Table 2.
Variables | Categories* | Entire cohort (N = 250) [%] | Children (N = 26) [%] |
Adults (N = 224) [%] |
Gaucher Type 1 (N = 223) [%] | Gaucher Type 3 (N = 27) [%] |
---|---|---|---|---|---|---|
History of Fragility fracture | Yes | 37 [15] | – | 37 [17] | 29 [13] | 8 [30] |
1 fracture | 22 | – | 22 | 17 | 5 | |
> 1 fracture | 15 | – | 15 | 12 | 3 | |
Age at 1st event, years, mean ± SD | 38 ± 19 | – | 38 ± 19 | 42 ± 18 | 23 ± 16 | |
Median (range) | 36 (4–78) | – | 36 (4–78) | 44 (13–78) | 20 (4–50) | |
No | 213 [85] | 26 [100] | 187 [83] | 194 [87] | 19 [70] | |
Fracture site | Spine | 24 | – | 24 | 20 | 4 |
Hip/Femur | 23 | – | 23 | 15 | 8 | |
Ribs | 12 | – | 12 | 10 | 2 | |
Wrist | 5 | – | 5 | 4 | 1 | |
Other bones | 15 | – | 15 | 14 | 1 | |
History of Symptomatic Osteonecrosis | Yes | 76 [30] | – | 76 [34] | 70 [31] | 6 [22] |
1 event | 43 | – | 43 | 39 | 4 | |
≥ 2 events | 33 | – | 33 | 31 | 2 | |
Mean age ± SD at 1st event, years | 26 ± 16 | – | 26 ± 16 | 26 ± 16 | 14 ± 2 | |
Median age (range) | 22 (4–64) | – | 22 (4–64) | 22 (4–64) | 14 (12–16) | |
Age unknown | 4 | – | 4 | 2 | 1 | |
No | 174 [70] | 26 [100] | 148 [66] | 153 [69] | 21 [78] | |
Symptoms of Osteonecrosis event |
Yes | 76 [30] | – | 76 [34] | 70 [31] | 6 [22] |
Classical acute bone crisis | 30 | – | 30 | 27 | 3 | |
Pain | 45 | – | 45 | 42 | 3 | |
Symptomatic, other than pain | 1 | – | 1 | 1 | – | |
Presence of bone/joint pain | Yes | 131 52] | 4 [15] | 127 [57] | 118 [53] | 13 [48] |
Continuous/chronic | 31 | – | 31 | 27 | 4 | |
Frequently | 34 | 1 | 33 | 31 | 3 | |
Occasional | 41 | 3 | 38 | 37 | 4 | |
Pain periodicity not recorded | 25 | – | 25 | 23 | 2 | |
No | 70 [28] | 13 [50] | 57 [25] | 61 [27] | 9 [33] | |
Unknown | 49 [20] | 9 [35] | 40 [18] | 44 [20] | 5 [19] | |
Severity of bone/joint pain (GD1–DS3 score) | Yes | 129 [52] | 4 [15] | 125 [56] | 116 [52] | 13 [48] |
Extreme | 2 | – | 2 | 2 | – | |
Severe | 14 | – | 14 | 13 | 1 | |
Moderate | 47 | 1 | 46 | 41 | 6 | |
Mild | 41 | 1 | 40 | 39 | 2 | |
Pain severity not recorded | 25 | 2 | 23 | 21 | 4 | |
Unknown | 121 [48] | 22 [85] | 99 [44] | 107 [48] | 14 [52] | |
Lytic lesions | Yes | 13 [5] | – | 13 [6] | 11 [5] | 2 [7] |
No | 237 [95] | 26 [100] | 211 [94] | 212 [95] | 25 [93] | |
Osteoarthritis | Yes | 105 [42] | – | 105 47] | 100 [45] | 5 [19] |
No | 145 [58] | 26 [100] | 119 [53] | 123 55] | 22 [81] | |
Orthopaedic procedure | Yes | 62 [25] | – | 62 [28] | 55 [25] | 7 [26] |
No | 188[75] | 26 [100] | 162 [72] | 168 [75] | 20 [74] | |
DXA | ||||||
Spine | Number available | 189 | 15 | 174 | 171 | 18 |
BMD, g/cm2, mean ± SD | 0.984 ± 0.150 | 0.836 ± 0.189 | 0.997 ± 1.139 | 0.989 ± 0.144 | 0.937 ± 0.196 | |
Median (range) | 0.982 (0.547–1.446) | 0.759 (0.547–1.151) | 0.986 (0.695–1.446) | 0.982 (0.603–1.446) | 0.989 (0.547–1.248) | |
Total Hip | Number | 165 | 3 | 162 | 152 | 13 |
BMD, g/cm2, mean ± SD | 0.930 ± 0.153 | 0.716 ± 0.133 | 0.935 ± 0.151 | 0.934 ± 0.153 | 0.892 ± 0.159 | |
Median (range) | 0.924 (0.600–1.276) | 0.687 (0.600–0.861) | 0.926 (0.607–1.276) | 0.923 (0.607–1.276) | 0.874 (0.600–1.253) | |
Femoral Neck | Number | 165 | 3 | 162 | 152 | 13 |
BMD, g/cm2, mean ± SD | 0.813 ± 0.152 | 0.615 ± 0.120 | 0.816 ± 0.151 | 0.814 ± 0.153 | 0.793 ± 0.152 | |
Median (range) | 0.801 (0.464–1.360) | 0.640 (0.485–0.719) | 0.804 (0.464–1.360) | 0.804 (0.464–1.360) | 0.789 (0.485–1.061) | |
Forearm | Number | 77 | – | 77 | 70 | 7 |
BMD, g/cm2, mean ± SD | 0.658 ± 0.103 | – | 0.658 ± 0.103 | 0.660 ± 0.104 | 0.644 ± 0.090 | |
Median (range) | 0.653 (0.458–0.871) | – | 0.653 (0.458–0.871) | 0.654 (0.458–0.871) | 0.632 (0.513–0.778) |
BMD bone mineral density, DXA Dual-energy X-ray absorptiometry, GD1-DS3 Gaucher disease type 1 severity scoring system, SD standard deviation
*Categorical variables are expressed as frequency [percent]. Continuous variables are expressed as mean ± SD and median (range)