ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2007
The effect of socioeconomic status on bone density testing in a public health-care system.
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, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Recommendations on screening for primary prevention of fragility fractures.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Guideline
- Effects of Gastric Bypass and Sleeve Gastrectomy on Bone Mineral Density and Bone Turnover Markers: A Systematic Review and Meta-Analysis.World journal of surgery · 2022Pooled it
- Association between socioeconomic status and bone mineral density in adults: a systematic review.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
- The association between socioeconomic status and osteoporotic fracture in population-based adults: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2009Pooled it
- Non-participation in systematic screening for osteoporosis-the ROSE trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Trial
- Deprivation indices and their association with fragility fractures and bone density: evidence from a large observational cohort.Rheumatology (Oxford, England) · 2026Observational
- 3D Topographical Scanning for the Detection of Osteoporosis.Journal of frailty, sarcopenia and falls · 2024Article
- Osteoporosis and its associated factors among patients attending Manakamana Hospital, Chitwan, Nepal.PloS one · 2024Article
- Article
- Cancer patients with fractures are rarely assessed or treated for osteoporosis: a population-based study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- Factors affecting willingness to get assessed and treated for osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- Utilization of bone mineral density testing among breast cancer survivors in British Columbia, Canada.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Observational
- Observational
- Low rates of bone mineral density measurement in Medicare beneficiaries with prostate cancer initiating androgen deprivation therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Article
- FRAX provides robust fracture prediction regardless of socioeconomic status.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014Article
- Is lower income associated with an increased likelihood of qualification for treatment for osteoporosis in Canadian women?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014Article
- The contributions of First Nations ethnicity, income, and delays in surgery on mortality post-fracture: a population-based analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- Disparities in bone density measurement history and osteoporosis medication utilisation in Swiss women: results from the Swiss Health Survey 2007.BMC musculoskeletal disorders · 2013Article
- Impact of socioeconomic status on ionizing radiation exposure from medical imaging in children.Journal of the American College of Radiology : JACR · 2012Article
- A population-based analysis of the post-fracture care gap 1996-2008: the situation is not improving.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisAn inverse relationship exists between socio-economic status (SES) and osteoporotic fractures. In publicly funded health-care systems there should be no barriers to accessing bone mineral density (BMD) testing, especially for those at increased fracture risk. Our hypothesis was that there would be a positive association between SES and BMD utilization (i.e. higher utilization rates in higher income women), resulting in disparities that disadvantage lower SES or lower income women.
methodsA population-based BMD database from the Manitoba Bone Density Program was utilized to assess the association between SES (defined using income quintiles) and BMD utilization rates in women aged 50 years and older (n=107,944) for the 2001-2002 fiscal year. Analyses were stratified by age (50-64 years old and 65 years or older) and by a morbidity index obtained from the Johns Hopkins University Adjusted Clinical Group Case-Mix Adjustment System.
resultsRegression models demonstrated significantly higher BMD utilization rates among high SES women in all age and morbidity strata. Rate ratios varied from 1.76 (95% CI: 1.52-2.04) in 50- to 64-year-old women to 2.36 (95% CI: 1.60-3.49) in low morbidity women aged 65 or older.
conclusionWithin the context of a publicly funded health-care system significant inverse associations are demonstrated between SES and BMD utilization rates. Further research is needed to better understand the nature of these associations and how they may contribute to health outcomes.
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