Risk of Fracture After Bilateral Oophorectomy
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Risk of Fracture After Bilateral Oophorectomy. / Hueg, Trine K.; Hickey, Martha; Beck, Astrid L.; Wilson, Louise F.; Uldbjerg, Cecilie S.; Priskorn, Lærke; Abildgaard, Julie; Lim, Youn Hee; Bräuner, Elvira V.
I: JBMR Plus, Bind 7, Nr. 7, e10750, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Risk of Fracture After Bilateral Oophorectomy
AU - Hueg, Trine K.
AU - Hickey, Martha
AU - Beck, Astrid L.
AU - Wilson, Louise F.
AU - Uldbjerg, Cecilie S.
AU - Priskorn, Lærke
AU - Abildgaard, Julie
AU - Lim, Youn Hee
AU - Bräuner, Elvira V.
N1 - Publisher Copyright: © 2023 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.
PY - 2023
Y1 - 2023
N2 - Fragility fractures, resulting from low-energy trauma, occur in approximately 1 in 10 Danish women aged 50 years or older. Bilateral oophorectomy (surgical removal of both ovaries) may increase the risk of fragility fractures due to loss of ovarian sex steroids, particularly estrogen. We investigated the association between bilateral oophorectomy and risk of fragility fracture and whether this was conditional on age at time of bilateral oophorectomy, hormone therapy (HT) use, hysterectomy, physical activity level, body mass index (BMI), or smoking. We performed a cohort study of 25,853 female nurses (≥45 years) participating in the Danish Nurse Cohort. Nurses were followed from age 50 years or entry into the cohort, whichever came last, until date of first fragility fracture, death, emigration, or end of follow-up on December 31, 2018, whichever came first. Cox regression models with age as the underlying time scale were used to estimate the association between time-varying bilateral oophorectomy (all ages, <51/≥51 years) and incident fragility fracture (any and site-specific [forearm, hip, spine, and other]). Exposure and outcome were ascertained from nationwide patient registries. During 491,626 person-years of follow-up, 6600 nurses (25.5%) with incident fragility fractures were identified, and 1938 (7.5%) nurses had a bilateral oophorectomy. The frequency of fragility fractures was 24.1% in nurses who were <51 years at time of bilateral oophorectomy and 18.1% in nurses who were ≥51 years. No statistically significant associations were observed between bilateral oophorectomy at any age and fragility fractures at any site. Neither HT use, hysterectomy, physical activity level, BMI, nor smoking altered the results.
AB - Fragility fractures, resulting from low-energy trauma, occur in approximately 1 in 10 Danish women aged 50 years or older. Bilateral oophorectomy (surgical removal of both ovaries) may increase the risk of fragility fractures due to loss of ovarian sex steroids, particularly estrogen. We investigated the association between bilateral oophorectomy and risk of fragility fracture and whether this was conditional on age at time of bilateral oophorectomy, hormone therapy (HT) use, hysterectomy, physical activity level, body mass index (BMI), or smoking. We performed a cohort study of 25,853 female nurses (≥45 years) participating in the Danish Nurse Cohort. Nurses were followed from age 50 years or entry into the cohort, whichever came last, until date of first fragility fracture, death, emigration, or end of follow-up on December 31, 2018, whichever came first. Cox regression models with age as the underlying time scale were used to estimate the association between time-varying bilateral oophorectomy (all ages, <51/≥51 years) and incident fragility fracture (any and site-specific [forearm, hip, spine, and other]). Exposure and outcome were ascertained from nationwide patient registries. During 491,626 person-years of follow-up, 6600 nurses (25.5%) with incident fragility fractures were identified, and 1938 (7.5%) nurses had a bilateral oophorectomy. The frequency of fragility fractures was 24.1% in nurses who were <51 years at time of bilateral oophorectomy and 18.1% in nurses who were ≥51 years. No statistically significant associations were observed between bilateral oophorectomy at any age and fragility fractures at any site. Neither HT use, hysterectomy, physical activity level, BMI, nor smoking altered the results.
KW - EPIDEMIOLOGY
KW - FRACTURE RISK ASSESSMENT
KW - GENERAL POPULATION STUDIES
KW - HORMONE REPLACEMENT
KW - MENOPAUSE
U2 - 10.1002/jbm4.10750
DO - 10.1002/jbm4.10750
M3 - Journal article
C2 - 37457875
AN - SCOPUS:85158067275
VL - 7
JO - JBMR Plus
JF - JBMR Plus
SN - 2473-4039
IS - 7
M1 - e10750
ER -
ID: 355549974