Evidence map›Paper›PMID 26952010›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016

Young adults with cystic fibrosis have altered trabecular microstructure by ITS-based morphological analysis.

M S Putman, L B Greenblatt, L Sicilian, A Uluer, A Lapey, G Sawicki, C M Gordon, M L Bouxsein, J S Finkelstein

Abstract read
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Differences in Trabecular Microstructure Between Black and White Women Assessed by Individual Trabecular Segmentation Analysis of HR-pQCT Images.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Trial
  2. Updates in Cystic Fibrosis Bone Disease in Adults.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. An update on methods for assessing bone quality and health in Cystic fibrosis.Journal of clinical & translational endocrinology · 2022
    Article
  7. Observational
  8. Trabecular microstructure is influenced by race and sex in Black and White young adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  9. Robust Trabecular Microstructure in Type 2 Diabetes Revealed by Individual Trabecula Segmentation Analysis of HR-pQCT Images.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2018
    Article
  10. Characterization of trabecular bone microstructure in premenopausal women with distal radius fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  11. Article
  12. Children and adolescents with cystic fibrosis display moderate bone microarchitecture abnormalities: data from high-resolution peripheral quantitative computed tomography.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

M S PutmanEndocrine Unit, Department of Medicine, Massachusetts General Hospital, 50 Blossom Street, THR-1051, Boston, MA, 02114, USA. msputman@partners.org.
L B GreenblattEndocrine Unit, Department of Medicine, Massachusetts General Hospital, 50 Blossom Street, THR-1051, Boston, MA, 02114, USA.
L SicilianPulmonary Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
A UluerDivision of Respiratory Diseases, Boston Children's Hospital, Boston, MA, USA.
A LapeyPulmonary Division, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA.
G SawickiDivision of Respiratory Diseases, Boston Children's Hospital, Boston, MA, USA.
C M GordonDivision of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
M L BouxseinEndocrine Unit, Department of Medicine, Massachusetts General Hospital, 50 Blossom Street, THR-1051, Boston, MA, 02114, USA.
J S FinkelsteinEndocrine Unit, Department of Medicine, Massachusetts General Hospital, 50 Blossom Street, THR-1051, Boston, MA, 02114, USA.
Massachusetts General Hospital · USBoston Children's Hospital · USCincinnati Children's Hospital Medical Center · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
Research in Development Endocrinology and MetabolismT32DK007699 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI JOEL N HIRSCHHORN · 1992 to 2026
$7.1M
The Endocrine Complications of Cystic Fibrosis: the Role of CFTRK23DK102600 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI PUTMAN, MELISSA SUSAN · 2015 to 2018
$634k
X-Treme CT Equipment GrantS10RR023405 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI FINKELSTEIN, JOEL S · 2007 to 2007
$380k
NCATS NIH HHS UL1 TR000170NCATS NIH HHS UL1 TR001102NCRR NIH HHS S10 RR023405NCRR NIH HHS UL1 RR025758NIDDK NIH HHS K23 DK102600NIDDK NIH HHS T32 DK007699
6 · The paper itself

Abstract

unlabelledYoung adults with cystic fibrosis have compromised plate-like trabecular microstructure, altered axial alignment of trabeculae, and reduced connectivity between trabeculae that may contribute to the reduced bone strength and increased fracture risk observed in this patient population.

introductionThe risk of fracture is increased in patients with cystic fibrosis (CF). Individual trabecular segmentation (ITS)-based morphological analysis of high-resolution peripheral quantitative computed tomography (HR-pQCT) images segments trabecular bone into individual plates and rods of different alignment and connectivity, which are important determinants of trabecular bone strength. We sought to determine whether alterations in ITS variables are present in patients with CF and may help explain their increased fracture risk.

methodsThirty patients with CF ages 18-40 years underwent DXA scans of the hip and spine and HR-pQCT scans of the radius and tibia with further assessment of trabecular microstructure by ITS. These CF patients were compared with 60 healthy controls matched for age (±2 years), race, and gender.

resultsPlate volume fraction, thickness, and density as well as plate-plate and plate-rod connectivity were reduced, and axial alignment of trabeculae was lower in subjects with CF at both the radius and the tibia (p < 0.05 for all). At the radius, adjustment for BMI eliminated most of these differences. At the tibia, however, reductions in plate volume fraction and number, axially aligned trabeculae, and plate-plate connectivity remained significant after adjustment for BMI alone and for BMI and aBMD (p < 0.05 for all).

conclusionsYoung adults with CF have compromised plate-like and axially aligned trabecular morphology and reduced connectivity between trabeculae. ITS analysis provides unique information about bone integrity, and these trabecular deficits may help explain the increased fracture risk in adults with CF not accounted for by BMD and/or traditional bone microarchitecture measurements.

Indexed as

Bone DensityAbsorptiometry, PhotonAdolescentAdultCase-Control StudiesCystic FibrosisFemaleHumansMaleRadiusTibiaTomography, X-Ray ComputedYoung AdultBone microarchitectureCystic fibrosisDual-energy X-ray absorptiometryHigh-resolution peripheral quantitative computed tomographyIndividual trabecula segmentation

Identifiers

PMID26952010
PMCPMC4947435
OpenAlexW2294929557

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.