Prognosis
Absolute risk of subsequent fracture was similar in women and men
Center JR, Bliuc D, Nguyen TV, et al. Risk of subsequent fracture after low-trauma fracture in men and women. JAMA 2007;297:387–94.
Q What is the risk of subsequent fracture after initial low impact fracture in women and men?
IM/Ambulatory care Geriatrics
Key Words: fracture • bones
| The first 150 words of the full text of this article appear below. |
Design:
inception cohort followed for median 16 years in women and 15 years in men (Dubbo Osteoporosis Epidemiology Study).
Setting:
community study in Dubbo, New South Wales, Australia.
Patients:
1242 patients 
60 years of age (905 women [mean age 78 y] and 337 men [mean age 77 y] at time of incident fracture) who had an initial low impact fracture (caused by a fall from a standing height or less) between January 1989 and April 2005. Patients with skull, finger, and toe fractures or an underlying condition that could predispose to pathological fracture were excluded.
Prognostic factors:
smoking, alcohol, and dietary calcium intake; comorbid conditions and medications; anthropomorphic measurements; bone mineral density of the lumbar spine and femoral neck; quadriceps strength; and body sway.
Outcomes:
subsequent fracture.
Among 905 women with initial fracture, 253 had a subsequent fracture over 4076 person years (median 3.25 y) of follow up. Among 337
Institute for Aging Research,
Hebrew SeniorLife,
Roslindale, Massachusetts, USA
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