Evidence map›Paper›PMID 26194498›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016

Vitamin D deficiency in adult fracture patients: prevalence and risk factors.

E A Gorter, P Krijnen, I B Schipper

Open access · hybridAbstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. The Effect of Bolus Vitamin DJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Serum sclerostin levels in osteoporotic fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  8. Article
  9. Article
  10. Evaluation of Serum 25-Hydroxyvitamin DOrthopaedic surgery · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Therapeutic approaches to osteosarcopenia: insights for the clinician.Therapeutic advances in musculoskeletal disease · 2019
    Review
  15. Article
  16. Infected nonunion of tibia.Indian journal of orthopaedics
    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

3 authors at 1 institution in 1 country.

E A GorterDepartment of Surgery and Traumatology, Leiden University Medical Centre, K6-50, P.O. Box 9600, 2300, Leiden, The Netherlands. e.a.gorter@lumc.nl.
P KrijnenDepartment of Surgery and Traumatology, Leiden University Medical Centre, K6-50, P.O. Box 9600, 2300, Leiden, The Netherlands.
I B SchipperDepartment of Surgery and Traumatology, Leiden University Medical Centre, K6-50, P.O. Box 9600, 2300, Leiden, The Netherlands.
Leiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough vitamin D levels are not routinely monitored in outpatient fracture patients, identification of fracture patients with a deficient vitamin D status may be clinically relevant because of the potential role of vitamin D in fracture healing. This study aimed to determine the prevalence of and risk factors for vitamin D deficiency in non-operatively treated adult fracture patients. PATIENTS AND

methodsVitamin D levels were determined in a cross-sectional study of adult patients, who were treated non-operatively for a fracture of the upper or lower extremity in the outpatient clinic of a level 1 trauma center, during one calendar year. Potential risk factors for (severe) vitamin D deficiency were analyzed using multivariable logistic regression analysis.

resultsA total of 208 men and 319 women with a mean age of 49.7 years (SD 19.9) were included. In this population, 71 % had a serum calcidiol <75 nmol/L, 40 % were vitamin D deficient (serum calcidiol <50 nmol/L) and 11 % were severely vitamin D deficient (serum calcidiol <25 nmol/L). Smoking and season (winter and spring) were independent risk factors for vitamin D deficiency. An increasing age, a non-Caucasian skin type, winter and smoking were identified as independent risk factors for severe vitamin D deficiency. The use of vitamin D, alcohol consumption and higher average daily sun exposure were independent protective factors against (severe) vitamin D deficiency.

conclusionGiven the potential role of vitamin D in fracture healing, clinicians treating adult fracture patients should be aware of the frequent presence of vitamin D deficiency during the winter, especially in smoking and non-Caucasian patients. Research on the effect of vitamin D deficiency or supplementation on fracture healing is needed, before suggesting routine monitoring or supplementation.

Indexed as

AgedCross-Sectional StudiesFemaleFractures, BoneHumansMaleMiddle AgedOutpatient Clinics, HospitalPrevalenceRisk FactorsSeasonsUnited KingdomUnited StatesVitamin DVitamin D DeficiencyVitamin DFractureFracture healingRisk factorsVitamin DVitamin D deficiency

Identifiers

PMID26194498
PMCPMC4886150
OpenAlexW970116251

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.