Publications by authors named "Thach S Tran"

Introduction: Polymorphisms within the collagen 1 alpha 1 gene (COLIA1) have been shown to be associated with bone mineral density (BMD). This study aimed to test the hypothesis that COLIA1 polymorphisms are associated with bone loss and fragility fractures.

Materials And Methods: The study involved 809 postmenopausal women aged 60 years and above in the Dubbo Osteoporosis Epidemiology Study who had COLIA1 genotypes and at least two BMD measurements over a 30-year period.

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Background: The role of diet in breast cancer prevention is controversial and limited in low-middle-income countries (LMICs). This study aimed to investigate the association between different dietary factors and breast cancer risk in Vietnamese women.

Methods: Three hundred seventy newly histologically confirmed breast cancer cases and 370 controls matched by 5-year age from September 2019 to March 2020 in Ho Chi Minh City were recorded dietary intake using a validated food frequency questionnaire.

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Purpose: To identify the optimal statistical approach for predicting the risk of fragility fractures in the presence of competing event of death.

Methods: We used real-world data from the Dubbo Osteoporosis Epidemiology Study that has monitored 3035 elderly participants for bone health and mortality. Fragility fractures were ascertained radiologically.

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Objectives: Vertebral fracture is both common and serious among adults, yet it often goes undiagnosed. This study aimed to develop a shape-based algorithm (SBA) for the automatic identification of vertebral fractures.

Methods: The study included 144 participants (50 individuals with a fracture and 94 without a fracture) whose plain thoracolumbar spine X-rays were taken.

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Article Synopsis
  • Many patients with fractures also suffer from multiple health conditions (multimorbidity), which can lead to worse outcomes like additional fractures and higher mortality rates, but this link hasn't been thoroughly studied.
  • The study focused on participants in New South Wales, Australia, examining how multimorbidity and self-rated health affect the likelihood of subsequent fractures and death after an initial fracture.
  • Analysis revealed that individuals with higher Charlson Comorbidity Index scores had an elevated risk of experiencing another fracture, particularly highlighting gender differences in outcomes, with women generally facing different risks compared to men.
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Background: Common variants in the fat mass and obesity-related transcript (FTO) gene are related to body mass index and obesity, suggesting its potential association with bone mineral density (BMD) and fracture risk. This study sought to define the association between FTO gene variants and the following phenotypes: (1) BMD; (2) bone loss; and (3) fracture risk.

Methods: This analysis was based on the Dubbo Osteoporosis Epidemiology Study that included 1,277 postmenopausal women aged ≥60 years living in Dubbo, Australia.

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We previously described an approach called RealSeqS to evaluate aneuploidy in plasma cell-free DNA through the amplification of ~350,000 repeated elements with a single primer. We hypothesized that an unbiased evaluation of the large amount of sequencing data obtained with RealSeqS might reveal other differences between plasma samples from patients with and without cancer. This hypothesis was tested through the development of a machine learning approach called Alu Profile Learning Using Sequencing (A-PLUS) and its application to 7615 samples from 5178 individuals, 2073 with solid cancer and the remainder without cancer.

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The epidemiology of vertebral fractures (VF) in underrepresented populations is not well-documented. This cohort study was part of a longitudinal osteoporosis research project with the aim of determining the prevalence, incidence, and risk factors for VF. 401 individuals (155 men) aged 50 years and older without a clinical diagnosis of VF were took radiographs at baseline and 2 years later.

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Objectives: Osteoporotic fracture is a significant public health burden associated with increased mortality risk and substantial healthcare costs. Accurate and early identification of high-risk individuals and mitigation of their risks is a core part of the treatment and prevention of fractures. Here we introduce a digital tool called 'BONEcheck' for personalized assessment of bone health.

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Article Synopsis
  • Geoffrey Rose's concept suggests that small benefits to individuals within a population can result in significant community health improvements; this study aimed to examine that idea through bone mineral density (BMD) and hip fracture rates.
  • The Dubbo Osteoporosis Epidemiology Study (DOES) compared two cohorts of older adults from the late 1980s and late 1990s, finding that the later group had higher femoral neck BMD and significantly lower rates of osteoporosis and hip fractures.
  • The research indicates that improving BMD across a population could lead to a meaningful reduction in hip fractures, supporting the idea of population-based health strategies as effective interventions.
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  • Fragility fractures are a major public health issue linked to higher mortality, prompting research into whether birth factors can predict fracture risk.
  • This study analyzed 3,515 individuals aged 60+ over 20 years, using a polygenic risk score (PRS) based on bone density genetics to assess lifetime fracture risk.
  • Results showed higher fracturing likelihood correlated with elevated PRS in both men and women, highlighting the potential for personalized risk assessments based on genetic profiling.
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Unlabelled: Based on the prospective cohort of the Vietnam Osteoporosis Study, we show that bone loss occurred before menopause, and that the loss accelerated in the first 5 years post-menopause.

Purpose: To define the change in bone mineral density (BMD) among women during the menopausal transition.

Methods: The study involved 1062 women aged 40-59 who were participants of the population-based prospective Vietnam Osteoporosis Study.

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Osteoporotic fractures present a major health problem with an increasing prevalence in older people. Fractures are associated with premature mortality, reduced quality of life, subsequent fracture, and increased costs. Hence, it is crucial to identify those at higher risk of fracture.

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Article Synopsis
  • * A new method called MethylSaferSeqS is introduced, allowing researchers to assess both genetic and epigenetic changes in the same DNA sample by separating original and copied DNA strands, preserving their methylation patterns.
  • * The study, which involved 265 individuals (including 198 cancer patients), successfully demonstrated that this approach can identify specific genetic mutations and methylation changes, offering valuable insights into cancer biology.
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Muscle strength and physical performance are associated with incident fractures and mortality. However, their role in the risk of subsequent fracture and postfracture mortality is not clear. We assessed the association between muscle strength (grip strength) and performance (gait speed and chair stands time) and the risk of subsequent fracture and mortality in 830 men with low-trauma index fracture, who participated in the Osteoporotic Fractures in Men (MrOS) USA Study and had their index measurements assessed within 5 years prior to the index fracture.

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Background: Little is known about the trends in colorectal cancer (CRC) in Vietnam. We aimed to investigate the trends in epidemiology and anatomical subsites of CRC in Ho Chi Minh City, Vietnam.

Methods: Based on the Ho Chi Minh City Cancer Registry data during 1996-2015, we calculated the average annual percent changes (AAPCs) of the age-standardized incidence rates (ASRs) by sex, age groups, and anatomical subsites, using joinpoint regressions analysis.

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Background: The burden and trend of thyroid cancer in Vietnam have not been well documented. This study aimed to investigate the trends in incidence and histological pattern of thyroid cancer in Ho Chi Minh City from 1996 to 2015.

Methods: A population-based study retrieved data from the Ho Chi Minh City Cancer Registry during 1996-2015.

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Article Synopsis
  • - This study aimed to redefine fracture risk by including refracture and mortality data, proposing the concept of "skeletal age" based on fracture history.
  • - Over 20 years, data from 3,521 older adults showed that women have a higher rate of refractures (36%) compared to men (22%), but men face a greater risk of mortality after fractures (41% vs. 25%).
  • - Key factors influencing post-fracture mortality included male gender, older age, and lower bone mineral density, with a 70-year-old man with a fracture estimated to have a skeletal age of 75, which can help guide treatment discussions between patients and doctors.
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Background: Pneumonia is the leading cause of antibiotic use and hospitalization in Vietnam. There is a need for better prediction of unlikely bacterial pneumonia and adverse pneumonia outcome in order to guide hospital admission and improve rational antibiotic use.

Methods: All children under 5 admitted with pneumonia (per clinician assessment) to the Da Nang Hospital for Women and Children were prospectively enrolled.

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Pneumonia is the most common reason for paediatric hospital admission in Vietnam. The potential value of using the World Health Organization (WHO) case management approach in Vietnam has not been documented.We performed a prospective descriptive study of all children (2-59 months) admitted with "pneumonia" (as assessed by the admitting clinician) to the Da Nang Hospital for Women and Children to characterise their disease profiles and assess risk factors for an adverse outcome.

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Context: Although bone mineral density (BMD) is strongly associated with fracture and postfracture mortality, the burden of fractures attributable to low BMD has not been investigated.

Objectives: We sought to estimate the population attributable fraction of fractures and fracture-related mortality that can be attributed to low BMD.

Design And Setting: This study is a part of an ongoing population-based prospective cohort study, the Dubbo Osteoporosis Epidemiology study.

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Purpose: Low trauma rib fracture (hereinafter, rib fracture) is common in the elderly, but its risk factors and mortality consequence are rarely studied. We sought to define the epidemiology of rib fracture and the association between rib fracture and postfracture mortality.

Methods: The study was part of the Dubbo Osteoporosis Epidemiology Study, which was designed as a population-based prospective study, and consisted of 2041 women and men (aged ≥ 60).

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