Table 2. Effect of diabetes (hazard ratio [HR] with 95% confidence interval [CI]) on incident major osteoporotic fracture (MOF) or incident hip fracture (HF) controlled for fracture probability using unadjusted FRAX (referent) and four adjustments applied to those with diabetes.
Diabetes, any duration N = 4136 |
Diabetes <5 years N = 1323 |
Diabetes 5-10 years N = 922 |
Diabetes >10 years N = 1891 |
|
---|---|---|---|---|
HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
MOF prediction, controlled for: | ||||
FRAX MOF unadjusted (referent) | 1.32 (1.19-1.46) | 1.08 (0.89-1.31) | 1.24 (1.00-1.55) | 1.54 (1.34-1.78) |
With RA adjustment | 1.02 (0.91-1.13) | 0.83 (0.69-1.01) | 0.96 (0.77-1.20) | 1.19 (1.03-1.37) |
With TBS adjustment | 1.12 (1.01-1.24) | 0.92 (0.76-1.11) | 1.05 (0.84-1.31) | 1.31 (1.13-1.51) |
With T-score lowered 0.5 SD | 1.08 (0.98-1.21) | 0.89 (0.73-1.08) | 1.03 (0.82-1.28) | 1.26 (1.09-1.46) |
With age raised 10 years | 1.01 (0.91-1.12) | 0.82 (0.68-1.00) | 0.95 (0.76-1.18) | 1.19 (1.03-1.37) |
HF prediction, controlled for: | ||||
FRAX HF unadjusted (referent) | 1.76 (1.47-2.10) | 1.41 (1.01-1.97) | 1.53 (1.05-2.25) | 2.12 (1.67-2.68) |
With RA adjustment | 1.30 (1.09-1.55) | 1.04 (0.75-1.45) | 1.13 (0.77-1.65) | 1.57 (1.25-1.99) |
With TBS adjustment | 1.48 (1.24-1.77) | 1.19 (0.85-1.65) | 1.29 (0.88-1.90) | 1.78 (1.41-2.26) |
With T-score lowered 0.5 SD | 1.15 (0.96-1.38) | 0.92 (0.66-1.28) | 1.01 (0.69-1.47) | 1.40 (1.11-1.77) |
With age raised 10 years | 1.12 (0.94-1.34) | 0.88 (0.63-1.22) | 0.99 (0.67-1.44) | 1.37 (1.08-1.73) |
Boldface indicates p-value <0.05. RA, rheumatoid arthritis. TBS, trabecular bone score.