{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:57:14Z","timestamp":1766401034251,"version":"3.37.3"},"reference-count":66,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006254","name":"Ruhr-Universit\u00e4t Bochum","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006254","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Rheumatol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n<jats:title>Hintergrund<\/jats:title>\n<jats:p>Osteoporosebedingte Frakturen sind bei Patienten mit rheumatoider Arthritis (RA) h\u00e4ufig. Die Messung der Knochenmineraldichte (KDM) mit der Dual-Energie-R\u00f6ntgenabsorptionsmessung (DXA) allein sagt das Frakturrisiko nur begrenzt voraus. Der Trabecular Bone Score (TBS) ist ein Surrogatmarker f\u00fcr die trabekul\u00e4re Mikroarchitektur des Knochens, der das Frakturrisiko unabh\u00e4ngig von der KDM vorhersagen kann.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ziel<\/jats:title>\n<jats:p>Ermittlung der Pr\u00e4valenz von KDM, TBS und osteoporotisch bedingten Wirbelk\u00f6rperbr\u00fcchen (\u201evertebral fractures\u201c [VF]) bei Patienten mit RA im Vergleich zu Kontrollen mit nichtentz\u00fcndlichen Muskel-Skelett-Erkrankungen (MSK).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methoden<\/jats:title>\n<jats:p>Die Daten von Patienten mit von Rheumatologen diagnostizierter RA und verf\u00fcgbaren TBS- und DXA-Messungen, die in unserem Krankenhaus von 2006 bis 2014 erhoben wurden, wurden retrospektiv analysiert. Den RA-Patienten wurden Kontrollen mit nichtentz\u00fcndlichen MSK zugeordnet. Eine \u201ereduzierte Knochengesundheit\u201c wurde definiert als ein T\u2011Score &lt;\u22121,0 und\/oder ein TBS-Wert &lt;\u22121,31. Statistische Vergleiche wurden mit dem Mann-Whitney- und dem Wilcoxon-Test durchgef\u00fchrt.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Es wurden 143 Patienten mit RA (Alter 72,1\u202f\u00b1\u200911,1\u00a0Jahre, 72\u202f% weiblich) und 106 Kontrollen (Alter 69,6\u202f\u00b1\u200912,6\u00a0Jahre, 75\u202f% weiblich) eingeschlossen. RA-Patienten hatten h\u00e4ufiger eine erniedrigte KDM (<jats:italic>n<\/jats:italic>\u202f=\u2009102; 71,3\u202f%) und einen erniedrigen TBS-Wert (<jats:italic>n<\/jats:italic>\u202f=\u2009125; 87,4\u202f%) als die Kontrollen (<jats:italic>n<\/jats:italic>\u202f=\u200963; 59,4\u202f% und <jats:italic>n<\/jats:italic>\u202f=\u200979; 74,5\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,049 und <jats:italic>p<\/jats:italic>\u202f=\u20090,009). RA-Patienten hatten mehr VF (<jats:italic>n<\/jats:italic>\u202f=\u200952, 36,4\u202f%) als Kontrollen (<jats:italic>n<\/jats:italic>\u202f=\u200924, 22,6\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,02). Insgesamt hatten 20\u00a0Patienten mit VF (26,3\u202f%) eine normale Wirbels\u00e4ulen-KDM und 9 (11,8\u202f%) auch eine normale H\u00fcft-KDM. Bei Patienten mit VF war die Kombination eines niedrigen TBS bei normaler WS-KDM h\u00e4ufiger als ein normaler TBS bei niedriger WS-KDM (<jats:italic>p<\/jats:italic>\u202f=\u20090,008 f\u00fcr RA, <jats:italic>p<\/jats:italic>\u202f=\u20090,025 f\u00fcr Kontrollen).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Diskussion<\/jats:title>\n<jats:p>VF treten bei Patienten mit normaler KDM auf. Bei Patienten mit VF wurde eine niedrige TBS bei normaler Wirbels\u00e4ulen-KDM h\u00e4ufiger gefunden als eine normale TBS bei niedriger Wirbels\u00e4ulen-KDM. Die Messung des TBS scheint f\u00fcr die Erkennung eines erh\u00f6hten Frakturrisikos bei RA-Patienten mit normaler WS-KDM n\u00fctzlich zu sein.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00393-020-00764-9","type":"journal-article","created":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T15:02:42Z","timestamp":1583938962000},"page":"1067-1074","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Evaluation des Trabecular Bone Score (TBS) in der t\u00e4glichen Praxis bei Patienten mit entz\u00fcndlich rheumatischen und nichtentz\u00fcndlichen Erkrankungen","Evaluation of the trabecular bone score (TBS) in routine clinical care of patients with inflammatory rheumatic and non-inflammatory diseases"],"prefix":"10.1007","volume":"79","author":[{"given":"B.","family":"Buehring","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Wittk\u00e4mper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X.","family":"Baraliakos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Braun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,11]]},"reference":[{"issue":"10169","key":"764_CR1","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/S0140-6736(18)32112-3","volume":"393","author":"JE Compston","year":"2019","unstructured":"Compston\u00a0JE, McClung\u00a0MR, Leslie\u00a0WD (2019) Osteoporosis. 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