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Publication
Featured researches published by M.C. Casey.
Bone | 2010
J.G. Browne; Y. Lim; E. Thornton; M.C. Casey; J.B. Walsh
Glucocorticoids are widely used to treat a number of medical disorders. Prolonged steroid use can cause osteoporosis can lead to a significant increase in fracture risk of the hip and spine. Vertebral fractures can indicate higher risk of both subsequent vertebral and non-vertebral fractures. Lateral vertebral assessment (LVA) can highlight patients who have asymptomatic vertebral fractures.A retrospective audit of patients referred for DXA who have been taking oral glucocorticoids for >3 months. DXA was performed and included total hip, femoral neck, lumbar spine and LVA.657 patients on glucocorticoids for >3 months were reviewed. Overall, vertebral fractures were present in 19.3%. Mean age 59.8 (±18) yrs with 72.3% patients being female. Common reasons for being on glucocorticoids included rheumatoid arthritis (47.1%), COPD (25.1%), gastrointestinal disorder (14.7%), bone marrow and renal transplants (7.5%) and inflammatory disorders (5.6%). 44.7% of patients had osteoporosis with the spine being the most likely site to be affected (35.5%). 31.2% of these patients were on treatment on referral. Patients who had vertebral were older and had more severe osteoporosis (p<0.001). 7.3% of overall fractures occured in the osteopenic group.Vertebral fractures were present in almost 1/5 osteopenic patients. LVA identifed osteopenic patients who would be an increased risk of subsequent fracture. As substantial bone loss occurs in the first 6 months of glucocorticoid treatment, these high-risk patients should be prioritised for osteoporosis treatment. Disclosure of Interest: None declared
Bone | 2010
C.L. Lee; E. Thornton; K. Fitzgerald; J.B. Walsh; M.C. Casey; G.C. Chan
Bone | 2009
D.J. Ryan; J.G. Browne; M. Healy; M.C. Casey; J.A. Harbison
Bone | 2011
N. Siddique; G.C. Chan; N. Burke; A. Geoghegan; K. Fitzgerald; J.B. Walsh; M.C. Casey
Bone | 2011
J.H. Mahon; D. Byrne; G. Steen; J.B. Walsh; M.C. Casey
Bone | 2010
Roman Romero-Ortuno; J.G. Browne; M. Healy; Rose Anne Kenny; M.C. Casey; J.B. Walsh
Bone | 2010
G.C. Chan; M.C. Casey; J.B. Walsh; C.L. Lee
Bone | 2010
C.S. McDonald; G.C. Chan; N.P. Kennedy; Z. Toth; J.B. Walsh; M.C. Casey
Bone | 2010
J.G. Browne; G. Steen; Z. Toth; M.C. Casey; J.B. Walsh
Bone | 2010
C.L. Lee; J.B. Walsh; M.C. Casey; G.C. Chan