Retrospective study: risk assessment model for osteoporosis-a detailed exploration involving 4,552 Shanghai dwellers

回顾性研究:骨质疏松症风险评估模型——对4552名上海市居民的详细探索

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作者:Dan Han #, Zhongcheng Fan #, Yi-Sheng Chen, Zichao Xue, Zhenwei Yang, Danping Liu, Rong Zhou, Hong Yuan

Background

Osteoporosis, a prevalent orthopedic issue, significantly influences patients' quality of life and

Conclusion

The nomogram, based on essential demographic and health factors (Body Mass Index, Total Cholesterol, Triglycerides, High-Density Lipoprotein, Gender, Age, Education, Income, Sleep, Alcohol Consumption, and Diabetes), offered accurate predictions for the risk of bone loss within the studied population.

Results

The predictive nomogram model for bone loss risk, derived from the LASSO analysis, comprised factors including BMI, TC, TG, HDL, Gender, Age, Education, Income, Sleep, Alcohol Consumption, and Diabetes. The nomogram prediction model demonstrated impressive discriminative capability, with a C-index of 0.908 (training set), 0.908 (validation set), and 0.910 (entire cohort). The area under the ROC curve (AUC) of the model was 0.909 (training set), 0.903 (validation set), and applicable to the entire cohort. The decision curve analysis further corroborated that the model could efficiently predict the risk of bone loss in patients.

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