Impact of Bone Mineral Density on Fracture Risk Assessment in RA

NCT ID: NCT06718985

Last Updated: 2024-12-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-04

Study Completion Date

2023-04-04

Brief Summary

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This study investigates whether incorporating bone mineral density (BMD) into FRAX calculations changes fracture risk assessment and influences treatment decisions in rheumatoid arthritis (RA) patients. Analyzing 60 RA patients, FRAX scores for 10-year major osteoporotic and hip fractures were calculated with and without BMD. While no significant differences were found between the two methods, discrepancies in treatment recommendations were identified, particularly for hip fractures. The findings emphasize the importance of combining BMD and FRAX for a more comprehensive fracture risk assessment and informed treatment decision-making in RA patients.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Interventions

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No intervention

No intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of rheumatoid arthritis (RA) based on ACR/EULAR criteria.
* Age between 40-90 years.
* Dual-energy X-ray absorptiometry (DXA) results obtained within the past six months.
* Availability of complete clinical and demographic data for fracture risk assessment.
* Patients who provide informed consent for the study.

Exclusion Criteria

* Patients with secondary causes of osteoporosis (e.g., hyperparathyroidism, Cushing's syndrome).
* Use of medications affecting bone metabolism (e.g., glucocorticoids \>7.5 mg/day, bisphosphonates, denosumab) within the past year.
* History of metabolic bone diseases other than osteoporosis (e.g., osteomalacia, Paget's disease).
* Patients with a history of malignancy, except for non-melanoma skin cancer.
* Incomplete or missing data required for FRAX or DXA analysis.
* Any condition or comorbidity likely to affect fracture risk assessment, as determined by the clinician.
Minimum Eligible Age

40 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istanbul Physical Medicine Rehabilitation Training and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Fatma Nur Kesiktaş

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Istanbul Physical Medicine and Rehabilitation Training and Research Hospital

Istanbul, Bahcelievler, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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IstPRMTRH55

Identifier Type: -

Identifier Source: org_study_id