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Osteoporosis, Fractures, and Bone Mineral Density Screening in Veterans With Kidney Stone Disease
Author(s) -
Ganesan Calyani,
Thomas IChun,
Romero Ruth,
Song Shen,
Conti Simon,
Elliott Chris,
Chertow Glenn M,
Tamura Manjula Kurella,
Leppert John T,
Pao Alan C
Publication year - 2021
Publication title -
journal of bone and mineral research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.882
H-Index - 241
eISSN - 1523-4681
pISSN - 0884-0431
DOI - 10.1002/jbmr.4260
Subject(s) - medicine , osteoporosis , bone mineral , kidney stone disease , kidney stones , kidney disease , bone density , retrospective cohort study , dual energy x ray absorptiometry , bone disease , surgery
Whether a link exists between kidney stone disease and osteoporosis or fractures remains an open question. In this retrospective cohort study, we sought to determine the prevalence of osteoporosis and fractures and rate of bone mineral density screening by dual‐energy X‐ray absorptiometry (DXA) in patients with kidney stone disease. We examined nationwide data from the Veterans Health Administration and identified 531,431 patients with kidney stone disease between 2007 and 2015. Nearly 1 in 4 patients (23.6%, 95% confidence interval [CI] 23.5–23.7) with kidney stone disease had a prevalent diagnosis of osteoporosis or fracture. In patients with no prior history of osteoporosis or bone mineral density assessment before a kidney stone diagnosis, 9.1% were screened with DXA after their kidney stone diagnosis, of whom 20% were subsequently diagnosed with osteoporosis. Our findings provide support for wider use of bone mineral density screening in patients with kidney stone disease, including middle‐aged and older men, a group less well recognized as at risk for osteoporosis or fractures. © 2021 American Society for Bone and Mineral Research (ASBMR).