Evidence map›Paper›PMID 25519039›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2015

Length of sick leave as a risk marker of hip fracture: a nationwide cohort study from Sweden.

S Stenholm, J Vahtera, L Kjeldgård, M Kivimäki, K Alexanderson

Abstract read
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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, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

  1. Prognostic Factors of Hip Fracture in Elderly: A Systematic Review.International journal of preventive medicine · 2024
    Review
  2. Frailty and osteoporosis in patients with hip fractures under the age of 60-a prospective cohort of 218 individuals.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  3. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

S StenholmDepartment of Public Health, Turun yliopisto University of Turku, Lemminkäisenkatu 1, FI-20014, Turku, Finland, sari.stenholm@utu.fi.
J Vahtera
L Kjeldgård
M Kivimäki
K Alexanderson

Funding

Medical Research Council MR/K013351/1
6 · The paper itself

Abstract

unlabelledSickness absence is a risk marker for future health outcomes, but no previous studies have examined its association with osteoporotic fractures in old age. The results of this prospective population-based cohort study based on Swedish registers suggest that sickness absence is associated with higher risk of hip fracture.

introductionNumber of sick leave days is a risk marker for future health outcomes, but few studies have examined its association with major public health concerns in old age, such as osteoporotic fractures. The aim of this prospective, nationwide, population-based cohort study based on Swedish registers was to investigate the association between number of sick leave days and future risk of hip fracture.

methodsParticipants included were all 983,244 individuals who were living in Sweden on 31 December 1995, aged 50 to 64 years, employed, and with no previous hip fracture. Those with sick leave days in 1995 were compared to those with no sickness absence. Incidence of hip fracture was followed from 1996 to 2010.

resultsAccording to Cox regression models adjusted for sociodemographic factors and morbidity, being on sick leave more than 3 months, irrespective of cause, was associated with a 2.0-fold (hazard ratio (HR) 1.96, 95% confidence interval (CI) 1.74-2.20) and 1.4-fold (HR 1.40, 95% CI 1.27-1.56) increased risk of hip fracture in men and women, respectively. Analyses repeated among those with previous non-hip fractures replicated the significant associations.

conclusionThis nationwide cohort study suggests that sickness absence in working-age women and men is a risk marker of hip fracture at old ages.

Indexed as

AdolescentAdultAgedCohort StudiesHip FracturesHumansIncidenceKaplan-Meier EstimateMiddle AgedOsteoporotic FracturesProspective StudiesRegistriesRisk FactorsSex FactorsSick LeaveSweden

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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.