Predictors of bone density testing in patients with rheumatoid arthritis.

Abstract:

:Patients with rheumatoid arthritis (RA) are at increased risk of low bone density and fractures. This study identifies predictors of initiation of dual energy X-ray absorptiometry (DXA) testing in RA. We identified RA patients from the CORRONA registry with >or=1 year follow-up without reported DXA at study entry. The primary outcome was report of DXA in the first year of follow-up (DXA initiation). Variables associated with DXA initiation were considered for the multivariate model. Stepwise logistic regression identified independent predictors. Of the 2,717 RA patients without DXA documented at enrollment, 297 (11%) reported DXA initiation. Independent predictors of DXA initiation included age, female sex, history of fracture, steroid use, and physician's assessment of RA activity. In conclusion, DXA initiation in RA patients in the CORRONA cohort is low despite increased risk of osteoporosis. Predictors of DXA initiation include fracture, common risk factors for osteoporosis, and RA-associated factors.

journal_name

Rheumatol Int

authors

Aizer J,Reed G,Onofrei A,Harrison MJ

doi

10.1007/s00296-008-0804-4

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

897-905

issue

8

eissn

0172-8172

issn

1437-160X

journal_volume

29

pub_type

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