Evidence map›Paper›PMID 25451323›Full record

ArticleBone2015

Ten-year incident osteoporosis-related fractures in the population-based Canadian Multicentre Osteoporosis Study - comparing site and age-specific risks in women and men.

Jerilynn C Prior, Lisa Langsetmo, Brian C Lentle, Claudie Berger, David Goltzman, Christopher S Kovacs, Stephanie M Kaiser, Jonathan D Adachi, Alexandra Papaioannou, Tassos Anastassiades and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Bone, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Gender differences between smoking and the risk of hip fracture.Journal of bone and mineral metabolism · 2024
    Pooled it
  2. Recommendations on screening for primary prevention of fragility fractures.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Guideline
  3. Pooled it
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  11. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
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  16. Where's the break? Critique of radiographic vertebral fracture diagnostic methods.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  17. Review
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  19. Males Have Higher Rates of Peri-operative Mortality Following Surgery for Osteoporotic Vertebral Compression Fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  20. Hearing loss but not bone-regulating hormones predicts fractures in older women-a 17-year follow-up of the Gothenburg BEDA study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    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

16 authors.

Jerilynn C PriorUniversity of British Columbia, Vancouver, Canada. Electronic address: jerilynn.prior@ubc.ca.
Lisa LangsetmoCaMos National Coordinating Centre, McGill University, Montreal, Canada.
Brian C LentleUniversity of British Columbia, Vancouver, Canada.
Claudie BergerCaMos National Coordinating Centre, McGill University, Montreal, Canada.
David GoltzmanMcGill University, Montreal, Canada.
Christopher S KovacsMemorial University, St John's, Canada.
Stephanie M KaiserDalhousie University, Halifax, Canada.
Jonathan D AdachiMcMaster University, Hamilton, Canada.
Alexandra PapaioannouMcMaster University, Hamilton, Canada.
Tassos AnastassiadesQueen's University, Kingston, Canada.
Tanveer TowheedQueen's University, Kingston, Canada.
Robert G JosseUniversity of Toronto, Toronto, Canada.
Jacques P BrownLaval University, Quebec City, Canada.
William D LeslieUniversity of Manitoba, Winnipeg, Canada.
Nancy KreigerUniversity of Toronto, Toronto, Canada.
CaMOS Research Group

Funding

CIHR 88225-1
6 · The paper itself

Abstract

backgroundPopulation-based incident fracture data aid fracture prevention and therapy decisions. Our purpose was to describe 10-year site-specific cumulative fracture incidence by sex, age at baseline, and degree of trauma with/without consideration of competing mortality in the Canadian Multicentre Osteoporosis Study adult cohort.

methodsIncident fractures and mortality were identified by annual postal questionnaires to the participant or proxy respondent. Date, site and circumstance of fracture were gathered from structured interviews and medical records. Fracture analyses were stratified by sex and age at baseline and used both Kaplan-Meier and competing mortality methods.

resultsThe baseline (1995-97) cohort included 6314 women and 2789 men (aged 25-84 years; mean±SD 62±12 and 59±14, respectively), with 4322 (68%) women and 1732 (62%) men followed to year-10. At least one incident fracture occurred for 930 women (14%) and 247 men (9%). Competing mortality exceeded fracture risk for men aged 65+years at baseline. Age was a strong predictor of incident fractures especially fragility fractures, with higher age gradients for women vs. men. Major osteoporotic fracture (MOF) (hip, clinical spine, forearm, humerus) accounted for 41-74% of fracture risk by sex/age strata; in women all MOF sites showed age-related increases but in men only hip was clearly age-related. The most common fractures were the forearm for women and the ribs for men. Hip fracture incidence was the highest for the 75-84 year baseline age-group with no significant difference between women 7.0% (95% CI 5.3, 8.9) and men 7.0% (95% CI 4.4, 10.3).

interpretationThere are sex differences in the predominant sites and age-gradients of fracture. In older men, competing mortality exceeds cumulative fracture risk.

Indexed as

AdultAge FactorsBone and BonesBone DensityCanadaDemographyFemaleHumansIncidenceMaleMiddle AgedOsteoporotic FracturesRisk FactorsWorld Health Organization10-year fracture incidenceClinical vertebral fractureFracture predictionHip fracturePopulation-basedSex

Identifiers

PMID25451323
PMCPMC5092162

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.