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This cohort study demonstrated low rates of hospital-initiated bone densitometry with a 1-year cumulative incidence of 22.6%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Osteoporosis is one of the most frequent comorbidities in chronic obstructive pulmonary disease (COPD) patients. A study was conducted to assess the management of osteoporosis in COPD patients using the INCLUDE health data warehouse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The primary objective was to calculate the cumulative incidence of hospital-initiated bone densitometry, in the year following hospitalization for fragility fracture in COPD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>A retrospective, monocentric, observational study was conducted at Lille University Hospital with patients identified from January 2013 to December 2021. Patients with COPD, aged 40 or over, and hospitalized for a fragility fracture according to the ICD-10 classification were included. Bone densitometry was indexed according to French Common Procedures Classification (CCAM) acts by INCLUDE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 365 patients (~\u200960% male, mean age 73.5\u2009\u00b1\u200912.3\u00a0years, and median Charlson score 2.0 (1.0; 4.0)) were included. Hospitalization units for fractures were orthopedics (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009168), geriatrics (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946), rheumatology (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945), pneumology (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924), and others (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200982). A total of 499 fractures were identified, most of them severe (hip (36.4%), vertebrae (30.1%), proximal humerus (11.5%), pelvis (10.7%), etc.). During the first year, 69 patients (18.9%) died, and 81 underwent hospital-initiated bone densitometry. The cumulative incidence of bone densitometry in the 1st year was 22.6% [CI 95% 18.3\u201327.1%]. Independent determinants of performing bone densitometry were female gender, low Charlson score, hospitalization in rheumatology, and vertebral fracture(s).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The cumulative incidence of hospital-initiated bone densitometry, within 1\u00a0year of hospitalization for a fragility fracture in COPD patients was relatively low.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11657-025-01534-3","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T10:12:45Z","timestamp":1744193565000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of hospital-initiated bone densitometry with hospitalization for fragility fracture at Lille University Hospital among adults with chronic obstructive pulmonary disease"],"prefix":"10.1007","volume":"20","author":[{"given":"El\u00e9onore","family":"Heddebaut","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Balay\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emeline","family":"Cailliau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Le Rouzic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile","family":"Philippoteaux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6599-8623","authenticated-orcid":false,"given":"Julien","family":"Paccou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"issue":"4","key":"1534_CR1","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1080\/15412550802237531","volume":"5","author":"M Decramer","year":"2008","unstructured":"Decramer M, Rennard S, Troosters T, Mapel DW, Giardino N, Manning D et al (2008) COPD as a lung disease with systemic consequences: clinical impact, mechanisms, and potential for early intervention. 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Olivier Le Rouzic reports personal fees and non-financial support unrelated to the submitted work from AstraZeneca, Boehringer Ingelheim, Chiesi, CSL Behring, GlaxoSmithKline, MSD France, Vertex and Vitalaire. Cecile Philippoteaux received honoraria from Amgen, Lilly, Kyowa Kirin, Galapagos, and Abbvie. For the remaining authors, none was declared.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}],"article-number":"47"}}