Pzc2w-x-b_xOZNFr1_sJ7WO9o8SR5zyoCagZRb3RXF57v_Y_sbVweiJQ</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Aboudiab, M.</creator><creator>Grados, F.</creator><creator>Batteux, B.</creator><creator>Henry-Desailly, I.</creator><creator>Fardellone, P.</creator><creator>Goëb, V.</creator><general>Springer London</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-3807-545X</orcidid><orcidid>https://orcid.org/0000-0003-3535-3060</orcidid><orcidid>https://orcid.org/0000-0001-9466-7110</orcidid></search><sort><creationdate>20200801</creationdate><title>Vertebral fracture assessment (VFA) in patients over 50 years of age with a non-severe peripheral fracture</title><author>Aboudiab, M. ; Grados, F. ; Batteux, B. ; Henry-Desailly, I. ; Fardellone, P. ; Goëb, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-3442ef9fc072c03591e39c132ba1471afa1a145e1deaa6a7d83805f16ccfc5ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Absorptiometry, Photon</topic><topic>Age</topic><topic>Aged</topic><topic>Bone Density</topic><topic>Cross-Sectional Studies</topic><topic>Dual energy X-ray absorptiometry</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Fractures</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoporosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - diagnosis</topic><topic>Osteoporosis - drug therapy</topic><topic>Osteoporotic Fractures - diagnostic imaging</topic><topic>Osteoporotic Fractures - epidemiology</topic><topic>Patients</topic><topic>Rheumatology</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - epidemiology</topic><topic>Trauma</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aboudiab, M.</creatorcontrib><creatorcontrib>Grados, F.</creatorcontrib><creatorcontrib>Batteux, B.</creatorcontrib><creatorcontrib>Henry-Desailly, I.</creatorcontrib><creatorcontrib>Fardellone, P.</creatorcontrib><creatorcontrib>Goëb, V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aboudiab, M.</au><au>Grados, F.</au><au>Batteux, B.</au><au>Henry-Desailly, I.</au><au>Fardellone, P.</au><au>Goëb, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vertebral fracture assessment (VFA) in patients over 50 years of age with a non-severe peripheral fracture</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>31</volume><issue>8</issue><spage>1477</spage><epage>1486</epage><pages>1477-1486</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary
The prevalence of unknown vertebral fractures evaluated by systematic vertebral fracture assessment (VFA) was 21% in patients over 50 years of age who suffered from a recent low-trauma non-severe peripheral fracture. The outcome of VFA resulted in changes in the management of osteoporosis.
Introduction
The aim of this study was to evaluate the utility of VFA in detecting vertebral fractures (VFs) in patients over 50 years of age, who suffered from a recent low-trauma non-severe peripheral fracture.
Methods
This was an observational, single-center, cross-sectional study conducted in patients over 50 years of age, who presented a recent low-trauma non-severe peripheral fracture and were identified by the Fracture Liaison Service (FLS) of Amiens University Hospital between December 2017 and March 2019. VFA was interpreted by two trained rheumatologists providing a consensual reading using Genant semi-quantitative assessment.
Results
Of the 359 eligible patients, 114 patients (31.8%) were included (mean age 65.6 ± 8.4 years; 89.5% female). Twenty-four patients (21%) had one or more VF diagnosed by VFA. The total number of VF diagnosed by VFA was 30: 20 VF (66.7%) grade 1, 7 VF (23.3%) grade 2, and 3 VF (10%) grade 3. Among the 24 patients with at least one prevalent VF diagnosed by VFA, 18 patients had an osteoporosis medication adaptation after the VFA results (16 osteoporosis medication initiation and 2 treatment intensification), and 6 patients would have had an osteoporosis medication even without the VFA results (66.7% versus 33.3% respectively,
p
< 0.001). Of the 51 patients receiving an osteoporosis medication after DXA and VFA, 18 patients (35.3%) had a change in the management of osteoporosis after knowing the outcome of VFA. All the VFs diagnosed by VFA were unknown before. We did not evidence any threshold (age, T-score, height loss) below which no VF was detected.
Conclusions
Our study demonstrates the usefulness of systematic VFA to detect prevalent VF in patients over 50 years of age who suffer from a recent non-severe peripheral fracture.</abstract><cop>London</cop><pub>Springer London</pub><pmid>32266434</pmid><doi>10.1007/s00198-020-05400-5</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3807-545X</orcidid><orcidid>https://orcid.org/0000-0003-3535-3060</orcidid><orcidid>https://orcid.org/0000-0001-9466-7110</orcidid></addata></record> |
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| language | eng |
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| subjects | Absorptiometry, Photon Age Aged Bone Density Cross-Sectional Studies Dual energy X-ray absorptiometry Endocrinology Female Fractures Humans Life Sciences Male Medicine Medicine & Public Health Middle Aged Original Article Orthopedics Osteoporosis Osteoporosis - complications Osteoporosis - diagnosis Osteoporosis - drug therapy Osteoporotic Fractures - diagnostic imaging Osteoporotic Fractures - epidemiology Patients Rheumatology Spinal Fractures - diagnostic imaging Spinal Fractures - epidemiology Trauma Vertebrae |
| title | Vertebral fracture assessment (VFA) in patients over 50 years of age with a non-severe peripheral fracture |
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