Undetected osteoporosis in the elderly might be discovered if chest radiographs (x-ray images) that are done for other reasons were examined for fractures of the vertebrae, according to an article in the April 25 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
Previous studies estimate that 12 to 25 percent of people aged 50 to 60 years have one or more osteoporosis-related vertebral fracture, the most common fracture associated with osteoporosis, according to background information in the article. While only 30 percent of these fractures come to medical attention the other 70 percent are associated with illness, death, decreased quality of life and increased risk of future fractures. The authors suggest that the many chest radiographs elderly patients undergo for other health reasons might be examined to determine the presence of vertebral fractures.
Sumit R. Majumdar, M.D., M.P.H., of the University of Alberta Hospital, Edmonton, Canada, and colleagues selected a random sample of about 10 percent of patients older than 60 who had been evaluated in the emergency department of a large teaching hospital and had a chest radiograph done for any reason. The medical charts and radiographs were then reviewed in detail to determine whether the patient had a moderate-to-severe vertebral fracture.
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