Autoinflammatory & rare systemic diseases

Increased risk of osteoporosis and femoral neck fractures in patients with familial Mediterranean fever—a large retrospective cohort study

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · OsteoporosisResult — go to the resultCrude hazard ratio 1.62 95% CI 1.35–1.93

Authors' conclusion

FMF patients are at increased risk for osteoporosis and consequently femur fracture.

Study context

Population
Familial Mediterranean fever (FMF) patients first diagnosed 2000–2016 and matched controls, Clalit Health Services electronic databasemedian follow-up 12.5 years
Exposure
FMF patients vs age- and sex-matched controls
  • FMFn = 9,769
Outcome
Incidence and risk of osteoporosis and femoral neck fracture
Methodological detailsage- and sex-matched controls 1:1, univariate and multivariate Cox regression
  • Age- and sex-matched controls 1:1
  • Univariate and multivariate Cox regression

Main finding

Osteoporosis

Crude hazard ratio

1.62

95% CI 1.35–1.93

P < 0.001

Events by group

FMFvs Controls
crude HR 1.62 (95% CI 1.35–1.93); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

Per 10 000 persons-years

OutcomeFMFControlsCrude HR (95% CI)P value
Femoral neck fracture, incidence rate per 10 000 persons-years · median follow-up 12.5 years5.33.31.60 (1.05–2.44)P < 0.05
Age at osteoporosis diagnosis (FMF patients diagnosed considerably younger than controls)
P = 0.028

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Increased risk of osteoporosis and femoral neck fractures in patients with familial Mediterranean fever—a large retrospective cohort study. Rheumatology (Oxford). Published 28 September 2023. doi:10.1093/rheumatology/kead526

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