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Defining ethnic and racial differences in osteoporosis and fragility fractures

Cauley, JA (2011) Defining ethnic and racial differences in osteoporosis and fragility fractures. Clinical Orthopaedics and Related Research, 469 (7). 1891 - 1899. ISSN 0009-921X

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Background: Osteoporotic fractures are a major public health issue. The literature suggests there are variations in occurrence of fractures by ethnicity and race. Questions/purposes: My purpose is to review current literature related to the influence of ethnicity and race on the (1) epidemiology of fracture; (2) prevalence of osteoporosis by bone mineral density; (3) consequences of osteoporotic hip fracture; (4) differences in risk fracture for fracture; and (5) disparities in screening, diagnosis, and treatment of osteoporosis. Methods: Current literature was selectively reviewed related to osteoporosis, ethnicity, and race. Results: Ethnicity and race, like sex, influence the epidemiology of fractures, with highest fracture rates in white women. Bone mineral density is higher in African Americans; however, these women are more likely to die after hip fracture, have longer hospital stays, and are less likely to be ambulatory at discharge. Consistent risk factors for fracture across ethnicity include older age, lower bone mineral density, previous history of fracture, and history of two or more falls. Ethnic and racial disparities exist in the screening, diagnosis, and treatment of osteoporosis. Conclusions: Across ethnic and racial groups, more women experience fractures than the combined number of women who experience breast cancer, myocardial infarction, and coronary death in 1 year. Prevention efforts should target all women, irrespective of their race/ethnicity, especially if they have multiple risk factors. © 2011 The Association of Bone and Joint Surgeons®.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Cauley, JAJCauley@edc.pitt.eduJCAULEY
Date: 1 January 2011
Date Type: Publication
Journal or Publication Title: Clinical Orthopaedics and Related Research
Volume: 469
Number: 7
Page Range: 1891 - 1899
DOI or Unique Handle: 10.1007/s11999-011-1863-5
Schools and Programs: School of Public Health > Epidemiology
Refereed: Yes
ISSN: 0009-921X
Date Deposited: 03 Apr 2015 16:43
Last Modified: 16 Mar 2019 13:55


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