Bone disease in monoclonal gammopathy of undetermined significance: Results from a screened population-based study Journal Article

Authors: Thorsteinsdottir, S.; Lund, S. H.; Lindqvist, E. K.; Thordardottir, M.; Sigurdsson, G.; Costello, R.; Burton, D.; Steingrimsdottir, H.; Gudnason, V.; Eiriksdottir, G.; Siggeirsdottir, K.; Harris, T. B.; Landgren, O.; Kristinsson, S. Y.
Article Title: Bone disease in monoclonal gammopathy of undetermined significance: Results from a screened population-based study
Abstract: Previous studies have shown that individuals with monoclonal gammopathy of undetermined significance (MGUS) have an increased risk of fractures, although the underlying mechanisms remain unknown. Our aim was to analyze bone mineral density (BMD), bone volume, and risk of fractures among individuals with MGUS. We performed a screening using the Age, Gene/Environment Susceptibility (AGES)-Reykjavik Study cohort, consisting of 5764 elderly individuals, identifying 300 individuals with MGUS, and 275 with light-chain MGUS. Quantitative computerized tomography was performed in the lumbar spine and hip to evaluate BMD and bone geometry. Analysis of variance and the Tukey honest significance test were used to compare the groups. Hospital records were used to record fractures, with a mean follow-up of 6.9 years. Cox proportional hazard was used to compare fracture risk. No difference was found in BMD between subjects with MGUS and others in the spine (P = .34) or in total hip (P = .30). Individuals with MGUS had a significant increase in bone volume compared with others in the spine(P < .001) and total hip (P,.001). Overall, the risk of fractures was not significantly increased in individuals with MGUS (hazard ratio [HR], 1.19; 95% confidence interval [CI], 0.94-1.50). Men with MGUS had a significantly increased fracture risk, compared with other men (HR, 1.46; 95% CI, 1.03-2.08). Our results show that although individuals with MGUS do not have decreased BMD, bone volume is increased, and MGUS men have a 50% increased fracture risk. These results indicate that bone disease and fractures in MGUS differ from processes known from osteoporosis.
Keywords: prevalence; osteoporosis; density; mineral; multiple-myeloma; vertebral fractures; fracture risk; mgus; hip-fractures; quantitative computed-tomography; gene/environment; susceptibility-reykjavik
Journal Title: Blood Advances
Volume: 1
Issue: 27
ISSN: 2473-9529
Publisher: American Society of Hematology  
Date Published: 2017-12-26
Start Page: 2790
End Page: 2798
Language: English
ACCESSION: WOS:000419566100009
DOI: 10.1182/bloodadvances.2017010454
PMCID: PMC5745135
PUBMED: 29296931
Notes: Article -- Source: Wos
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MSK Authors
  1. Carl Ola Landgren
    306 Landgren