SynthesisJournal of clinical epidemiology2007
Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis.
Synthesis in Journal of clinical epidemiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 5 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
22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Does hip protector prevent falls and hip fractures? An umbrella review of meta-analyses.BMC geriatrics · 2024Pooled it
- Test systems for the biomechanical evaluation of hip protectors: 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 · 2020Pooled it
- Hip protectors for preventing hip fractures in older people.The Cochrane database of systematic reviews · 2014Pooled it
- NCCN Task Force Report: Bone Health in Cancer Care.Journal of the National Comprehensive Cancer Network : JNCCN · 2009Guideline
- 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
- Development and pilot study of a bed-exit alarm based on a body-worn accelerometer.Zeitschrift fur Gerontologie und Geriatrie · 2013Trial
- Aged Residential Care Health Utilisation Study (ARCHUS): a randomised controlled trial to reduce acute hospitalisations from residential aged care.BMC geriatrics · 2012Trial
- DXA-derived biofidelic finite element models for quantifying the efficacy of hip protectors.JBMR plus · 2026Article
- Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults.Geriatrics (Basel, Switzerland) · 2025Review
- Vitamin D and hip protectors in osteosarcopenia: a combined hip fracture preventing approach.Reviews in endocrine & metabolic disorders · 2025Review
- A Methodological Quality Evaluation of Meta-Analyses on Nursing Home Research: Overview and Suggestions for Future Directions.International journal of environmental research and public health · 2022Review
- Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention.Journal of the American Medical Directors Association · 2016Article
- A practical approach to osteoporosis management in the geriatric population.Canadian geriatrics journal : CGJ · 2015Article
- Prediction of fracture risk in men: a cohort study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2012Article
- Reducing hip fractures in the elderly.Clinical interventions in aging · 2011Review
- Physical therapy approaches to reduce fall and fracture risk among older adults.Nature reviews. Endocrinology · 2010Review
- A scoping review of strategies for the prevention of hip fracture in elderly nursing home residents.PloS one · 2010Article
- Mechanical evaluation of polymer composite hip protectors.International journal of biomaterials · 2010Article
- Prevention of osteoporosis-related fractures among postmenopausal women and older men.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Review
- Simply ask them about their balance--future fracture risk in a nationwide cohort study of twins.American journal of epidemiology · 2009Article
Corrections and comments
- Erratum issued
Authors and funding
10 authors at 7 institutions in 1 country.
Funding
Abstract
objectiveTo design a Bayesian random effects model for pooling binary outcome data from cluster randomized trials (CRTs) with individually randomized trials (IRTs) and then use this model to determine if hip protectors decrease the risk of hip fracture in elderly nursing home residents. STUDY DESIGN AND
settingEight electronic databases were searched; abstracts and papers were reviewed in duplicate. Randomized controlled trials of hip protectors in nursing homes were included. The pooled mean odds ratio (OR) of a hip fracture in an individual allocated to hip protectors with 95% credibility interval (CRI) was calculated.
resultsWe included four trials of 1,922 individuals (including three CRTs). The pooled OR of an elderly nursing home resident sustaining one or more hip fractures with hip protector allocation was 0.40 (95% CRI 0.25, 0.61). The model was robust in multiple sensitivity analyses assuming alternative intracluster correlation coefficient values.
conclusionThe Bayesian approach may be used in meta-analyses of IRTs and CRTs. Using this approach, we have determined that hip protectors decrease the risk of hip fracture in elderly nursing home residents. Methodologic limitations of the included trials and a possible herd effect in CRTs may have influenced these results.
Indexed as
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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.