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The role of vitamin D on rotator cuff tear with osteoporosis

BACKGROUNDS: Osteoporosis (OP) is an important risk factor for rotator cuff tears (RCTs). However, the relationship and mechanism between rotator cuff injury and osteoporosis are unclear. Therefore, to investigate association between rotator cuff injury and osteoporosis, and find clinical characteri...

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Autores principales: Liu, Gejun, Li, Wenjun, Zhang, Liyun, Zhou, Chao, Cong, Ruijun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716320/
https://www.ncbi.nlm.nih.gov/pubmed/36465653
http://dx.doi.org/10.3389/fendo.2022.1017835
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author Liu, Gejun
Li, Wenjun
Zhang, Liyun
Zhou, Chao
Cong, Ruijun
author_facet Liu, Gejun
Li, Wenjun
Zhang, Liyun
Zhou, Chao
Cong, Ruijun
author_sort Liu, Gejun
collection PubMed
description BACKGROUNDS: Osteoporosis (OP) is an important risk factor for rotator cuff tears (RCTs). However, the relationship and mechanism between rotator cuff injury and osteoporosis are unclear. Therefore, to investigate association between rotator cuff injury and osteoporosis, and find clinical characteristics, bone mineral density, bone metabolism markers, and nutrient levels in rotator cuff injury patients with or without osteoporosis. METHODS: One hundred and four cases of patients (RCTs, n=32; RCTs-OP, n=72) who underwent rotator cuff injury and need arthroscopic rotator cuff repair between June 2021 and February 2022, along with the diagnosis of osteoporosis were identified from the dual-energy X-ray bone density screening(DXA). The outcome measure includes clinical characteristics, bone mineral density, bone metabolism markers, vitamins, and amino acids. Multivariable logistic regression analysis was applied to build a predicting model incorporating the feature selected in the least absolute shrinkage and selection operator regression model. Discrimination, calibration, and clinical usefulness of the predicting model were assessed using the C-index, calibration plot, and decision curve analysis. Internal validation was assessed using bootstrapping validation. RESULTS: OP with RCTs has a lower level of in 25-vitD, osteocalcin (OCN), serum Ca2+, ornithine, diaminocaproic_acid but the high level of Vitamin_B12, PTH, Vitamin_D3,γ_aminobutyric_acid, Vitamin_C and Vitamin_E than RCTs patients without OP. Predictors contained in the prediction nomogram included lumber T score, femur T score, Niacin_B3, and vitamin D, reflecting the combined effect of vitamins on RCTs-related OP progression. The model has good discriminative ability with a C-index of 0.938(95% CI:-1.83-1.39) and good scaling ability. The high C-index value of 0.95 is still achievable with range validation. Analysis of decision curves showed that non-adherence is clinically useful when intervention decisions are at the 14% probability limit of non-adherence. CONCLUSION: This study supports the hypothesis that lumber T score, femur T score, Niacin_B3, and Vitamin D are valuable prognostic biomarkers on RCTs related OP progression. WHAT IS KNOWN ABOUT THE SUBJECT: It is found that vitamin D are valuable prognostic biomarkers, reflecting the combined effect of vitamins on RCTs related OP progression. WHAT THIS STUDY ADDS TO EXISTING KNOWLEDGE: These findings also highlight that nutrients condition such as vitamins and amino acids of patients provide a new understanding of the development of RCTs.
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spelling pubmed-97163202022-12-03 The role of vitamin D on rotator cuff tear with osteoporosis Liu, Gejun Li, Wenjun Zhang, Liyun Zhou, Chao Cong, Ruijun Front Endocrinol (Lausanne) Endocrinology BACKGROUNDS: Osteoporosis (OP) is an important risk factor for rotator cuff tears (RCTs). However, the relationship and mechanism between rotator cuff injury and osteoporosis are unclear. Therefore, to investigate association between rotator cuff injury and osteoporosis, and find clinical characteristics, bone mineral density, bone metabolism markers, and nutrient levels in rotator cuff injury patients with or without osteoporosis. METHODS: One hundred and four cases of patients (RCTs, n=32; RCTs-OP, n=72) who underwent rotator cuff injury and need arthroscopic rotator cuff repair between June 2021 and February 2022, along with the diagnosis of osteoporosis were identified from the dual-energy X-ray bone density screening(DXA). The outcome measure includes clinical characteristics, bone mineral density, bone metabolism markers, vitamins, and amino acids. Multivariable logistic regression analysis was applied to build a predicting model incorporating the feature selected in the least absolute shrinkage and selection operator regression model. Discrimination, calibration, and clinical usefulness of the predicting model were assessed using the C-index, calibration plot, and decision curve analysis. Internal validation was assessed using bootstrapping validation. RESULTS: OP with RCTs has a lower level of in 25-vitD, osteocalcin (OCN), serum Ca2+, ornithine, diaminocaproic_acid but the high level of Vitamin_B12, PTH, Vitamin_D3,γ_aminobutyric_acid, Vitamin_C and Vitamin_E than RCTs patients without OP. Predictors contained in the prediction nomogram included lumber T score, femur T score, Niacin_B3, and vitamin D, reflecting the combined effect of vitamins on RCTs-related OP progression. The model has good discriminative ability with a C-index of 0.938(95% CI:-1.83-1.39) and good scaling ability. The high C-index value of 0.95 is still achievable with range validation. Analysis of decision curves showed that non-adherence is clinically useful when intervention decisions are at the 14% probability limit of non-adherence. CONCLUSION: This study supports the hypothesis that lumber T score, femur T score, Niacin_B3, and Vitamin D are valuable prognostic biomarkers on RCTs related OP progression. WHAT IS KNOWN ABOUT THE SUBJECT: It is found that vitamin D are valuable prognostic biomarkers, reflecting the combined effect of vitamins on RCTs related OP progression. WHAT THIS STUDY ADDS TO EXISTING KNOWLEDGE: These findings also highlight that nutrients condition such as vitamins and amino acids of patients provide a new understanding of the development of RCTs. Frontiers Media S.A. 2022-11-18 /pmc/articles/PMC9716320/ /pubmed/36465653 http://dx.doi.org/10.3389/fendo.2022.1017835 Text en Copyright © 2022 Liu, Li, Zhang, Zhou and Cong https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Liu, Gejun
Li, Wenjun
Zhang, Liyun
Zhou, Chao
Cong, Ruijun
The role of vitamin D on rotator cuff tear with osteoporosis
title The role of vitamin D on rotator cuff tear with osteoporosis
title_full The role of vitamin D on rotator cuff tear with osteoporosis
title_fullStr The role of vitamin D on rotator cuff tear with osteoporosis
title_full_unstemmed The role of vitamin D on rotator cuff tear with osteoporosis
title_short The role of vitamin D on rotator cuff tear with osteoporosis
title_sort role of vitamin d on rotator cuff tear with osteoporosis
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716320/
https://www.ncbi.nlm.nih.gov/pubmed/36465653
http://dx.doi.org/10.3389/fendo.2022.1017835
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