Evidence map›Paper›PMID 22256806›Full record

ArticleThe New England journal of medicine2012

Bone-density testing interval and transition to osteoporosis in older women.

Margaret L Gourlay, Jason P Fine, John S Preisser, Ryan C May, Chenxi Li, Li-Yung Lui, David F Ransohoff, Jane A Cauley, Kristine E Ensrud, Study of Osteoporotic Fractures Research Group

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The New England journal of medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01905358 (Title), which is not on this map. Cited by 107 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 4 pooled it
25.0field-weighted citation impact, top 1% 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.

NCT01905358 terminatednot on this mapstarted 2013, after this paper: background citation

Title: The Study of Intra-articular Interventions of Platelet Rich Plasma or Hyaluronic Acid Compounds vs. Usual Care (Exercise/Diet/Supplements) in the Medical Management of Knee OA- Effects on Pain and Function; Effects on Articular Cartilage; Effects on Time to Partial or Total Knee Arthroplasty: The Knee Usual Care Evaluation (KUCE) Study

Typeobservational_patient_registrySponsorHospital for Special Surgery, New YorkRan2013 to 2014Enrolled906ConditionsKnee Osteoarthritis
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 4 syntheses or guidelines pooled it, 261 citations in OpenAlex.

  1. Pooled it
  2. Updated practice guideline for dual-energy X-ray absorptiometry (DXA).European journal of nuclear medicine and molecular imaging · 2025
    Guideline
  3. Kyphoplasty is associated with reduced mortality risk for osteoporotic vertebral compression fractures: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Pooled it
  4. Recommendations on screening for primary prevention of fragility fractures.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Guideline
  5. Trial
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  10. A randomized trial of a mailed intervention and self-scheduling to improve osteoporosis screening in postmenopausal women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2012
    Trial
  11. Article
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  13. Review
  14. Article
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47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Margaret L GourlayDepartment of Family Medicine, University of North Carolina, Chapel Hill, Chapel Hill, NC 27599-7595, USA. margaret_gourlay@med.unc.edu
Jason P Fine
John S Preisser
Ryan C May
Chenxi Li
Li-Yung Lui
David F Ransohoff
Jane A Cauley
Kristine E Ensrud
Study of Osteoporotic Fractures Research Group
University of North Carolina at Chapel Hill · USCalifornia Pacific Medical Center · USMinneapolis VA Health Care System · USUniversity of Pittsburgh · US

Funding

Study of Osteoporotic FracturesR01AG005407 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI CUMMINGS, STEVEN RON, YAFFE, KRISTINE · 1986 to 2016
$23.2M
Study of Osteoporotic FracturesR01AG005394 · NIA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ENSRUD, KRISTINE · 1986 to 2015
$6.1M
STUDY OF OSTEOPOROTIC FRACTURES: VERTEBRAL FRACTURESR01AR035583 · NIAMS · KAISER FOUNDATION RESEARCH INSTITUTE · PI HILLIER, TERESA A · 1986 to 2005
$3.2M
Study of Osteoporotic Fractures (SOF)R01AG027574 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI HILLIER, TERESA A · 2006 to 2015
$2.6M
Study of Osteoporotic Fractures (SOF)-Pittsburgh ClinicR01AG027576 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CAULEY, JANE ANN · 2006 to 2015
$2.4M
Study of Osteoporotic FracturesR01AR035582 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CAULEY, JANE · 1986 to 2005
$2.4M
Study of Osteoporotic FracturesR01AR035584 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI HOCHBERG, MARC C. · 1986 to 2005
$2.1M
Selective screening for osteoporosis in younger postmenopausal womenK23RR024685 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GOURLAY, MARGARET L · 2007 to 2011
$662k
NCRR NIH HHS K23 RR024685NCRR NIH HHS K23RR024685NIAMS NIH HHS AR35582NIAMS NIH HHS AR35583NIAMS NIH HHS AR35584NIAMS NIH HHS R01 AR035582NIAMS NIH HHS R01 AR035583NIAMS NIH HHS R01 AR035584NIA NIH HHS 2 R01 AG005394-22A1NIA NIH HHS 2 R01 AG027574-22A1NIA NIH HHS AG05394NIA NIH HHS AG05407NIA NIH HHS R01 AG005394NIA NIH HHS R01 AG005407NIA NIH HHS R01 AG027574NIA NIH HHS R01 AG027576NIA NIH HHS R01 AG027576-22
6 · The paper itself

Abstract

backgroundAlthough bone mineral density (BMD) testing to screen for osteoporosis (BMD T score, -2.50 or lower) is recommended for women 65 years of age or older, there are few data to guide decisions about the interval between BMD tests.

methodsWe studied 4957 women, 67 years of age or older, with normal BMD (T score at the femoral neck and total hip, -1.00 or higher) or osteopenia (T score, -1.01 to -2.49) and with no history of hip or clinical vertebral fracture or of treatment for osteoporosis, followed prospectively for up to 15 years. The BMD testing interval was defined as the estimated time for 10% of women to make the transition to osteoporosis before having a hip or clinical vertebral fracture, with adjustment for estrogen use and clinical risk factors. Transitions from normal BMD and from three subgroups of osteopenia (mild, moderate, and advanced) were analyzed with the use of parametric cumulative incidence models. Incident hip and clinical vertebral fractures and initiation of treatment with bisphosphonates, calcitonin, or raloxifene were treated as competing risks.

resultsThe estimated BMD testing interval was 16.8 years (95% confidence interval [CI], 11.5 to 24.6) for women with normal BMD, 17.3 years (95% CI, 13.9 to 21.5) for women with mild osteopenia, 4.7 years (95% CI, 4.2 to 5.2) for women with moderate osteopenia, and 1.1 years (95% CI, 1.0 to 1.3) for women with advanced osteopenia.

conclusionsOur data indicate that osteoporosis would develop in less than 10% of older, postmenopausal women during rescreening intervals of approximately 15 years for women with normal bone density or mild osteopenia, 5 years for women with moderate osteopenia, and 1 year for women with advanced osteopenia. (Funded by the National Institutes of Health.).

Indexed as

Bone DensityAgedAged, 80 and overBone Diseases, MetabolicDisease ProgressionFemaleFractures, BoneHumansIncidenceLongitudinal StudiesOsteoporosisRisk AssessmentRisk FactorsTime Factors

Identifiers

PMID22256806
PMCPMC3285114
OpenAlexW2109273946

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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.