Heel quantitative ultrasound in HIV-infected patients: a cross-sectional study
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作者:
Pinzone, Marilia Rita
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Pinzone, Marilia Rita
[1
]
Castronuovo, Daniela
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Castronuovo, Daniela
[1
]
Di Gregorio, Adriana
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Di Gregorio, Adriana
[1
]
Celesia, Benedetto Maurizio
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Celesia, Benedetto Maurizio
[1
]
Gussio, Maria
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Gussio, Maria
[1
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Borderi, Marco
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Univ Bologna, Infect Dis Unit, Dept Med & Surg Sci, Alma Mater Studiorum, Bologna, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Borderi, Marco
[2
]
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Maggi, Paolo
[3
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Santoro, Carmen Rita
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Policlin Univ Bari, Inst Infect Dis, Bari, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Santoro, Carmen Rita
[3
]
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Madeddu, Giordano
[4
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Cacopardo, Bruno
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Cacopardo, Bruno
[1
]
Nunnari, Giuseppe
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Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, ItalyUniv Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
Nunnari, Giuseppe
[1
]
机构:
[1] Univ Catania, ARNAS Garibaldi Hosp, Dept Clin & Expt Med, Div Infect Dis, Via Palermo 636, I-95100 Catania, Italy
[2] Univ Bologna, Infect Dis Unit, Dept Med & Surg Sci, Alma Mater Studiorum, Bologna, Italy
HIV infection has been associated with increased risk of osteoporosis and fragility fractures. Dual-energy X-ray absorptiometry (DXA) is the reference standard to assess bone mineral density (BMD); however, it is not easily accessible in several settings. Heel Quantitative ultrasound (QUS) is a radiation-free, easy-to-perform technique, which may help reducing the need for DXA. In this cross-sectional study, we used heel QUS (Hologic Sahara(A (R))) to assess bone status in a cohort of HIV-infected patients. A QUS stiffness index (QUI) threshold > 83 was used to identify patients with a low likelihood of osteoporosis. Moreover, we compared QUS results with those of 36 sex- and age-matched HIV-negative controls. 244 HIV-positive patients were enrolled. Median heel QUI value was 83 (73-96) vs. 93 (IQR 84-104) in the control group (p = 0.04). 110 patients (45 %) had a QUI value a parts per thousand currency sign83. Risk factors for low QUI values were age (OR 1.04 per year, 95 % CI 1.01-1.07, p = 0.004), current use of protease inhibitors (OR 1.85, CI 1.03-3.35, p = 0.039), current use of tenofovir (OR 2.28, CI 1.22-4.27, p = 0.009) and the number of risk factors for secondary osteoporosis (OR 1.46, CI 1.09-1.95, p = 0.01). Of note, QUI values were significantly correlated with FRAX score (r = -0.22, p = 0.004). According to EACS guidelines, 45 % of patients had risk factors for osteoporosis which make them eligible for DXA. By using QUS, we may avoid DXA in around half of them. As HIV-positive patients are living longer, the prevalence of osteoporosis is expected to increase over time. Appropriate screening, prevention and treatment are crucial to preserve bone health in this population. The use of screening techniques, such as heel QUS, may help reducing the need for DXA. Further studies are needed to define the diagnostic accuracy of this promising technique in the setting of HIV.
机构:
Johns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Brown, Todd T.
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Hoy, Jennifer
Borderi, Marco
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Univ Bologna, Alma Mater Studiorum, Dept Med & Surg Sci, Infect Dis Unit, Modena, ItalyJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Borderi, Marco
Guaraldi, Giovanni
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机构:
Univ Modena & Reggio Emilia, Dept Med & Surg Sci Children & Adults, Modena, ItalyJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Guaraldi, Giovanni
Renjifo, Boris
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机构:
Global Med Affairs Virol Global Pharmaceut Res &, Abbvie, NC USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Renjifo, Boris
Vescini, Fabio
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Univ Hosp Santa Maria della Misericordia, Endocrinol & Metab Unit, Udine, ItalyJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Vescini, Fabio
Yin, Michael T.
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Columbia Univ, Dept Med, Med Ctr, New York, NY USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Yin, Michael T.
Powderly, William G.
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机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Chan, M. Y.
Nguyen, N. D.
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Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Nguyen, N. D.
Center, J. R.
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机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
St Vincents Clin Sch, Sydney, NSW, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Center, J. R.
Eisman, J. A.
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机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
St Vincents Clin Sch, Sydney, NSW, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Eisman, J. A.
Nguyen, T. V.
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机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
St Vincents Clin Sch, Sydney, NSW, Australia
Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
机构:
Univ Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Univ Coll Dublin, Sch Med & Med Sci, Mater Misericordiae Univ Hosp, Dept Infect Dis, Dublin 7, IrelandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Cotter, Aoife G.
Vrouenraets, Saskia M. E.
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机构:
Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, Netherlands
Slotervaart Hosp, Dept Internal Med, NL-1066 EC Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Vrouenraets, Saskia M. E.
Brady, Jennifer J.
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机构:
Mater Misericordiae Univ Hosp, Dept Biochem & Diagnost Endocrinol, Dublin 7, IrelandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Brady, Jennifer J.
Wit, Ferdinand W.
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Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Wit, Ferdinand W.
Fux, Christoph A.
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机构:
Univ Hosp Bern, Dept Infect Dis, CH-3010 Bern, Switzerland
Kantonsspital Aarau, Clin Infect Dis & Hosp Hyg, CH-5001 Aarau, SwitzerlandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Fux, Christoph A.
Furrer, Hansjakob
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机构:
Univ Hosp Bern, Dept Infect Dis, CH-3010 Bern, SwitzerlandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Furrer, Hansjakob
Brinkman, Kees
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机构:
Onze Lieve Vrouw Hosp, Dept Med, NL-1091 AC Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Brinkman, Kees
Sabin, Caroline A.
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UCL, Res Dept Infect & Populat Hlth, London NW3 2PF, EnglandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Sabin, Caroline A.
Reiss, Peter
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Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Reiss, Peter
Mallon, Patrick W. G.
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Univ Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Univ Coll Dublin, Sch Med & Med Sci, Mater Misericordiae Univ Hosp, Dept Infect Dis, Dublin 7, IrelandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
机构:
Johns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Brown, Todd T.
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Hoy, Jennifer
Borderi, Marco
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Univ Bologna, Alma Mater Studiorum, Dept Med & Surg Sci, Infect Dis Unit, Modena, ItalyJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Borderi, Marco
Guaraldi, Giovanni
论文数: 0引用数: 0
h-index: 0
机构:
Univ Modena & Reggio Emilia, Dept Med & Surg Sci Children & Adults, Modena, ItalyJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Guaraldi, Giovanni
Renjifo, Boris
论文数: 0引用数: 0
h-index: 0
机构:
Global Med Affairs Virol Global Pharmaceut Res &, Abbvie, NC USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Renjifo, Boris
Vescini, Fabio
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h-index: 0
机构:
Univ Hosp Santa Maria della Misericordia, Endocrinol & Metab Unit, Udine, ItalyJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Vescini, Fabio
Yin, Michael T.
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Columbia Univ, Dept Med, Med Ctr, New York, NY USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
Yin, Michael T.
Powderly, William G.
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h-index: 0
机构:
Washington Univ, Sch Med, Div Infect Dis, St Louis, MO 63110 USAJohns Hopkins Univ, Div Endocrinol Diabet & Metab, Sch Med, Baltimore, MD 21287 USA
机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Chan, M. Y.
Nguyen, N. D.
论文数: 0引用数: 0
h-index: 0
机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Nguyen, N. D.
Center, J. R.
论文数: 0引用数: 0
h-index: 0
机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
St Vincents Clin Sch, Sydney, NSW, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Center, J. R.
Eisman, J. A.
论文数: 0引用数: 0
h-index: 0
机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
St Vincents Clin Sch, Sydney, NSW, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
Eisman, J. A.
Nguyen, T. V.
论文数: 0引用数: 0
h-index: 0
机构:
Garvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
St Vincents Clin Sch, Sydney, NSW, Australia
Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, AustraliaGarvan Inst Med Res, Osteoporosis & Bone Biol Program, Sydney, NSW 2010, Australia
机构:
Univ Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Univ Coll Dublin, Sch Med & Med Sci, Mater Misericordiae Univ Hosp, Dept Infect Dis, Dublin 7, IrelandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Cotter, Aoife G.
Vrouenraets, Saskia M. E.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, Netherlands
Slotervaart Hosp, Dept Internal Med, NL-1066 EC Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Vrouenraets, Saskia M. E.
Brady, Jennifer J.
论文数: 0引用数: 0
h-index: 0
机构:
Mater Misericordiae Univ Hosp, Dept Biochem & Diagnost Endocrinol, Dublin 7, IrelandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Brady, Jennifer J.
Wit, Ferdinand W.
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h-index: 0
机构:
Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Wit, Ferdinand W.
Fux, Christoph A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Bern, Dept Infect Dis, CH-3010 Bern, Switzerland
Kantonsspital Aarau, Clin Infect Dis & Hosp Hyg, CH-5001 Aarau, SwitzerlandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Fux, Christoph A.
Furrer, Hansjakob
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Bern, Dept Infect Dis, CH-3010 Bern, SwitzerlandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Furrer, Hansjakob
Brinkman, Kees
论文数: 0引用数: 0
h-index: 0
机构:
Onze Lieve Vrouw Hosp, Dept Med, NL-1091 AC Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Brinkman, Kees
Sabin, Caroline A.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Res Dept Infect & Populat Hlth, London NW3 2PF, EnglandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Sabin, Caroline A.
Reiss, Peter
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Acad Med Ctr, Div Infect Dis, NL-1105 AZ Amsterdam, NetherlandsUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Reiss, Peter
Mallon, Patrick W. G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland
Univ Coll Dublin, Sch Med & Med Sci, Mater Misericordiae Univ Hosp, Dept Infect Dis, Dublin 7, IrelandUniv Coll Dublin, Sch Med & Med Sci, HIV Mol Res Grp, Dublin 4, Ireland