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.