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- Title
Bone mineral density, osteopenia and osteoporosis among US adults with cancer.
- Authors
Huang, J -F; Tan, Q -C; Bai, H; Wang, J; Bergman, M; Wu, Z
- Abstract
Background Bone mineral deficits are one of the most common complications in cancer survivors. However, there are no studies evaluating bone mineral density (BMD) and the prevalence of osteopenia and osteoporosis among patients with different types of cancers. Aim The objective was to assess BMD and evaluate the prevalence of osteopenia and osteoporosis among US adults with cancer. Design A cross-section propensity score matching study. Methods We extracted data from National Health and Nutrition Examination Survey database from 2005 to 2018. We compared BMD in participants with and without cancer which was further analyzed according to cancer type. We conducted logistic regression to evaluate adjusted odds ratios of osteopenia and osteoporosis and determine risk factors for their development. Results We found that BMD was significantly higher in participants without cancer than cancer patients. Furthermore, the median BMD of patients with breast cancer or skin cancer (including melanoma) was significantly lower than participants without cancer. People with breast, lung, genitourinary and skin cancers were more likely to incur osteopenia/osteoporosis than those without cancer. Conclusions BMD differs depending upon type in survivors. Individuals with a history of cancer have a poor understanding of osteoporosis and its risk factors. Understanding risk factors in patients with cancers identified in our study may be helpful for preventing osteoporosis and fractures and the development of screening guidelines.
- Subjects
BONE density; OSTEOPOROSIS; SKIN cancer; CANCER patients; OSTEOPENIA; HEALTH &; Nutrition Examination Survey; PROPENSITY score matching
- Publication
QJM: An International Journal of Medicine, 2022, Vol 115, Issue 10, p653
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcac015