Risk of osteoporotic fractures in women with breast cancer: A population-based cohort study期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Risk of osteoporotic fractures in women with breast cancer: A population-based cohort study

Affiliation:	1. Mayo Medical School, Mayo Clinic and Mayo Foundation, Rochester, MN 55905 U.S.A.;2. Department of Medical Statistics and Epidemiology Mayo Clinic and Mayo Foundation, Rochester, MN 55905 U.S.A.;3. Division of Endocrinology and Internal Medicine Mayo Clinic and Mayo Foundation, Rochester, MN 55905 U.S.A.;1. Laboratório de Estudos Tectônicos (LESTE), Centro de Estudos em Geociências, Instituto de Ciência e Tecnologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, MG, Brazil;2. Programa de Pós-Graduação em Geologia, UFVJM, Diamantina, MG, Brazil;3. Centro de Pesquisas Professor Manoel Teixeira da Costa, Instituto de Geociências, Universidade Federal de Minas Gerais, Campus Pampulha, Belo Horizonte, MG, Brazil;1. University Hospital Zurich, Center of Experimental Rheumatology, Lengghalde 5, 8008 Zurich, Switzerland;2. ETH Zurich, Institute for Biomechanics, Hönggerbergring 64, 8093 Zürich, Switzerland;3. University of Calgary, McCaig Inst. for Bone and Joint Health, 2500 University Dr, Calgary, Canada;4. University of California San Francisco, Department of Orthopaedic Surgery, 513 Parnassus Ave, 94143 San Francisco, United States;5. School of Science and Engineering, Reykjavik University, Menntavegur 1, Reykjavík, Iceland;1. Department of Physics, University of Adelaide, Adelaide, Australia;2. Physics Department, SUNY Albany, Albany, NY, United States of America;3. Department of Physics, University of Alberta, Edmonton, AB, Canada;41. Department of Physics, Ankara University, Ankara, Turkey;42. Istanbul Aydin University, Istanbul, Turkey;43. Division of Physics, TOBB University of Economics and Technology, Ankara, Turkey;5. LAPP, Université Grenoble Alpes, Université Savoie Mont Blanc, CNRS/IN2P3, Annecy, France;6. High Energy Physics Division, Argonne National Laboratory, Argonne, IL, United States of America;7. Department of Physics, University of Arizona, Tucson, AZ, United States of America;8. Department of Physics, University of Texas at Arlington, Arlington, TX, United States of America;9. Physics Department, National and Kapodistrian University of Athens, Athens, Greece;10. Physics Department, National Technical University of Athens, Zografou, Greece;11. Department of Physics, University of Texas at Austin, Austin, TX, United States of America;121. Bahcesehir University, Faculty of Engineering and Natural Sciences, Istanbul, Turkey;122. Istanbul Bilgi University, Faculty of Engineering and Natural Sciences, Istanbul, Turkey;123. Department of Physics, Bogazici University, Istanbul, Turkey;124. Department of Physics Engineering, Gaziantep University, Gaziantep, Turkey;13. Institute of Physics, Azerbaijan Academy of Sciences, Baku, Azerbaijan;14. Institut de Física d''Altes Energies (IFAE), Barcelona Institute of Science and Technology, Barcelona, Spain;151. Institute of High Energy Physics, Chinese Academy of Sciences, Beijing, China;152. Physics Department, Tsinghua University, Beijing, China;153. Department of Physics, Nanjing University, Nanjing, China;154. University of Chinese Academy of Science (UCAS), Beijing, China;16. Institute of Physics, University of Belgrade, Belgrade, Serbia;17. Department for Physics and Technology, University of Bergen, Bergen, Norway;18. Physics Division, Lawrence Berkeley National Laboratory and University of California, Berkeley, CA, United States of America;19. Institut für Physik, Humboldt Universität zu Berlin, Berlin, Germany;20. Albert Einstein Center for Fundamental Physics and Laboratory for High Energy Physics, University of Bern, Bern, Switzerland;21. School of Physics and Astronomy, University of Birmingham, Birmingham, United Kingdom;22. Centro de Investigaciónes, Universidad Antonio Nariño, Bogota, Colombia;231. Dipartimento di Fisica e Astronomia, Università di Bologna, Bologna, Italy;232. INFN Sezione di Bologna, Italy;24. Physikalisches Institut, Universität Bonn, Bonn, Germany;25. Department of Physics, Boston University, Boston, MA, United States of America;26. Department of Physics, Brandeis University, Waltham, MA, United States of America;271. Transilvania University of Brasov, Brasov, Romania;272. Horia Hulubei National Institute of Physics and Nuclear Engineering, Bucharest, Romania;273. Department of Physics, Alexandru Ioan Cuza University of Iasi, Iasi, Romania;274. National Institute for Research and Development of Isotopic and Molecular Technologies, Physics Department, Cluj-Napoca, Romania;275. University Politehnica Bucharest, Bucharest, Romania;276. West University in Timisoara, Timisoara, Romania;281. Faculty of Mathematics, Physics and Informatics, Comenius University, Bratislava, Slovak Republic;282. Department of Subnuclear Physics, Institute of Experimental Physics of the Slovak Academy of Sciences, Kosice, Slovak Republic;29. Physics Department, Brookhaven National Laboratory, Upton, NY, United States of America;30. Departamento de Física, Universidad de Buenos Aires, Buenos Aires, Argentina;31. Cavendish Laboratory, University of Cambridge, Cambridge, United Kingdom;321. Department of Physics, University of Cape Town, Cape Town, South Africa;322. Department of Mechanical Engineering Science, University of Johannesburg, Johannesburg, South Africa;323. School of Physics, University of the Witwatersrand, Johannesburg, South Africa;33. Department of Physics, Carleton University, Ottawa, ON, Canada;341. Faculté des Sciences Ain Chock, Réseau Universitaire de Physique des Hautes Energies – Université Hassan II, Casablanca, Morocco;342. Centre National de l''Energie des Sciences Techniques Nucleaires (CNESTEN), Rabat, Morocco;343. Faculté des Sciences Semlalia, Université Cadi Ayyad, LPHEA, Marrakech, Morocco;344. Faculté des Sciences, Université Mohamed Premier and LPTPM, Oujda, Morocco;345. Faculté des sciences, Université Mohammed V, Rabat, Morocco;35. CERN, Geneva, Switzerland;36. Enrico Fermi Institute, University of Chicago, Chicago, IL, United States of America;37. LPC, Université Clermont Auvergne, CNRS/IN2P3, Clermont-Ferrand, France;38. Nevis Laboratory, Columbia University, Irvington, NY, United States of America;39. Niels Bohr Institute, University of Copenhagen, Copenhagen, Denmark;401. Dipartimento di Fisica, Università della Calabria, Rende, Italy;402. INFN Gruppo Collegato di Cosenza, Laboratori Nazionali di Frascati, Italy;41. Physics Department, Southern Methodist University, Dallas, TX, United States of America;42. Physics Department, University of Texas at Dallas, Richardson, TX, United States of America;431. Department of Physics, Stockholm University, Sweden;432. Oskar Klein Centre, Stockholm, Sweden;44. Deutsches Elektronen-Synchrotron DESY, Hamburg and Zeuthen, Germany;45. Lehrstuhl für Experimentelle Physik IV, Technische Universität Dortmund, Dortmund, Germany;46. Institut für Kern- und Teilchenphysik, Technische Universität Dresden, Dresden, Germany;47. Department of Physics, Duke University, Durham, NC, United States of America;48. SUPA – School of Physics and Astronomy, University of Edinburgh, Edinburgh, United Kingdom;49. INFN e Laboratori Nazionali di Frascati, Frascati, Italy;50. Physikalisches Institut, Albert-Ludwigs-Universität Freiburg, Freiburg, Germany;51. II. Physikalisches Institut, Georg-August-Universität Göttingen, Göttingen, Germany;52. Département de Physique Nucléaire et Corpusculaire, Université de Genève, Genève, Switzerland;531. Dipartimento di Fisica, Università di Genova, Genova, Italy;532. INFN Sezione di Genova, Italy;54. II. Physikalisches Institut, Justus-Liebig-Universität Giessen, Giessen, Germany;55. SUPA – School of Physics and Astronomy, University of Glasgow, Glasgow, United Kingdom;56. LPSC, Université Grenoble Alpes, CNRS/IN2P3, Grenoble INP, Grenoble, France;57. Laboratory for Particle Physics and Cosmology, Harvard University, Cambridge, MA, United States of America;581. Department of Modern Physics and State Key Laboratory of Particle Detection and Electronics, University of Science and Technology of China, Hefei, China;582. Institute of Frontier and Interdisciplinary Science and Key Laboratory of Particle Physics and Particle Irradiation (MOE), Shandong University, Qingdao, China;583. School of Physics and Astronomy, Shanghai Jiao Tong University, KLPPAC-MoE, SKLPPC, Shanghai, China;584. Tsung-Dao Lee Institute, Shanghai, China;591. Kirchhoff-Institut für Physik, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany;592. Physikalisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany;60. Faculty of Applied Information Science, Hiroshima Institute of Technology, Hiroshima, Japan;611. 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School of Physics and Astronomy, University of Manchester, Manchester, United Kingdom;99. CPPM, Aix-Marseille Université, CNRS/IN2P3, Marseille, France;100. Department of Physics, University of Massachusetts, Amherst, MA, United States of America;101. Department of Physics, McGill University, Montreal, QC, Canada;102. School of Physics, University of Melbourne, Victoria, Australia;103. Department of Physics, University of Michigan, Ann Arbor, MI, United States of America;104. Department of Physics and Astronomy, Michigan State University, East Lansing, MI, United States of America;105. B.I. Stepanov Institute of Physics, National Academy of Sciences of Belarus, Minsk, Belarus;106. Research Institute for Nuclear Problems of Byelorussian State University, Minsk, Belarus;107. Group of Particle Physics, University of Montreal, Montreal, QC, Canada;108. P.N. Lebedev Physical Institute of the Russian Academy of Sciences, Moscow, Russia;109. 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Department of Physics, University of Oslo, Oslo, Norway;131. Department of Physics, Oxford University, Oxford, United Kingdom;132. LPNHE, Sorbonne Université, Paris Diderot Sorbonne Paris Cité, CNRS/IN2P3, Paris, France;133. Department of Physics, University of Pennsylvania, Philadelphia, PA, United States of America;134. Konstantinov Nuclear Physics Institute of National Research Centre “Kurchatov Institute”, PNPI, St. Petersburg, Russia;135. Department of Physics and Astronomy, University of Pittsburgh, Pittsburgh, PA, United States of America;1361. Laboratório de Instrumentação e Física Experimental de Partículas – LIP, Portugal;1362. Departamento de Física, Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal;1363. Departamento de Física, Universidade de Coimbra, Coimbra, Portugal;1364. Centro de Física Nuclear da Universidade de Lisboa, Lisboa, Portugal;1365. Departamento de Física, Universidade do Minho, Braga, Portugal;1366. Departamento de Física Teorica y del Cosmos, Universidad de Granada, Granada (Spain), Portugal;1367. Dep Física and CEFITEC of Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, Caparica, Portugal;137. Institute of Physics, Academy of Sciences of the Czech Republic, Prague, Czech Republic;138. Czech Technical University in Prague, Prague, Czech Republic;139. Charles University, Faculty of Mathematics and Physics, Prague, Czech Republic;140. State Research Center Institute for High Energy Physics, NRC KI, Protvino, Russia;141. Particle Physics Department, Rutherford Appleton Laboratory, Didcot, United Kingdom;142. IRFU, CEA, Université Paris-Saclay, Gif-sur-Yvette, France;143. Santa Cruz Institute for Particle Physics, University of California Santa Cruz, Santa Cruz, CA, United States of America;1441. Departamento de Física, Pontificia Universidad Católica de Chile, Santiago, Chile;1442. Departamento de Física, Universidad Técnica Federico Santa María, Valparaíso, Chile;145. Department of Physics, University of Washington, Seattle, WA, United States of America;146. Department of Physics and Astronomy, University of Sheffield, Sheffield, United Kingdom;147. Department of Physics, Shinshu University, Nagano, Japan;148. Department Physik, Universität Siegen, Siegen, Germany;149. Department of Physics, Simon Fraser University, Burnaby, BC, Canada;150. SLAC National Accelerator Laboratory, Stanford, CA, United States of America;151. Physics Department, Royal Institute of Technology, Stockholm, Sweden;152. Departments of Physics and Astronomy, Stony Brook University, Stony Brook, NY, United States of America;153. Department of Physics and Astronomy, University of Sussex, Brighton, United Kingdom;154. School of Physics, University of Sydney, Sydney, Australia;155. Institute of Physics, Academia Sinica, Taipei, Taiwan;1561. E. Andronikashvili Institute of Physics, Iv. Javakhishvili Tbilisi State University, Tbilisi, Georgia;1562. High Energy Physics Institute, Tbilisi State University, Tbilisi, Georgia;157. Department of Physics, Technion, Israel Institute of Technology, Haifa, Israel;158. Raymond and Beverly Sackler School of Physics and Astronomy, Tel Aviv University, Tel Aviv, Israel;159. Department of Physics, Aristotle University of Thessaloniki, Thessaloniki, Greece;160. International Center for Elementary Particle Physics and Department of Physics, University of Tokyo, Tokyo, Japan;161. Graduate School of Science and Technology, Tokyo Metropolitan University, Tokyo, Japan;162. Department of Physics, Tokyo Institute of Technology, Tokyo, Japan;163. Tomsk State University, Tomsk, Russia;164. Department of Physics, University of Toronto, Toronto, ON, Canada;1651. TRIUMF, Vancouver, BC, Canada;1652. Department of Physics and Astronomy, York University, Toronto, ON, Canada;166. Division of Physics and Tomonaga Center for the History of the Universe, Faculty of Pure and Applied Sciences, University of Tsukuba, Tsukuba, Japan;167. Department of Physics and Astronomy, Tufts University, Medford, MA, United States of America;168. Department of Physics and Astronomy, University of California Irvine, Irvine, CA, United States of America;169. Department of Physics and Astronomy, University of Uppsala, Uppsala, Sweden;170. Department of Physics, University of Illinois, Urbana, IL, United States of America;171. Instituto de Física Corpuscular (IFIC), Centro Mixto Universidad de Valencia – CSIC, Valencia, Spain;172. Department of Physics, University of British Columbia, Vancouver, BC, Canada;173. Department of Physics and Astronomy, University of Victoria, Victoria, BC, Canada;174. Fakultät für Physik und Astronomie, Julius-Maximilians-Universität Würzburg, Würzburg, Germany;175. Department of Physics, University of Warwick, Coventry, United Kingdom;176. Waseda University, Tokyo, Japan;177. Department of Particle Physics, Weizmann Institute of Science, Rehovot, Israel;178. Department of Physics, University of Wisconsin, Madison, WI, United States of America;179. Fakultät für Mathematik und Naturwissenschaften, Fachgruppe Physik, Bergische Universität Wuppertal, Wuppertal, Germany;180. Department of Physics, Yale University, New Haven, CT, United States of America;181. Yerevan Physics Institute, Yerevan, Armenia;3. School of Engineering, The University of Newcastle, NSW, 2308, Australia;1. Department of Public Administration, Ajou University, Republic of Korea;2. Basic Research Laboratory Center, Kyunghee University, Republic of Korea;3. Department of Safety Engineering, Incheon National University, 119 Academy-ro, Yeonsu-gu, Incheon, 22012, Republic of Korea;4. Department of Mechanical Engineering, Hannam University, 70 Hannam-ro, Daedeok-gu, Daejeon, 34430, Republic of Korea

Abstract:	A population-based study was undertaken to assess the risk of osteoporotic fractures in an inception cohort of breast cancer patients and an age-matched cohort of women from the community. Prior to the index date, 9.4% of cases and 12.3% of controls (p = 0.30) had one or more osteoporotic fractures. After the index date, these proportions were 16.2 and 20.0% (p = 0.28). but follow-up was shorter for cases due to reduced survival. When duration of follow-up was accounted for in a person-years analysis, the relative risk of any fracture was 1.0 and for any osteoporotic fracture was 0.9 (95% C.I. 0.7–1.2). After adjusting for other factors in a proportional hazards model, the relative risk of any osteoporotic fracture in breast cancer cases compared to controls was 0.9. Despite contentions that breast cancer patients have more often been exposed to estrogenic factors, we found little to suggest that such women are substantially protected from osteoporotic fractures.

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