Incidental vertebral fractures discovered with chest radiography in the emergency department: Prevalence, recognition, and osteoporosis management in a cohort of elderly patients

Archives of Internal Medicine

Volumn 165, Issue 8, 2005, Pages 905-909

  Majumdar, Sumit R ^a,d   Kim, Nancy ^a   Colman, Ian ^a,c   Chahal, Anthony M ^a   Raymond, Gregory ^a   Jen, Ho ^a   Siminoski, Kerry G ^a   Hanley, David A ^b   Rowe, Brian H ^a  

^a UNIVERSITY OF ALBERTA   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

^c UNIVERSITY OF CAMBRIDGE   (United Kingdom)

^d UNIVERSITY OF ALBERTA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; DISEASE SEVERITY; EMERGENCY WARD; EVALUATION; FEMALE; HUMAN; INCIDENTAL FINDING; MAJOR CLINICAL STUDY; MALE; OSTEOPOROSIS; OUTCOMES RESEARCH; PREVALENCE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RADIOLOGIST; THORAX RADIOGRAPHY; VERTEBRA FRACTURE;

AGE FACTORS; AGED; ALBERTA; COHORT STUDIES; DIPHOSPHONATES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INCIDENTAL FINDINGS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; OSTEOPOROSIS; PREVALENCE; RADIOGRAPHY, THORACIC; RETROSPECTIVE STUDIES; RISK FACTORS; SEX FACTORS; SPINAL FRACTURES; THORACIC VERTEBRAE;

EID: 17644377244     PISSN: 00039926     EISSN: None     Source Type: Journal    
DOI: 10.1001/archinte.165.8.905     Document Type: Article

References (22)

1. Physicians' guide to prevention and treatment of osteoporosis. National Osteoporosis Foundation, 1999. Available at: http://www/nof.org/physguide.html. Accessed October 1, 2004.
2. Scientific Advisory Council, Osteoporosis Society of Canada. 2002 Clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ. 2002;167(suppl):S1-S34.
3. Andrade SE, Majumdar SR, Chan KA, et al. Low frequency of treatment of osteoporosis among postmenopausal women following a fracture. Arch Intern Med. 2003;163:2052-2057.
4. Papaioannou A, Watts NB, Kendler DL, Yuen CH, Adachi JD, Ferko N. Diagnosis and management of vertebral fractures in elderly patients. Am J Med. 2002;113:220-228.
5. Melton LJ III, Lane AW, Cooper C, Eastell R, O'Fallon WM, Riggs BL. Prevalence and incidence of vertebral deformities. Osteoporos Int. 1993;3:113-119.
6. O'Neill TW, Felsenberg D, Varlow J, Cooper C, Kanis KA, Silman AJ. The prevalence of vertebral deformity in European men and women: the European Vertebral Osteoporosis Study. J Bone Miner Res. 1996;11:1010-1018.
7. Jackson SA, Tenenhouse A, Robertson L. Vertebral fracture definition from population-based data: preliminary results from the Canadian Multicenter Osteoporosis Study (CaMos). Osteoporos Int. 2000;11:680-687.
8. Cooper C, Melton LJ III. Vertebral fractures: how large is the silent epidemic? BMJ. 1992;304:793-794.
9. Kado DM, Browner WS, Palermo L, Nevitt M, Genant H, Cummings S. Vertebral fractures and mortality in older women: a prospective study. Arch Intern Med. 1999;159:1215-1220.
10. Pluijm SM, Tromp AM, Smit JH, Deeg DJ, Lips P. Consequences of vertebral deformities in older men and women. J Bone Miner Res. 2000;15:1564-1572.
11. Kim N, Rowe BH, Raymond G, et al. Underreporting of vertebral fractures on routine chest radiography. AJR Am J Roentgenol. 2004;182:297-301.
12. Gehlbach SH, Bigelow C, Heimisdottir M, May S, Walker M, Kirkwood JR. Recognition of vertebral fracture in a clinical setting. Osteoporos Int. 2000;11:577-582.
13. Neuner JM, Zimmer JK, Hamel MB. Diagnosis and treatment of osteoporosis in patients with vertebral compression fractures. J Am Geriatr Soc. 2003;51:483-491.
14. Mui LW, Haramati LB, Alterman DD, Haramati N, Zelefsky MN, Hamerman D. Evaluation of vertebral fractures on lateral chest radiographs of inner-city post-menopausal women. Calcif Tissue Int. 2003;73:550-554.
15. Genant HK, Wu CY, Van Kuijk C. Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res. 1993;8:1137-1148
16. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-174.
17. Melton LJ III, Thamer M, Ray NF, et al. Fractures attributable to osteoporosis: report from the National Osteoporosis Foundation. J Bone Miner Res. 1997;12:16-23.
18. Klotzbuecher CM, Ross PD, Landsman PB, Abbott TA III, Berger M. Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res. 2000;15:721-739.
19. Lindsay R, Silverman SL, Cooper C, et al. Risk of a new vertebral fracture in the year following a fracture. JAMA. 2001;285:320-323.
20. Cooper C, Atkinson EJ, O'Fallon WM, Melton LJ III. Incidence of clinically diagnosed vertebral fractures: a population based study in Rochester, Minnesota, 1985-1989. J Bone Miner Res. 1992;7:221-227.
21. Vogt TM, Ross PD, Palermo L, et al; Fracture Intervention Trial Research Group. Vertebral fracture prevalence among women screened for the Fracture Intervention Trial and a simple clinical tool to screen for undiagnosed vertebral fractures. Mayo Clin Proc. 2000;75:888-896.
22. Majumdar SR, Rowe BH, Folk D, et al. A controlled trial to increase detection and treatment of osteoporosis in older patients with a wrist fracture. Ann Intern Med. 2004;141:366-373.