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Archives of Osteoporosis

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01-12-2023 | Varicosis | Original Article

Risk of osteoporosis among individuals with varicose veins: a multi-institution cohort study

Author: Chun-Yu Cheng

Published in: Archives of Osteoporosis | Issue 1/2023

Abstract

Summary

The present study showed a significant association between varicose veins and the development of osteoporosis, especially women and patients older than 50 years. Physicians should be alerted to this issue and consider screening for osteoporosis in patients with varicose veins.

Purpose

Osteoporosis might be associated with many skin diseases. However, only a paucity of data addressing the association between varicose veins and subsequent osteoporosis development. The study was aimed to evaluate whether there is an increased risk of osteoporosis among patients with varicose veins.

Methods

This multi-institution database study was based on Chang Gung Research Database from January 1, 2003, to December 31, 2015. Patients aged 20 years and older with varicose veins were enrolled. Participants in the control group were selected by matching in a 4:1 ratio by sex, age, index date, and comorbidities. The hazard ratios associated with osteoporosis were estimated using Cox regression analysis with competitive risk model. Incidence rate of osteoporosis was assessed in individuals with and without varicose veins.

Results

A total of 11,959 patients with varicose veins and 47,633 matched controls were enrolled in the study. The varicose veins group had higher incidence rates than the control group for osteoporosis (46.40 vs 31.92 per 10,000 person-years; adjusted HR 1.481 [95%CI, 1.314–1.669; P < 0.001]). Compared with matched controls, varicose veins patients with or without venous ulcers had 1.711- and 1.443-times increased risk of developing osteoporosis, respectively. Subgroup analysis showed varicose veins were associated with osteoporosis in women and patients older than 50 years.

Conclusion

The present study demonstrated individuals with varicose veins had an increased risk of osteoporosis. Physicians should be alerted to this issue and consider screening for osteoporosis in patients with varicose veins, especially among women and patients older than 50 years.

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Title: Risk of osteoporosis among individuals with varicose veins: a multi-institution cohort study
Author: Chun-Yu Cheng
Publication date: 01-12-2023
Publisher: Springer London
Keywords: Varicosis
Varicosis
Varicosis
Osteoporosis
Osteoporosis
Venous Leg Ulcer
Venous Leg Ulcer
Hyperparathyroidism
Hyperthyroidism
Published in: Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-023-01351-6

At a glance: The STEP trials

Springer Medicine

Risk of osteoporosis among individuals with varicose veins: a multi-institution cohort study

Abstract

Summary

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusion

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