Prediction Model for Osteopenia in Patients With Psoriasis

NCT ID: NCT07112755

Last Updated: 2025-08-13

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

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-08-01

Study Completion Date

2022-12-23

Brief Summary

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This study aims to develop a clinical prediction model for osteopenia in patients with psoriasis. By retrospectively analyzing demographic, laboratory, and lifestyle variables, the investigators will identify risk factors associated with decreased bone mineral density (BMD) in this population. The study will facilitate the identification of high-risk individuals and provide evidence for early screening and intervention strategies.

Detailed Description

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Psoriasis is a chronic inflammatory skin disease associated with various systemic comorbidities, including an increased risk of bone loss. Recent studies suggest that patients with psoriasis have a significantly higher incidence of osteopenia and osteoporosis than the general population, potentially due to systemic inflammation and shared risk factors. All enrolled patients will undergo dual-energy X-ray absorptiometry (DEXA) scans to assess bone mineral density (BMD). Based on the results, patients will be categorized into normal BMD and osteopenia groups. Demographic data (age, sex, height, weight, BMI), clinical variables (disease duration, CRP, ESR, blood glucose, blood lipids, blood pressure), and lifestyle factors (smoking, alcohol use) will be collected and analyzed. Univariate and multivariate logistic regression analyses will be performed to identify independent risk factors. A prediction model will be constructed and evaluated using ROC curve analysis to assess sensitivity, specificity, and accuracy. The objective of this study is to develop a validated tool to assist clinicians in identifying patients with psoriasis at high risk for osteopenia, thereby enabling early screening and preventive management to reduce future fracture risk.

Conditions

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Psoriasis

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of plaque psoriasis according to established diagnostic criteria
* Age ≥ 18 years
* Willingness to participate in the study and provide written informed consent

Exclusion Criteria

* Severe hepatic or renal dysfunction
* Coexisting immune, endocrine, or malignant diseases that may affect bone metabolism
* Congenital joint deformities, history of joint trauma, or joint replacement surgery
* Use of systemic corticosteroids, calcium supplements, or bisphosphonates within the past 3 months
* Psychiatric or psychological disorders
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chongli Yu

OTHER

Sponsor Role lead

Responsible Party

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Chongli Yu

PhD Candidate

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Chinese PLA General Hosptial

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Sirufo MM, De Pietro F, Bassino EM, Ginaldi L, De Martinis M. Osteoporosis in Skin Diseases. Int J Mol Sci. 2020 Jul 3;21(13):4749. doi: 10.3390/ijms21134749.

Reference Type BACKGROUND
PMID: 32635380 (View on PubMed)

Ogdie A, Harter L, Shin D, Baker J, Takeshita J, Choi HK, Love TJ, Gelfand JM. The risk of fracture among patients with psoriatic arthritis and psoriasis: a population-based study. Ann Rheum Dis. 2017 May;76(5):882-885. doi: 10.1136/annrheumdis-2016-210441. Epub 2017 Jan 16.

Reference Type BACKGROUND
PMID: 28093419 (View on PubMed)

Sepehri NZ, Raeisi T, Razi B, Janmohammadi P, Darand M, Alizadeh S. The association between psoriasis and psoriatic arthritis with the risk of osteoporosis, osteopenia and bone fractures: A systematic review and meta-analysis. Int J Clin Pract. 2021 Nov;75(11):e14630. doi: 10.1111/ijcp.14630. Epub 2021 Jul 22.

Reference Type BACKGROUND
PMID: 34260133 (View on PubMed)

D'Epiro S, Marocco C, Salvi M, Mattozzi C, Luci C, Macaluso L, Giancristoforo S, Campoli M, Scarno M, Migliaccio S, Calvieri S, Richetta A. Psoriasis and bone mineral density: implications for long-term patients. J Dermatol. 2014 Sep;41(9):783-7. doi: 10.1111/1346-8138.12546. Epub 2014 Jul 3.

Reference Type BACKGROUND
PMID: 24990650 (View on PubMed)

Ojeda JL, Ros MA, Garcia-Porrero JA. [Role of the basement membrane in the pathogenesis of polycystic kidney: a new pathogenetic hypothesis based on an experimental model]. Minerva Urol Nefrol. 1987 Jul-Sep;39(3):275-82. No abstract available. Italian.

Reference Type BACKGROUND
PMID: 3326187 (View on PubMed)

Ding X, Wang T, Shen Y, Wang X, Zhou C, Tian S, Liu Y, Peng G, Zhou J, Xue S, Wang R, Tang Y, Meng X, Pei G, Bai Y, Liu Q, Li H, Zhang J. Prevalence of psoriasis in China: a population-based study in six cities. Eur J Dermatol. 2012 Sep-Oct;22(5):663-7. doi: 10.1684/ejd.2012.1802.

Reference Type BACKGROUND
PMID: 22910173 (View on PubMed)

Other Identifiers

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S2022-196-01-01

Identifier Type: -

Identifier Source: org_study_id

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