Is raloxifene associated with lower risk of mortality in postmenopausal women with vertebral fractures after vertebroplasty: a hospital-based analysisReport as inadecuate




Is raloxifene associated with lower risk of mortality in postmenopausal women with vertebral fractures after vertebroplasty: a hospital-based analysis - Download this document for free, or read online. Document in PDF available to download.

BMC Musculoskeletal Disorders

, 16:209

First Online: 19 August 2015Received: 19 February 2015Accepted: 10 August 2015

Abstract

BackgroundOsteoporotic fractures are associated with mortality in postmenopausal woman. Whether raloxifen treatment after vertebroplasty can reduce mortality is unclear in this group. To compare the effect of raloxifene and no osteoporosis treatment on the risk of mortality after vertebroplasty, we designed this study.

MethodsThis was a retrospective study January 2001 to December 2007. Follow-up for each participant was calculated as the time from inclusion in the study to the time of death, or to December 31, 2013, whichever occurred first. All of the patients underwent baseline bone density studies, and age and body mass index kg-m were recorded. All associated medical diseases such as diabetes, hypertension, and liver and renal disease were recorded.

ResultsOne hundred and forty-nine patients with vertebral fractures were enrolled, of whom 51 used raloxifene and 98 patients did not receive any anti-osteoporotic therapy. At the end of the follow-up period, 62 patients had died and 87 were still alive. The treated patients had a lower mortality rate than those who did not receive treatment P = 0.001, HR = 3.845, 95 % CI 1.884-7.845. The most common cause of mortality was sepsis, and those who received raloxifene had a lower rate of sepsis compared to those who did not receive treatment P < 0.001.

ConclusionsEffective treatment with raloxifene may had a lower mortality rate in patients with postmenopausal osteoporosis-related vertebral fractures after vertebroplasty.

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Author: Fu-Mei Su - Ying-Chou Chen - Tien-Tsai Cheng - Wei-Che Lin - Chun-Chung Lui

Source: https://link.springer.com/



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