Evidence map›Paper›PMID 42343050›Full record

ArticleArchives of osteoporosis2026

Bone mineral density testing rates and fracture risk across cancers with different mortality risks: a nationwide matched cohort study.

Seung Hoon Kim, Eunjeong Choi, Yonghan Cha, Seoyeong Choi, Suk-Yong Jang

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Article in Archives of osteoporosis, 2026. 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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5 · Who and what money

Authors and funding

5 authors.

Seung Hoon Kim *Department of Ophthalmology, Soonchunhyang University Hospital Cheonan, Soonchunhyang University College of Medicine, Cheonan, South Korea. immergru@gmail.com.
Eunjeong Choi *Department of Public Health, Graduate School, Yonsei University, Seoul, South Korea.
Yonghan ChaDepartment of Orthopaedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, 95 Dunsan Seoro, Seo-Gu, Daejeon, 35233, South Korea. naababo@hanmail.net.
Seoyeong ChoiDepartment of Public Health, Graduate School, Yonsei University, Seoul, South Korea.
Suk-Yong JangDepartment of Biohealth Industry, Policy Analysis Division, Graduate School of Transdisciplinary Health Science, Yonsei University, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In our study, patients with cancer underwent bone mineral density testing more frequently than matched non-cancer patients. High-mortality cancers showed the highest relative rates of both BMD testing and osteoporotic fracture, whereas thyroid cancer showed comparatively low fracture risk despite higher testing rates.

backgroundWe aimed to compare the rates of bone mineral density (BMD) testing and osteoporotic fractures among patients with incident cancer and matched non-cancer patients according to cancer mortality risk.

methodsWe conducted a nationwide matched cohort study of individuals aged ≥ 50 years between 2005 and 2019. Patients with incident cancer were risk-set matched 1:2 to non-cancer patients using time-dependent propensity scores. Cancer types were categorized by mortality risk (thyroid, intermediate-, and high-mortality). Outcomes included receipt of BMD testing and incidence of osteoporotic fractures within 5 years. Cox proportional hazards models with robust variance estimators were used, with stratified analyses according to prior osteoporosis medication use.

resultsThe final cohort comprised 28,537 patients with cancer and 57,074 matched non-cancer patients. Overall, patients with cancer were more likely to undergo BMD testing than non-cancer patients; however, the magnitude varied by cancer mortality risk. Among patients without prior osteoporosis treatment, BMD testing was most frequent in high-mortality cancers (adjusted hazard ratio [aHR] 2.17; 95% CI 2.12-2.23), followed by thyroid (aHR 1.59; 95% CI 1.48-1.71) and intermediate-mortality cancers (aHR 1.49; 95% CI 1.45-1.54). In contrast, osteoporotic fracture risk increased stepwise with worsening cancer prognosis, with the highest risk observed in high-mortality cancers (aHR 2.80; 95% CI 2.72-2.89), while thyroid cancer was not associated with increased fracture risk.

conclusionsBoth BMD testing and fracture risk varied across cancer mortality groups, with high-mortality cancers showing the highest relative fracture risk. These findings demonstrate differing rates of BMD testing and osteoporotic fracture across cancer populations with differing prognoses.

Indexed as

Bone DensityNeoplasmsOsteoporotic FracturesAgedAged, 80 and overCohort StudiesFemaleHumansIncidenceMaleMiddle AgedRisk FactorsBone densityCohort studiesNeoplasmsOsteoporotic fractures

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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.