Previous fracture and subsequent fracture risk: a meta-analysis to update FRAX.

Kanis, J.A.; Johansson, H.; McCloskey, E.V.; Liu, E.; Åkesson, K.E.; Anderson, F.A.; Azagra, R.; Bager, C.L.; Beaudart, C.; Bischoff-Ferrari, H.A.; Biver, E.; Bruyère, O.; Cauley, J.A.; Center, J.R.; Chapurlat, R.; Christiansen, C.; Cooper, C.; Crandall, C.J.; Cummings, S.R.; da Silva, JAP; Dawson-Hughes, B.; Diez-Perez, A.; Dufour, A.B.; Eisman, J.A.; Elders, PJM; Ferrari, S.; Fujita, Y.; Fujiwara, S.; Glüer, C.C.; Goldshtein, I.; Goltzman, D.; Gudnason, V.; Hall, J.; Hans, D.; Hoff, M.; Hollick, R.J.; Huisman, M.; Iki, M.; Ish-Shalom, S.; Jones, G.; Karlsson, M.K.; Khosla, S.; Kiel, D.P.; Koh, W.P.; Koromani, F.; Kotowicz, M.A.; Kröger, H.; Kwok, T.; Lamy, O.; Langhammer, A.; Larijani, B.; Lippuner, K.; Mellström, D.; Merlijn, T.; Nordström, A.; Nordström, P.; O'Neill, T.W.; Obermayer-Pietsch, B.; Ohlsson, C.; Orwoll, E.S.; Pasco, J.A.; Rivadeneira, F.; Schott, A.M.; Shiroma, E.J.; Siggeirsdottir, K.; Simonsick, E.M.; Sornay-Rendu, E.; Sund, R.; Swart, KMA; Szulc, P.; Tamaki, J.; Torgerson, D.J.; van Schoor, N.M.; van Staa, T.P.; Vila, J.; Wareham, N.J.; Wright, N.C.; Yoshimura, N.; Zillikens, M.C.; Zwart, M.; Vandenput, L.; Harvey, N.C.; Lorentzon, M.; Leslie, W.D.

doi:10.1007/s00198-023-06870-z

Previous fracture and subsequent fracture risk: a meta-analysis to update FRAX.

Details

Download: 37566158_BIB_C15EE1602FCF.pdf (989.51 [Ko])
State: Public
Version: Author's accepted manuscript
License: CC BY 4.0

Serval ID

serval:BIB_C15EE1602FCF

Type

Article: article from journal or magazin.

Collection

Publications

Institution

UNIL/CHUV

Title

Previous fracture and subsequent fracture risk: a meta-analysis to update FRAX.

Journal

Osteoporosis international

Author(s)

Kanis J.A., Johansson H., McCloskey E.V., Liu E., Åkesson K.E., Anderson F.A., Azagra R., Bager C.L., Beaudart C., Bischoff-Ferrari H.A., Biver E., Bruyère O., Cauley J.A., Center J.R., Chapurlat R., Christiansen C., Cooper C., Crandall C.J., Cummings S.R., da Silva JAP, Dawson-Hughes B., Diez-Perez A., Dufour A.B., Eisman J.A., Elders PJM, Ferrari S., Fujita Y., Fujiwara S., Glüer C.C., Goldshtein I., Goltzman D., Gudnason V., Hall J., Hans D., Hoff M., Hollick R.J., Huisman M., Iki M., Ish-Shalom S., Jones G., Karlsson M.K., Khosla S., Kiel D.P., Koh W.P., Koromani F., Kotowicz M.A., Kröger H., Kwok T., Lamy O., Langhammer A., Larijani B., Lippuner K., Mellström D., Merlijn T., Nordström A., Nordström P., O'Neill T.W., Obermayer-Pietsch B., Ohlsson C., Orwoll E.S., Pasco J.A., Rivadeneira F., Schott A.M., Shiroma E.J., Siggeirsdottir K., Simonsick E.M., Sornay-Rendu E., Sund R., Swart KMA, Szulc P., Tamaki J., Torgerson D.J., van Schoor N.M., van Staa T.P., Vila J., Wareham N.J., Wright N.C., Yoshimura N., Zillikens M.C., Zwart M., Vandenput L., Harvey N.C., Lorentzon M., Leslie W.D.

ISSN

1433-2965 (Electronic)

ISSN-L

0937-941X

Publication state

Published

Issued date

12/2023

Peer-reviewed

Oui

Volume

Number

Pages

2027-2045

Language

english

Notes

Publication types: Meta-Analysis ; Journal Article
Publication Status: ppublish

Abstract

A large international meta-analysis using primary data from 64 cohorts has quantified the increased risk of fracture associated with a previous history of fracture for future use in FRAX.
The aim of this study was to quantify the fracture risk associated with a prior fracture on an international basis and to explore the relationship of this risk with age, sex, time since baseline and bone mineral density (BMD).
We studied 665,971 men and 1,438,535 women from 64 cohorts in 32 countries followed for a total of 19.5 million person-years. The effect of a prior history of fracture on the risk of any clinical fracture, any osteoporotic fracture, major osteoporotic fracture, and hip fracture alone was examined using an extended Poisson model in each cohort. Covariates examined were age, sex, BMD, and duration of follow-up. The results of the different studies were merged by using the weighted β-coefficients.
A previous fracture history, compared with individuals without a prior fracture, was associated with a significantly increased risk of any clinical fracture (hazard ratio, HR = 1.88; 95% CI = 1.72-2.07). The risk ratio was similar for the outcome of osteoporotic fracture (HR = 1.87; 95% CI = 1.69-2.07), major osteoporotic fracture (HR = 1.83; 95% CI = 1.63-2.06), or for hip fracture (HR = 1.82; 95% CI = 1.62-2.06). There was no significant difference in risk ratio between men and women. Subsequent fracture risk was marginally downward adjusted when account was taken of BMD. Low BMD explained a minority of the risk for any clinical fracture (14%), osteoporotic fracture (17%), and for hip fracture (33%). The risk ratio for all fracture outcomes related to prior fracture decreased significantly with adjustment for age and time since baseline examination.
A previous history of fracture confers an increased risk of fracture of substantial importance beyond that explained by BMD. The effect is similar in men and women. Its quantitation on an international basis permits the more accurate use of this risk factor in case finding strategies.

Keywords

Male, Humans, Female, Osteoporotic Fractures/etiology, Osteoporotic Fractures/complications, Osteoporosis/complications, Hip Fractures/etiology, Hip Fractures/complications, Bone Density, Risk Factors, Risk Assessment, Hip fracture, Major osteoporotic fracture, Meta-analysis, Osteoporotic fracture, Prior fracture

URN

urn:nbn:ch:serval-BIB_C15EE1602FCF1

OAI-PMH

oai:serval.unil.ch:BIB_C15EE1602FCF

DOI

10.1007/s00198-023-06870-z

Pubmed

37566158

Web of science

001049597400001

Create date

14/08/2023 14:50