Evidence map›Paper›PMID 32450341›Full record

ArticleBone2020

Trabecular bone score and transilial bone trabecular histomorphometry in type 1 diabetes and healthy controls.

Thiyagarajan Thangavelu, Emily Silverman, Mohammed P Akhter, Elizabeth Lyden, Robert R Recker, Laura A Graeff-Armas

Open access · greenAbstract read
In one paragraph

Article in Bone, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Trabecular bone score in adults with type 1 diabetes: a meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  2. Pooled it
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  5. Bone microstructure and TBS in diabetes: what have we learned? A narrative review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Review
  6. Review
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  8. Review
  9. Glycemic Control and Bone in Diabetes.Current osteoporosis reports · 2022
    Review
  10. Update on trabecular bone score.Archives of endocrinology and metabolism · 2022
    Review
  11. Effect of chronic lithium on mechanical sensitivity and trabecular bone loss induced by type-1 diabetes mellitus in mice.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2022
    Article
  12. Review
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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

6 authors at 2 institutions in 1 country.

Thiyagarajan ThangaveluDepartment of Diabetes, Endocrinology & Metabolism, University of Nebraska Medical Center, United States of America.
Emily SilvermanDepartment of Diabetes, Endocrinology & Metabolism, University of Nebraska Medical Center, United States of America.
Mohammed P AkhterOsteoporosis Research Center, Creighton University, United States of America.
Elizabeth LydenDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center, United States of America.
Robert R ReckerOsteoporosis Research Center, Creighton University, United States of America.
Laura A Graeff-ArmasDepartment of Diabetes, Endocrinology & Metabolism, University of Nebraska Medical Center, United States of America. Electronic address: laura.armas@unmc.edu.
University of Nebraska Medical Center · USCreighton University · US

Funding

The Use of Novel Technologies to Investigate Bone Health in Diabetes MellitusK23AR055542 · NIAMS · CREIGHTON UNIVERSITY · PI ARMAS, LAURA ANNE GRAEFF · 2009 to 2013
$652k
NIAMS NIH HHS K23 AR055542
6 · The paper itself

Abstract

Patients with type 1 Diabetes Mellitus (T1DM) have an increased risk of fracture. Little is known about the microarchitecture of trabecular bone in T1DM, which may account for some of the increased risk. We report here a secondary analysis comparing Trabecular Bone Score (TBS) derived from DXA to 2-D histomorphometric and 3-D micro-computerized tomography (CT) variables obtained from iliac biopsies in 83 subjects (29 T1DM and 54 controls). The transilial bone biopsy specimens were fixed, embedded and scanned using a desktop micro-CT at 16 μm resolution. They were then sectioned and quantitative histomorphometry was performed. TBS of the anterior/posterior (AP) spine was obtained by re-analysis of AP lumbar spine DXA images. Overall, there were no differences in TBS, histomorphometry or micro-CT measurements between T1DM and controls. There was a significant association between TBS and 2-D BV/TV using multivariable linear regression after adjusting for group, age and gender. For every 1 unit increase in 2-D BV/TV, TBS increases by 0.0036 units after adjusting for group, gender and age. In conclusion, T1DM does not result in abnormal TBS, histomorphometric or micro-CT variables in young T1DM patients in the absence of diabetic complications. TBS is a good surrogate measure for trabecular microarchitecture.

Indexed as

Diabetes Mellitus, Type 1Absorptiometry, PhotonBone DensityCancellous BoneHumansLumbar VertebraeTomography, X-Ray ComputedBoneDiabetesDXAHistomorphometryMicro-CTTrabecular bone score

Identifiers

PMID32450341
PMCPMC7354208
OpenAlexW3027210602

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.