Evidence map›Paper›PMID 25966892›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

A survey of outcomes and management of patients post fragility fractures in China.

O Wang, Y Hu, S Gong, Q Xue, Z Deng, L Wang, H Liu, H Tang, X Guo, J Chen and 10 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

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 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Machine learning-based screening model for osteoporosis in Chinese postmenopausal women: a nationwide study with prospective fracture validation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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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

20 authors at 13 institutions in 2 countries.

O WangDepartment of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Science, No. 1 Shuaifuyuan, Wangfujing Street, Beijing, China.
Y HuBanan People's Hospital of Chongqing, Chongqing, China.
S GongShenyang Orthopedics Hospital, Shenyang, Liaoning, China.
Q XueBeijing Hospital, Beijing, China.
Z DengThe Second Hospital Affiliated to Chongqing Medical University, Chongqing, China.
L WangThe 309th Hospital of PLA, Beijing, China.
H LiuBeijing Jishuitan Hospital, Beijing, China.
H TangBeijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China.
X GuoUnion Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
J ChenPeople's Hospital of Zhejiang, Hangzhou, Zhejiang, China.
X JiaWuyi First People's Hospital, Wuyi, Zhejiang, China.
Y XuThe Second Hospital Affiliated to Suzhou University, Suzhou, Jiangsu, China.
L LanWuzhong People's Hospital of Suzhou, Wuzhong, Jiangsu, China.
C LeiGeneral Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.
H DongShijingshan Teaching Hospital of Capital Medical University, Beijing Shijingshan Hospital, Beijing, China.
G YuanXinzhou District People's Hospital of Wuhan, Wuhan, Hubei, China.
Q FuShengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Y WeiYanchi Hospital, Yanchi, Ningxia, China.
W XiaDepartment of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Science, No. 1 Shuaifuyuan, Wangfujing Street, Beijing, China. xiaweibo@medmail.com.cn.
L XuDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, 1 Shuai Fu Yuan, Beijing, 100730, China. xuling@pumch.cn.
Academy of Medical Sciences · GBBeijing Friendship Hospital · CNBeijing Hospital · CNBeijing Jishuitan Hospital · CNBeijing Shijingshan Hospital · CNChina Academy of Chinese Medical Sciences · CNChina Medical University · CNChongqing Medical University · CNNingxia Medical University · CNPeking Union Medical College Hospital · CNShenyang 242 Hospital · CNThe 309th Hospital of Chinese People's Liberation Army · CNWuhan Union Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledWe found that the fragility hip and vertebral fractures caused excess mortality rates in this Chinese female population, which was unexpectedly lower than those in western countries and other Asian countries. This was the first nationwide survey relating to post-fracture outcomes conducted among Chinese population in Mainland China.

introductionThis study aimed to investigate the mortality, self-care ability, diagnosis, and medication treatment of osteoporosis following fragility hip and vertebral fractures through a nationwide survey among female patients aged over 50 in Mainland China.

methodsThis was a multicenter, retrospective cohort study based on medical chart review and patient questionnaire. Female patients aged 50 or older admitted for low-trauma hip or vertebral fractures and discharged from Jan 1, 2008 to Dec 31, 2012 were followed.

resultsTotal of 1151 subjects of hip fracture and 842 subjects of vertebral fracture were included. The mean age was 73.4 ± 10.0, and the median of duration from index fracture to interview was 2.6 years. The overall 1-year, 2-year, 3-year, 4-year, and 5-year cumulative mortality rates were 3.5, 7.0, 11.2, 13.1, and 16.9 %, respectively. The first year mortality rates in hip (3.8 %, 95% CI 3.3-4.4 %) and vertebral fracture (3.1 %, 95% CI 2.5-3.7 %) were significantly higher than that in the general population (1.6 %). Impaired self-care ability was observed in 33.2, 40.6, and 23.8 % of overall, hip fracture, and vertebral fracture group, respectively. The overall diagnosis rate of osteoporosis was 56.8 %, and bone mineral density (BMD) measurement had never been conducted in 42.0 % among these women. After the index fracture, 69.6 % of them received supplements and/or anti-osteoporotic medications, among which 39.6 % only received calcium with/without vitamin D supplementation.

conclusionsThe osteoporotic hip and vertebral fractures caused excess mortality rates in this population of Mainland China. The current diagnosis and medical treatment following the fragility fractures is still insufficient in Mainland China.

Indexed as

AgedAged, 80 and overBone DensityBone Density Conservation AgentsChinaDrug UtilizationFemaleHealth Care SurveysHip FracturesHospitalizationHumansMiddle AgedOsteoporosis, PostmenopausalOsteoporotic FracturesRecurrenceRetrospective StudiesBone Density Conservation AgentsChinaDiagnosisFragility fractureMortalitySelf-care abilityTreatment

Identifiers

PMID25966892
OpenAlexW273887548

What OpenQuestion holds

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Registered trials

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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.