Evidence map›Paper›PMID 15378233›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2005

Multinational survey of osteoporotic fracture management.

Karsten E Dreinhöfer, Mary Anderson, Jean-Marc Féron, Antonio Herrera, Robert Hube, Olof Johnell, Lars Lidgren, Kim Miles, Umberto Tarantino, Hamish Simpson and 1 more

Abstract read
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In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Metasynthesis of Patient Attitudes Toward Bone Densitometry.Journal of general internal medicine · 2018
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
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  10. Cost and health care resource use associated with noncompliance with oral bisphosphonate therapy: an analysis using Danish health registries.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
  11. Article
  12. Post-fracture pharmacotherapy for women with osteoporotic fracture: analysis of a managed care population in the USA.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Article
  13. Article
  14. Article
  15. Successful direct intervention for osteoporosis in patients with minimal trauma fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2007
    Article
  16. Osteoporosis practice patterns in 2006 among primary care physicians participating in the NORA study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2007
    Article
  17. Review
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  19. Bone care nurses and the evolution of the nurse's educational function: the Guardian Angel(®) research project.Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 7 countries.

Karsten E DreinhöferDepartment of Orthopaedics, Rehabilitationskrankenhaus, Ulm University, Germany. karsten.dreinhoefer@medizin.uni-ulm.de
Mary Anderson
Jean-Marc Féron
Antonio Herrera
Robert Hube
Olof Johnell
Lars Lidgren
Kim Miles
Umberto Tarantino
Hamish Simpson
W Angus Wallace
Lund University · SEBone Health and Osteoporosis Foundation · USHôpital Tenon · FRHospital Universitario Miguel Servet · ESMartin Luther University Halle-Wittenberg · DEQueen's University · CAUniversity and Rehabilitation Clinics Ulm · DEUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis is characterized by a decreased bone mass and an increased bone fragility and susceptibility to fracture. Patients with a fragility fracture at any site have an increased risk of sustaining future fractures. Orthopedic surgeons manage most of these fractures and are often the only physician seen by the patient. Mounting evidence that orthopedic surgeons are not well attuned to osteoporosis led the Bone and Joint Decade (BJD) and the International Osteoporosis Foundation (IOF) to survey 3,422 orthopedic surgeons in France, Germany, Italy, Spain, the United Kingdom, and New Zealand. The majority of the respondents in all countries had the opinion that the orthopedic surgeon should identify and initiate the assessment of osteoporosis in patients with fragility fractures. Heterogeneous practice pattern exist in different countries; however, identification and treatment of the osteoporotic patient seems to be insufficient in many areas: half of the orthopedic surgeons surveyed received little or no training in osteoporosis. Only approximately one in four orthopedic surgeons in France, the UK and New Zealand regarded themselves as knowledgeable about treatment modalities. Less than one-fifth of the orthopedic surgeons arranged for a surgically treated patient with a fragility fracture to have a bone mineral density (BMD) test. Twenty percent said that they never refer a patient after a fragility fracture for BMD. Only half of the orthopedic surgeons in southern Europe know about the importance of some external risk factors for hip fractures (cataracts, poor lighting, pathway obstacles, poor balance). In summary, this survey clearly indicates that many orthopedic surgeons still neglect to identify, assess and treat patients with fragility fractures for osteoporosis. More educational opportunities need to be offered to orthopedic surgeons through articles, web-based learning and educational seminars. Development of a simple clinical pathway from evidence-based guidelines is an important step to ensure that optimal care is provided for patients with fragility fractures.

Indexed as

Attitude of Health PersonnelBone DensityCalciumClinical CompetenceDensitometryDiphosphonatesEuropeFemaleFractures, BoneHumansMaleNew ZealandOsteoporosisPostmenopauseProfessional PracticeReferral and ConsultationCalciumDiphosphonatesVitamin D

Identifiers

PMID15378233
OpenAlexW2149573700

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.