Observational studyArchives of osteoporosis2025
Association of hospital-initiated bone densitometry with hospitalization for fragility fracture at Lille University Hospital among adults with chronic obstructive pulmonary disease.
Observational study in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A retrospective study was conducted to calculate the cumulative incidence of hospital-initiated bone densitometry, in the year following hospitalization for fragility fracture in patients with chronic obstructive pulmonary disease. This cohort study demonstrated low rates of hospital-initiated bone densitometry with a 1-year cumulative incidence of 22.6%.
backgroundOsteoporosis is one of the most frequent comorbidities in chronic obstructive pulmonary disease (COPD) patients. A study was conducted to assess the management of osteoporosis in COPD patients using the INCLUDE health data warehouse.
objectivesThe primary objective was to calculate the cumulative incidence of hospital-initiated bone densitometry, in the year following hospitalization for fragility fracture in COPD patients. PATIENTS AND
methodsA retrospective, monocentric, observational study was conducted at Lille University Hospital with patients identified from January 2013 to December 2021. Patients with COPD, aged 40 or over, and hospitalized for a fragility fracture according to the ICD-10 classification were included. Bone densitometry was indexed according to French Common Procedures Classification (CCAM) acts by INCLUDE.
resultsA total of 365 patients (~ 60% male, mean age 73.5 ± 12.3 years, and median Charlson score 2.0 (1.0; 4.0)) were included. Hospitalization units for fractures were orthopedics (n = 168), geriatrics (n = 46), rheumatology (n = 45), pneumology (n = 24), and others (n = 82). A total of 499 fractures were identified, most of them severe (hip (36.4%), vertebrae (30.1%), proximal humerus (11.5%), pelvis (10.7%), etc.). During the first year, 69 patients (18.9%) died, and 81 underwent hospital-initiated bone densitometry. The cumulative incidence of bone densitometry in the 1st year was 22.6% [CI 95% 18.3-27.1%]. Independent determinants of performing bone densitometry were female gender, low Charlson score, hospitalization in rheumatology, and vertebral fracture(s).
conclusionThe cumulative incidence of hospital-initiated bone densitometry, within 1 year of hospitalization for a fragility fracture in COPD patients was relatively low.
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