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  Vol. 166 No. 14, July 24, 2006 TABLE OF CONTENTS
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The Association of Warfarin Use With Osteoporotic Fracture in Elderly Patients With Atrial Fibrillation

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Gage and colleagues found that in elderly patients, warfarin use to treat atrial fibrillation for more than 1 year was independently associated with osteoporotic fracture.1 Adjusting for multiple cofounders of fractures and plausible mechanism-linked reasons for warfarin use and osteoporotic fracture made their finding more real than by chance. However, their study did not show the size of the effect of warfarin use on osteoporotic fracture.1 The size of the effect in an observational study is important.2 Many risk factors of osteoporotic fractures such as age and fall risk in elderly patients have been adjusted,1 but it is still unclear how many osteoporotic fractures were due to long-term use of warfarin. Elderly patients with high risk for falls were excluded from clinical trials of atrial fibrillation.3 It will be helpful to examine the effect of long-term use of warfarin on the incidence of osteoporotic fractures in future trials.


AUTHOR INFORMATION
Correspondence: Dr . . . [Full Text of this Article]

Huai Yong Cheng, MD, MPH



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RELATED ARTICLES

The Association of Warfarin Use With Osteoporotic Fracture in Elderly Patients With Atrial Fibrillation—Reply
Brian F. Gage, Elena Birman-Deych, and Martha J. Radford
Arch Intern Med. 2006;166(14):1525.
EXTRACT | FULL TEXT  

Risk of Osteoporotic Fracture in Elderly Patients Taking Warfarin: Results From the National Registry of Atrial Fibrillation 2
Brian F. Gage, Elena Birman-Deych, Martha J. Radford, David S. Nilasena, and Ellen F. Binder
Arch Intern Med. 2006;166(2):241-246.
ABSTRACT | FULL TEXT  






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