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. 2018 Feb 1;15(4):323–338. doi: 10.7150/ijms.22747

Table 1.

Discriminative value of bone turnover status for non-vertebral fracture presence/prediction

Bone turnover status Fracture site OR 95%CI AUC Sensitivity, % Specificity, % PPV, % NPV, % Accuracy, %
1*.P1NP>32 µg/L, bCTX<0.250 µg/L,
P1NP/ bCTX >100.0
(n=67)
Hip 0.43 0.19-0.97 (p=0.043) 0.7837 75.0 67.6 73.3 69.4 71.6
Any fracture 0.77 0.46-1.30 (p=0.324) 0.6916 91.2 18.02 71.3 47.9 68.6
2A*. P1NP<32 µg/L, bCTX <0.250 µg/L, P1NP/ bCTX >100.0
(n=144)
Hip 0.70 0.43-1.14 (p=0.151) 0.7815 76.7 66.0 73.0 70.3 71.8
Any fracture 0.73 0.50-1.06 (p=0.095) 0.6918 91.3 17.8 71.4 47.5 68.7
2B. P1NP<32 µg/L,
bCTX <0.250 µg/L,
P1NP/ bCTX <100.0
(n=57)
Hip 3.23 1.37-7.65 (p=0.008) 0.8061 66.7 84.9 76.9 77.1 71.0
Any fracture 2.04 1.00-4.17 (p=0.051) 0.7220 82.3 39.4 69.9 56.5 66.4
3. P1NP<32 µg/L,
bCTX >0.250 µg/L,
P1NP/ bCTX >100.0
(n=272)
Hip 2.40 1.42-4.06 (p=0.001) 0.8124 79.0 70.1 77.0 72.5 75.1
Any fracture 1.74 1.14-2.65 (p=0.010) 0.7194 89.9 27.9 74.0 54.7 71.0
4A. P1NP>32 µg/L,
bCTX>0.250 µg/L,
P1NP/ bCTX >100.0
(n=388)
Hip 0.94 0.58-1.53 (p=0.815) 0.7597 57.6 84.7 70.2 76.1 74.2
Any fracture 0.94 0.66-1.34 (p=0.714) 0.6647 77.7 38.2 65.1 53.5 61.8
4B. P1NP>32 µg/L,
bCTX >0.250 µg/L,
P1NP/ bCTX <100.0
(n=295)
Hip 2.53 1.48-4.33 (p=0.001) 0.8247 81.2 72.8 79.1 75.4 77.5
Any fracture 2.08 1.37-3.16 (p=0.001) 0.7412 91.4 26.5 75.2 55.7 72.5

The asterisk (*) on the subtypes 1 and 2A indicates comparison with the rest of the cohort. For all other subtypes comparison was made with combined data for subtypes 1 and 2A.

Abbreviations: P1NP, N-terminal propeptide of type I procollagen; β-CTX, C-terminal βcross-linked telopeptide of type I collagen; HF, hip fracture; OR, odds ratio; AUC, area under the receiver operating characteristic curve; CI, confidence interval; PPV, positive predictive value; NPV, negative predictive value.