Osteoporosis and Fragility Fractures in Patients With Cirrhosis Evaluated for Liver Transplantation: Identification of High-Risk Patients Based on Computed Tomography at Evaluation.
- Resource Type
- Academic Journal
- Authors
- Nachef C; Department of Rheumatology, Lariboisière Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Bioscar INSERM U1132, Université de Paris, Paris, France.; Bousson V; Department of Radiology, Lariboisière Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Belmatoug N; Department of Internal Medicine, Beaujon Hospital, APHP.Nord, Université de Paris, Paris, France.; Cohen-Solal M; Department of Rheumatology, Lariboisière Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Bioscar INSERM U1132, Université de Paris, Paris, France.; Vilgrain V; Department of Radiology, Beaujon Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Roux O; Department of Hepatology & Liver Intensive Care, Beaujon Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Francoz C; Department of Hepatology & Liver Intensive Care, Beaujon Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Durand F; Department of Hepatology & Liver Intensive Care, Beaujon Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Funck-Brentano T; Department of Rheumatology, Lariboisière Hospital, APHP.Nord, Université Paris Cité, Paris, France.; Bioscar INSERM U1132, Université de Paris, Paris, France.
- Source
- Publisher: Wolters Kluwer Health Country of Publication: United States NLM ID: 0421030 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1572-0241 (Electronic) Linking ISSN: 00029270 NLM ISO Abbreviation: Am J Gastroenterol Subsets: MEDLINE
- Subject
- Language
- English
Introduction: Osteoporosis in candidates for liver transplantation (LT) is often underdiagnosed despite the important consequences of morbidity.
Methods: We included 376 patients with cirrhosis evaluated for LT with available computed tomography (CT) scans. Prevalent vertebral fractures (VFs) were identified on CT reconstructions, and bone density was assessed by measuring CT attenuation of the L1 vertebra (L1-CT).
Results: We identified 139 VFs in 55 patients (14.6%). Logistic regression models showed that low L1-CT was the only independent determinant of VF.
Discussion: In patients with cirrhosis evaluated for LT, CT scans identified persons with severe osteoporosis without additional costs.
(Copyright © 2023 by The American College of Gastroenterology.)