Osteoporosis & bone health

Significant decrease of osteoporosis and osteoporotic fractures in rheumatoid arthritis within a period of 24 years: experiences of a single centre

RMD OpenPublished Retrospective cohort study

Authors' conclusion

Our study showed a significant decline in osteoporosis and osteoporotic fractures in RA for 24 years.

Study context

Population
Rheumatoid arthritis (RA) patients at first osteological assessment with bone mineral density (BMD) measurement, 1996–2019, single clinic
Participants
547 vs 539
Exposure
Cohort 2 vs cohort 1
  • Cohort 2n = 547
  • Cohort 1n = 539reference
Outcome
Frequency of osteoporosis and osteoporotic fractures
Methodological detailssingle-centre, linear regression analysis
  • Single-centre
  • Linear regression analysis

Main finding

As reported in the abstract

Prevalence of osteoporosis

P < 0.001

Observational data: associations, not effects.

Further findings

Osteoporotic peripheral fractures

P < 0.001

Vertebral fractures

P = 0.011

Treatment with biologicals

P < 0.001

GC use · significantly less common in cohort 2
P = 0.005

BMD under biologicals (RA disease duration >2 years)

BMD significantly higher under treatment with biologicals
P < 0.001
Despite increased cumulative GC dosages
P < 0.001

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

Original publication

Significant decrease of osteoporosis and osteoporotic fractures in rheumatoid arthritis within a period of 24 years: experiences of a single centre. RMD Open. Published 20 August 2024. doi:10.1136/rmdopen-2024-004564

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