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Validation and improvement of a prediction model for osteoporotic fractures, FRAX, in a large-scale cohort of Japanese elderly men.

Research Project

Project/Area Number 26460788
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Epidemiology and preventive medicine
Research InstitutionKindai University

Principal Investigator

YURA Akiko  近畿大学, 医学部, 講師 (80142595)

Co-Investigator(Kenkyū-buntansha) 藤田 裕規  近畿大学, 医学部, 講師 (10330797)
伊木 雅之  近畿大学, 医学部, 教授 (50184388)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywordsリスク評価 / 骨折 / 骨粗鬆症 / 予防医学
Outline of Final Research Achievements

To test the validity of a fracture risk prediction model, FRAX, in Japanese men, we analyzed the data from 1805 men who had been followed for 5 years. Major osteoporotic fractures (MOFx) and morphometric vertebral fractures (vFx) were identified in 22 and 41 men, respectively, during the follow-up. Area under ROC curve of FRAX at baseline for predicting the risk of MOFx was 0.668 and was improved to 0.720 by adding trabecular bone score (TBS) and serum pentosidine levels to the model. AUC of FRAX for predicting vFx was 0.682. A model incorporating BMD, age and BMI showed a significantly greater AUC, 0.783, than FRAX alone, and was recommended to use to assess vFx.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (1 results)

All 2016

All Journal Article (1 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results)

  • [Journal Article] A Meta-Analysis of Trabecular Bone Score in Fracture Risk Prediction and Its Relationship to FRAX2016

    • Author(s)
      Eugene V McCloskey, Anders Oden, Nicholas C Harvey, William D Leslie, Didier Hans, Yuki Fujita, Masayuki Iki, et al.
    • Journal Title

      J Bone Miner Res.

      Volume: 31 Issue: 5 Pages: 940-948

    • DOI

      10.1002/jbmr.2734

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant

URL: 

Published: 2014-04-04   Modified: 2020-01-20  

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