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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0001792,
umls-concept:C0043210,
umls-concept:C0076660,
umls-concept:C0087111,
umls-concept:C0238806,
umls-concept:C0243127,
umls-concept:C0262950,
umls-concept:C0439849,
umls-concept:C0443331,
umls-concept:C0445223,
umls-concept:C0521329,
umls-concept:C0871261,
umls-concept:C1552599,
umls-concept:C1704632,
umls-concept:C1704787,
umls-concept:C1706817,
umls-concept:C2911692
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pubmed:issue |
2
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pubmed:dateCreated |
1997-5-9
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pubmed:abstractText |
To determine the ability of bone turnover to predict the response in bone mass during treatment with Tibolone, two biochemical markers of bone metabolism were evaluated [CrossLaps corrected for urinary creatinine (CrossLaps/Cr.) and serum osteocalcin measured in a newly developed assay (N-Mid)]. Data from a 2-year double-blind, randomized trial with 56 completing Tibolone-treated women and 13 placebo-treated women were studied. Bone mineral density in the spine (QDR-1000) and indices of bone turnover were determined every 3 months throughout the study. The response in bone mass was calculated as the percent annual change in bone mineral density from baseline and was determined from a total of nine measurements. The response in bone mass was correlated to prestudy values of CrossLaps/Cr. (r = 0.27; p < 0.05), but was uncorrelated to prestudy values of N-Mid. The changes from baseline of these two markers were significantly correlated with the response in bone mass from the 6 months' time point and throughout the rest of the study, i.e., at 1 year: CrossLaps/Cr.: r = 0.54; p < 0.001, N-Mid: r = 0.49; p < 0.001). The change from baseline in the two markers was clearly more predictive of the response in bone mass than the baseline values of these markers as evaluated in a multiple, linear regression-model. Within 1 year of Tibolone-treatment, measured changes in CrossLaps/Cr. and bone mineral density are at least equally predictive of the true response in bone mass over 2 years. These results indicate a possibility of monitoring Tibolone therapy with biochemical markers of bone turnover, at least on group basis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
8756-3282
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
151-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9028540-Aged,
pubmed-meshheading:9028540-Anabolic Agents,
pubmed-meshheading:9028540-Bone Density,
pubmed-meshheading:9028540-Bone Remodeling,
pubmed-meshheading:9028540-Double-Blind Method,
pubmed-meshheading:9028540-Female,
pubmed-meshheading:9028540-Humans,
pubmed-meshheading:9028540-Linear Models,
pubmed-meshheading:9028540-Norpregnenes,
pubmed-meshheading:9028540-Prognosis
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pubmed:year |
1997
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pubmed:articleTitle |
The response in spinal bone mass to tibolone treatment is related to bone turnover in elderly women.
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pubmed:affiliation |
Center for Clinical and Basic Research, Ballerup, Denmark.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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