Comparison of calcaneal quantitative ultrasound and bone densitometry parameters as fracture risk predictors in type 2 diabetes mellitus

• DOI: 10.1111/dme.14183
• Publication Date: 2019-11-14T08:41:48Z
• Authors: J. W .J. Lasschuit; J. R. Center; J. R. Greenfield; K. T. T. Tonks
• Keywords: Densitometry

Abstract Aim To investigate the utility of calcaneal quantitative ultrasound compared with bone densitometry (DXA) in predicting incident low‐trauma fracture type 2 diabetes. Methods This retrospective cohort study included a subset participants Dubbo Osteoporosis Epidemiology Study who had concurrent and DXA measurement, comprising 809 people without diabetes 96 Fracture data been collected prospectively. Cox proportional hazard models receiver operating curves (ROC) were used to compare parameters as predictors for any fracture. Results The median age was 71 years (IQR 68–76, 50% men) those 70 55% There no difference incidence between groups when stratified by sex. In diabetes, ratio per 1 sd decrease broadband attenuation femoral neck mineral density (BMD) 1.47 [95% confidence interval (CI) 1.26–1.71] 1.39 (95% CI 1.17–1.64), respectively. corresponding figures 1.81 1.03–3.19) 2.55 1.28–5.08) BMD. Conclusion Broadband is comparable BMD predictor low trauma Calcaneal offers several advantages over should be considered further studies health screening or clinical practice where unavailable.