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. 2019 Sep 27;2(9):e1911080. doi: 10.1001/jamanetworkopen.2019.11080

Table 2. Distribution of DXA Absorptiometry Parameters in AI-Naive and AI-Treated Patients With Breast Cancer.

Characteristic Group, No. (%) P Valuea
AI-Naive AI-Treated
No. of patients 361 (64.9) 195 (35.1) NA
DXA
Normal 79 (21.9) 24 (12.3) .003
Osteopenia/osteoporosis 282 (78.1) 171 (87.7)
Morphometric vertebral fracture
Not present 302 (83.7) 142 (72.8) .002
Present 59 (16.3) 53 (27.2)
Vertebral fracture grade
No 302 (83.7) 142 (72.8) .006b
Mild 31 (8.6) 30 (15.4)
Moderate/severe 28 (7.8) 23 (11.8)
No. of vertebral fractures
0 302 (83.7) 142 (72.8) <.001b
1 44 (12.2) 31 (15.9)
≥2 15 (4.2) 22 (11.3)
Lumbar spine, mean (95% CI)
BMD, g/cm2 0.897 (0.88 to 0.91) 0.872 (0.85 to 0.88) .09
T score −1.24 (−1.39 to −1.07) −1.56 (−1.72 to −1.40) .03
Femoral neck, mean (95% CI)
BMD, g/cm2 0.69 (0.68 to 0.70) 0.68 (0.67 to 0.69) .46
T score −1.40 (−1.50 to −1.31) −1.48 (−1.59 to −1.36) .49
Total hip, mean (95% CI)
BMD, g/cm2 0.82 (0.81 to 0.83) 0.81 (0.80 to 0.83) .72
T score −0.99 (−1.09 to −0.90) −1.07 (−1.18 to −0.96) .45
Body mass, mean (95% CI), g
Lean 39 580 (39 059 to 40 100) 39 893 (39 200 to 40 585) .50
Fat 24 754 (23 888 to 25 620) 26 676 (25 402 to 27 951) .03
TBS, mean (95% CI)c 1.26 (1.24 to 1.29) 1.22 (1.19 to 1.25) .006

Abbreviations: AI, aromatase inhibitor; BMD, bone mineral density; DXA, dual-energy x-ray; TBS, trabecular bone score.

a

P value from the Mann-Whitney test or the χ2 test as appropriate.

b

χ2 for trend test.

c

The TBS was assessed in a subset of 78 AI-naive and 50 AI-treated patients.