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Table 7 Impact of splenectomy on skeletal manifestations since presentation of Gaucher disease

From: In-depth phenotyping for clinical stratification of Gaucher disease

  

Hazard ratio

P-value

[95% CI]

1st fragility fracture

Splenectomy

2.83

0.01

1.33

5.99

N = 247

Gender effect

1.04

0.91

0.52

2.07

Multiple fragility fractures*

Splenectomy

5.78

<0.0001

2.32

14.42

N = 247

Gender effect

0.59

0.17

0.28

1.24

1st osteonecrosis

Splenectomy

2.95

<0.0001

1.74

5.00

N = 246

Gender

0.80

0.37

0.48

1.31

Osteonecrosis events*

Splenectomy

3.32

<0.0001

1.98

5.56

N = 246

Gender effect

0.95

0.83

0.59

1.53

Presence of Erlenmeyer flask deformity

Splenectomy

0.98

0.95

0.59

1.64

N = 248

Gender effect

0.80

0.34

0.50

1.27

Presence of lytic lesions

Splenectomy

2.70

0.12

0.76

9.52

N = 248

Gender effect

0.26

0.08

0.06

1.16

Orthopaedic surgery

Splenectomy

1.99

0.01

1.15

3.44

N = 244

Gender effect

0.84

0.52

0.50

1.41

  1. Origin: Gaucher disease presentation
  2. *Event rate was estimated using Andersen-Gill method.