Evidence map›Paper›PMID 23126555›Full record

ArticleBMC neurology2012

Risk of fractures in patients with multiple sclerosis: record-linkage study.

Sreeram V Ramagopalan, Olena Seminog, Raphael Goldacre, Michael J Goldacre

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Spotlight on postural control in patients with multiple sclerosis.Degenerative neurological and neuromuscular disease · 2018
    Review
  5. Review
  6. Article
  7. The association between multiple sclerosis and fracture risk.International journal of clinical and experimental medicine · 2014
    Article
  8. Article
  9. 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

4 authors at 2 institutions in 1 country.

Sreeram V RamagopalanUnit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Oxford, UK.
Olena Seminog
Raphael Goldacre
Michael J Goldacre
University of Oxford · GBMedical Research Council · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with multiple sclerosis (MS) have been reported to be at higher risk of fracture than other people. We sought to test this hypothesis in a large database of hospital admissions in England.

methodsWe analysed a database of linked statistical records of hospital admissions and death certificates for the whole of England (1999-2010). Rate ratios for fractures were determined, comparing fracture rates in a cohort of all people in England admitted with MS and rates in a comparison cohort.

resultsSignificantly elevated risk for all fractures was found in patients with MS (rate ratio (RR) = 1.99, 95% confidence interval (CI) = 1.93-2.05)). Risks were particularly high for femoral fractures (femoral neck fracture RR = 2.79 (2.65-2.93); femoral shaft fracture RR 6.69 (6.12-7.29)), and fractures of the tibia or ankle RR = 2.81 (2.66-2.96).

conclusionsPatients with MS have an increased risk of fractures. Caregivers should aim to optimize bone health in MS patients.

Indexed as

AdolescentAdultAgedAged, 80 and overDatabases, FactualEnglandFemaleFractures, BoneHospitalizationHumansMaleMedical Record LinkageMiddle AgedMultiple SclerosisRisk

Identifiers

PMID23126555
PMCPMC3534503
OpenAlexW2029044849

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.