Evidence map›Paper›PMID 25689999›Full record

ArticleInternational journal of environmental research and public health2015

Older male physicians have lower risk of trochanteric but not cervical hip fractures.

Hsiu-Nien Shen, Wei-Ting Lin, Chin-Li Lu, Chung-Yi Li

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 93% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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 3 institutions in 1 country.

Hsiu-Nien ShenDepartment of Intensive Care Medicine, Chi Mei Medical Center, No. 901 Chung-Hwa Road, Yong-Kang district, Tainan 71004, Taiwan. chinli.lu@gmail.com.
Wei-Ting LinDepartment of Orthopedics, Chi Mei Medical Center, No. 901 Chung-Hwa Road, Yong-Kang District, Tainan 71004, Taiwan. aapriliaa@gmail.com.
Chin-Li LuDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan. chinli.lu@gmail.com.
Chung-Yi LiDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan. cyli99@mail.ncku.edu.tw.
Chi Mei Medical Center · TWChia-Yi Christian Hospital · TWChina Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis is pathophysiologically related to trochanteric fractures, and this condition is more preventable by lifestyle modifications than cervical fractures. We investigated whether older physicians, who are health-conscious people, are at a lower risk of hip fractures because of fewer trochanteric fractures.

methodsData regarding older (≥65 years) physicians (n = 4303) and matched non-medical persons (control) were retrieved from Taiwan's National Health Insurance claims. All of the subjects were obtained from NHIRD with index dates from 1 January 2000 to 31 December 2008. Cox proportional hazard and competing risk regression models were established to estimate the hazard ratio (HR) of hip fracture associated with older physicians.

resultsThe incidence rates of trochanteric fractures were lower in older physicians than in controls (1.73 and 3.07 per 1000 person-years, respectively), whereas the rates of cervical fractures were similar between the two groups (2.45 and 2.12 per 1000 person-years, respectively). Older physicians yielded 46% lower hazard of trochanteric fractures than controls (adjusted HR 0.54, 95% confidence interval 0.37-0.79); by contrast, hazards of cervical fractures were comparable between the two groups. The HRs estimated from the competing risk models remained unchanged.

conclusionsOur findings indicated that health risk awareness may pose a significant preventive effect on trochanteric hip fractures.

Indexed as

AdultAgedAgingCase-Control StudiesHip FracturesHumansLife StyleMaleMiddle AgedOsteoporosisProportional Hazards ModelsRisk FactorsTaiwan

Identifiers

PMID25689999
PMCPMC4344723
OpenAlexW2035285146

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.