Minimal-trauma fracture in women with breast cancer surviving for at least 5 years from diagnosis

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Summary Minimal-trauma fracture is an important issue in breast cancer survivors, especially rib fracture. The likelihood of fracture is affected by menopausal status and a diagnosis of osteoporosis prior to breast cancer. Most women reported at least one assessment of bone mineral density. Introduction We have investigated the self-reported frequency and pattern of minimal-trauma fracture (MTF) in breast cancer (BC) survivors at least 5 years from diagnosis, along with the use of bone mineral density (BMD) assessment. Methods This study was carried out within the Bupa Health Foundation Health and Wellbeing After Breast Cancer Study which is a questionnaire-based prospective cohort study of 1683 women diagnosed with their first invasive breast cancer between 2004 and 2006 and followed for at least 5 years. Results One thousand two hundred and five women, who remained free of recurrence or new breast cancer, completed the fifth annual follow-up. One hundred sixty-four (13.6 ) reported at least one MTF. Rib fracture was the most common (52 fractures in 46 women). Compared with women who remained pre-/peri-menopausal, either being postmenopausal at diagnosis (OR 3.53, 95 Confidence Interval (CI) 1.09?11.44, p?=?0.036) or changing from pre- to postmenopausal during follow-up (OR 3.97, 95 CI 1.21?13.10, p?=?0.023) was associated with a higher likelihood of fracture, as was having a diagnosis of osteoporosis at the time of diagnosis (OR 1.74, 95 CI 1.00?2.99, p?=?0.047). Most women (64.9 ) reported at least one BMD assessment. Conclusions Overall MTF is a problem for breast cancer survivors, with rib fracture a particular issue for women in our study. Both pre-existing osteoporosis and being postmenopausal are risk factors for subsequent MTF in women treated for breast cancer. Clinicians need to be mindful of fracture prevention medication in these groups.
Original languageEnglish
Pages (from-to)795 - 800
Number of pages6
JournalOsteoporosis International
Volume26
Issue number2
DOIs
Publication statusPublished - 2015

Cite this

@article{d3950c87b27847218ff24d6f413288bc,
title = "Minimal-trauma fracture in women with breast cancer surviving for at least 5 years from diagnosis",
abstract = "Summary Minimal-trauma fracture is an important issue in breast cancer survivors, especially rib fracture. The likelihood of fracture is affected by menopausal status and a diagnosis of osteoporosis prior to breast cancer. Most women reported at least one assessment of bone mineral density. Introduction We have investigated the self-reported frequency and pattern of minimal-trauma fracture (MTF) in breast cancer (BC) survivors at least 5 years from diagnosis, along with the use of bone mineral density (BMD) assessment. Methods This study was carried out within the Bupa Health Foundation Health and Wellbeing After Breast Cancer Study which is a questionnaire-based prospective cohort study of 1683 women diagnosed with their first invasive breast cancer between 2004 and 2006 and followed for at least 5 years. Results One thousand two hundred and five women, who remained free of recurrence or new breast cancer, completed the fifth annual follow-up. One hundred sixty-four (13.6 ) reported at least one MTF. Rib fracture was the most common (52 fractures in 46 women). Compared with women who remained pre-/peri-menopausal, either being postmenopausal at diagnosis (OR 3.53, 95 Confidence Interval (CI) 1.09?11.44, p?=?0.036) or changing from pre- to postmenopausal during follow-up (OR 3.97, 95 CI 1.21?13.10, p?=?0.023) was associated with a higher likelihood of fracture, as was having a diagnosis of osteoporosis at the time of diagnosis (OR 1.74, 95 CI 1.00?2.99, p?=?0.047). Most women (64.9 ) reported at least one BMD assessment. Conclusions Overall MTF is a problem for breast cancer survivors, with rib fracture a particular issue for women in our study. Both pre-existing osteoporosis and being postmenopausal are risk factors for subsequent MTF in women treated for breast cancer. Clinicians need to be mindful of fracture prevention medication in these groups.",
author = "Robinson, {Penelope Jane} and Bell, {Robin Jean} and Morales, {Claudia Silvia Zecena} and Pamela Fradkin and Davis, {Susan Ruth}",
year = "2015",
doi = "10.1007/s00198-014-2945-5",
language = "English",
volume = "26",
pages = "795 -- 800",
journal = "Osteoporosis International",
issn = "0937-941X",
publisher = "Osteoporosis International",
number = "2",

}

Minimal-trauma fracture in women with breast cancer surviving for at least 5 years from diagnosis. / Robinson, Penelope Jane; Bell, Robin Jean; Morales, Claudia Silvia Zecena; Fradkin, Pamela; Davis, Susan Ruth.

In: Osteoporosis International, Vol. 26, No. 2, 2015, p. 795 - 800.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Minimal-trauma fracture in women with breast cancer surviving for at least 5 years from diagnosis

AU - Robinson, Penelope Jane

AU - Bell, Robin Jean

AU - Morales, Claudia Silvia Zecena

AU - Fradkin, Pamela

AU - Davis, Susan Ruth

PY - 2015

Y1 - 2015

N2 - Summary Minimal-trauma fracture is an important issue in breast cancer survivors, especially rib fracture. The likelihood of fracture is affected by menopausal status and a diagnosis of osteoporosis prior to breast cancer. Most women reported at least one assessment of bone mineral density. Introduction We have investigated the self-reported frequency and pattern of minimal-trauma fracture (MTF) in breast cancer (BC) survivors at least 5 years from diagnosis, along with the use of bone mineral density (BMD) assessment. Methods This study was carried out within the Bupa Health Foundation Health and Wellbeing After Breast Cancer Study which is a questionnaire-based prospective cohort study of 1683 women diagnosed with their first invasive breast cancer between 2004 and 2006 and followed for at least 5 years. Results One thousand two hundred and five women, who remained free of recurrence or new breast cancer, completed the fifth annual follow-up. One hundred sixty-four (13.6 ) reported at least one MTF. Rib fracture was the most common (52 fractures in 46 women). Compared with women who remained pre-/peri-menopausal, either being postmenopausal at diagnosis (OR 3.53, 95 Confidence Interval (CI) 1.09?11.44, p?=?0.036) or changing from pre- to postmenopausal during follow-up (OR 3.97, 95 CI 1.21?13.10, p?=?0.023) was associated with a higher likelihood of fracture, as was having a diagnosis of osteoporosis at the time of diagnosis (OR 1.74, 95 CI 1.00?2.99, p?=?0.047). Most women (64.9 ) reported at least one BMD assessment. Conclusions Overall MTF is a problem for breast cancer survivors, with rib fracture a particular issue for women in our study. Both pre-existing osteoporosis and being postmenopausal are risk factors for subsequent MTF in women treated for breast cancer. Clinicians need to be mindful of fracture prevention medication in these groups.

AB - Summary Minimal-trauma fracture is an important issue in breast cancer survivors, especially rib fracture. The likelihood of fracture is affected by menopausal status and a diagnosis of osteoporosis prior to breast cancer. Most women reported at least one assessment of bone mineral density. Introduction We have investigated the self-reported frequency and pattern of minimal-trauma fracture (MTF) in breast cancer (BC) survivors at least 5 years from diagnosis, along with the use of bone mineral density (BMD) assessment. Methods This study was carried out within the Bupa Health Foundation Health and Wellbeing After Breast Cancer Study which is a questionnaire-based prospective cohort study of 1683 women diagnosed with their first invasive breast cancer between 2004 and 2006 and followed for at least 5 years. Results One thousand two hundred and five women, who remained free of recurrence or new breast cancer, completed the fifth annual follow-up. One hundred sixty-four (13.6 ) reported at least one MTF. Rib fracture was the most common (52 fractures in 46 women). Compared with women who remained pre-/peri-menopausal, either being postmenopausal at diagnosis (OR 3.53, 95 Confidence Interval (CI) 1.09?11.44, p?=?0.036) or changing from pre- to postmenopausal during follow-up (OR 3.97, 95 CI 1.21?13.10, p?=?0.023) was associated with a higher likelihood of fracture, as was having a diagnosis of osteoporosis at the time of diagnosis (OR 1.74, 95 CI 1.00?2.99, p?=?0.047). Most women (64.9 ) reported at least one BMD assessment. Conclusions Overall MTF is a problem for breast cancer survivors, with rib fracture a particular issue for women in our study. Both pre-existing osteoporosis and being postmenopausal are risk factors for subsequent MTF in women treated for breast cancer. Clinicians need to be mindful of fracture prevention medication in these groups.

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U2 - 10.1007/s00198-014-2945-5

DO - 10.1007/s00198-014-2945-5

M3 - Article

VL - 26

SP - 795

EP - 800

JO - Osteoporosis International

JF - Osteoporosis International

SN - 0937-941X

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