Trial reportJAMA2003
Prevention of hip fractures by external hip protectors: a randomized controlled trial.
Trial report in JAMA, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 9 syntheses or guidelines pooled it, 178 citations in OpenAlex.
- Does hip protector prevent falls and hip fractures? An umbrella review of meta-analyses.BMC geriatrics · 2024Pooled it
- Hip protectors for preventing hip fractures in older people.The Cochrane database of systematic reviews · 2014Pooled it
- A systematic mapping review of randomized controlled trials (RCTs) in care homes.BMC geriatrics · 2012Pooled it
- Non-pharmacological management of osteoporosis: a consensus of the Belgian Bone Club.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Pooled it
- Absolute risk reduction in osteoporosis: assessing treatment efficacy by number needed to treat.Rheumatology international · 2010Pooled it
- Could a policy of provision of hip protectors to elderly nursing home residents result in cost savings in acute hip fracture care? The case of Ontario, Canada.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2007Pooled it
- Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis.Journal of clinical epidemiology · 2007Pooled it
- Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review.BMJ (Clinical research ed.) · 2006Pooled it
- Evidence-based guidelines for the treatment of postmenopausal osteoporosis: a consensus document of the Belgian Bone Club.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2005Guideline
- Wearable airbag technology and machine learned models to mitigate falls after stroke.Journal of neuroengineering and rehabilitation · 2022Trial
- External hip protectors are effective for the elderly with higher-than-average risk factors for hip fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2009Trial
- Cost-effectiveness of hip protectors in frail institutionalized elderly.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2004Trial
- Randomized controlled trial of hip protectors among women living in the community.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2004Trial
- [Orthoses and assistive devices in rheumatology : Prevention of disability, support of residual function].Zeitschrift fur Rheumatologie · 2017Review
- Poststroke hip fracture: prevalence, clinical characteristics, mineral-bone metabolism, outcomes, and gaps in prevention.Stroke research and treatment · 2013Article
- Hip protectors: recommendations for conducting clinical trials--an international consensus statement (part II).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2010Article
- The challenges of interpreting efficacy of hip protector pads in fracture prevention in high-risk seniors.Clinical rheumatology · 2009Article
- Effect of multiple impacts on protective properties of external hip protectors.Clinical interventions in aging · 2008Article
- The Hip Impact Protection Project: design and methods.Clinical trials (London, England) · 2008Article
- [Fall prevention in people with dementia - do experiences from long-term-care offer new methods of resolution?].Zeitschrift fur Gerontologie und Geriatrie · 2007Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextSeveral randomized controlled trials have been performed to examine the effectiveness of external hip protectors in reducing the incidence of hip fractures, but the results are controversial.
objectiveTo examine the effectiveness of hip protectors in reducing the incidence of hip fractures in an elderly high-risk population. DESIGN, SETTING, AND
participantsRandomized controlled trial of elderly persons aged 70 years or older, who have low bone density, and are at high risk for falls. Participants lived in apartment houses for the elderly, homes for the elderly, and nursing homes in Amsterdam and surrounding areas in the Netherlands. They were enrolled in the study between March 1999 and March 2001; the mean follow-up was 69.6 weeks. Of the 830 persons who were screened, 561 persons were enrolled.
interventionExternal hip protector. Both groups received written information on bone health and risk factors for falls.
main outcome measureTime to first hip fracture. Survival analysis was used to include all participants for the time they participated.
resultsIn the intervention group, 18 hip fractures occurred vs 20 in the control group. Four hip fractures in the intervention group occurred while an individual was wearing a hip protector. At least 4 hip fractures in the intervention group occurred late at night or early in the morning. Both in univariate analysis (log-rank P =.86) and in multivariate analysis (hazard ratio [HR], 1.05; 95% confidence interval [CI], 0.55-2.03), no statistically significant difference between the intervention group and control group was found with regard to time to first hip fracture. In addition, the per protocol analysis in compliant participants did not show a statistically significant difference between the groups (HR, 0.77; 95% CI, 0.25-2.38).
conclusionThe hip protector studied was not effective in preventing hip fractures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.