Prevalence and Risk Factors for Non-Vertebral Fractures in Patients Receiving Oral Glucocorticoids

AuthorSosa-HenrIquez Manuelen
AuthorGomez de Tejada-Romero Maria Jesusen
AuthorSaavedra-Santana Pedroen
AuthorBlazquez-Cabrera Jose Antonioen
AuthorGarcia-Vadillo Jess Albertoen
AuthorValdes-Llorca Carmenen
AuthorDiaz-Curiel Manuelen
AuthorMunoz-Torres Manuelen
AuthorMartinez-Rodriguez Maria Elenaen
AuthorNavarro-Ceballos Carmenen
AuthorSanfelix-Genoves Joseen
AuthorCancelo-Hidalgo Maria Jesusen
AuthorCarpintero-Benitez Pedroen
AuthorMesa-Ramos Manuelen
AuthorPalacios-Gil Antunanoen
Issued Date2012-12-01en
AbstractBackground: Glucocorticoids taken orally increase the risk of fractures. It has been noted that a dose as low as 2.5 mg/day increases the risk of vertebral fracture. What is less clear is the possible influence of other risk factors for osteoporosis on the presence of non-vertebral fractures in patients taking glucocorticoids. Objectives: A cross-sectional study, performed on 513 men and women from Spain, who were taking at least 7.5 mg/day of oral prednisone for a minimum of 3 months. A questionnaire was developed, through which information on risk factors was collected. Patients and Methods: A cross-sectional study, performed on 513 men and women from Spain, who were taking at least 7.5 mg/day of oral prednisone for a minimum of 3 months. A questionnaire was developed, through which information on risk factors was collected. Results: 28.3% of the patients who were taking glucocorticoids at a daily oral dose of 7.5 mg/day for a minimum of 3 months had suffered at least one non-vertebral fracture. The risk increased with age, the number of months the glucocorticoids had been taken, the presence of falls in the last year and, above all, with a maternal history of hip fracture. Conclusions: In patients taking oral glucocorticoids for over 3 months at doses higher than 7.5 mg/day of prednisone or equivalent, the prevalence of non-vertebral fractures was 28.3%. Some risk factors associated with the presence of these fractures were identified. The duration of glucocorticoid use appears to be more strongly related to the presence of non-vertebral fractures than the daily dose.en
DOIhttps://doi.org/10.5812/ijem.3442en
URIhttps://brieflands.com/journals/ijem/articles/74984en
PublisherBrieflandsen
TitlePrevalence and Risk Factors for Non-Vertebral Fractures in Patients Receiving Oral Glucocorticoidsen
TypeResearch Articleen

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