Table 3.
Frequency of aberrant findings suggesting impaired bone health.
BPH score items | Fraction of patients affected | Percentage of patients affected | |
---|---|---|---|
Elevated PTH | • | 18/122 | 14.8 |
Elevated or decreased TSAP/ BAP | • | 43/128 | 33.6 |
Elevated or decreased DPD/NTX | • | 10/98 | 10.2 |
Elevated or decreased Osteocalcin | • | 11/79 | 13.9 |
Decreased urinary Ca excretion | • | 3/118 | 2.5 |
Pathological fractures | • | 8/121 | 6.6 |
Low BMD (DXA Z/HAZ < −2) | • | 5/55 | 9.1 |
Bone pain (Knee or Back) | • | 37/118 | 31.3 |
Osteonecrosis | 16/128 | 12.5 | |
Fractures of long bones | 26/120 (4x2, 3x3) | 15.9 | |
25-OH VD deficiency (<20ng/ml) | 89/124 | 71.8 | |
Severe 25-OH VD def. (<10ng/ml) | 43/124 | 34.7 |
Number and percentage of patients affected by altered parameters of calcium metabolism, bone metabolism, or notable clinical findings are displayed. For the assessment of the calcium metabolism, the following parameters were used: decreased calcium excretion in the urine (Ca:Crea ratio <0.01 mg/mg). For the assessment of bone metabolism, the following parameters were used: elevated levels of urinary N-terminal telopeptide (NTX) or urinary deoxypyridinoline (DPD), elevated total serum alkaline phosphatase (TSAP) and/or bone-specific alkaline phosphatase (BSAP) and elevated PTH. Bone-related pain in form of knee pain associated with exercise and recurrent back pain in the last month as well as the history of fractures of long bones was also included. “•” indicates a variable which is included in the BPH score.