Evidence map›Paper›PMID 26699707›Full record

ArticleJournal of translational medicine2015

Low 25(OH) D serum levels are related with hip fracture in postmenopausal women: a matched case-control study.

Xing-Mao Fu, Shao-Guang Fan, Shu-Liang Li, Yi-Sheng Chen, Hai Wu, Yan-Long Guo

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Hypovitaminosis D: comparison between patients with hip fracture and patients with vertebral fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  7. Review
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

6 authors at 2 institutions in 1 country.

Xing-Mao FuInstitute of Traumatic Orthopedics, The 89th Hospital of People's Liberation Army, No. 256 Beigongxi Str, Weifang, 261021, Shandong Province, People's Republic of China. fxm70xe@126.com.
Shao-Guang FanInstitute of Traumatic Orthopedics, The 89th Hospital of People's Liberation Army, No. 256 Beigongxi Str, Weifang, 261021, Shandong Province, People's Republic of China. f-shg@163.com.
Shu-Liang LiInstitute of Traumatic Orthopedics, The 89th Hospital of People's Liberation Army, No. 256 Beigongxi Str, Weifang, 261021, Shandong Province, People's Republic of China. tangrenfeng88@163.com.
Yi-Sheng ChenInstitute of Traumatic Orthopedics, The 89th Hospital of People's Liberation Army, No. 256 Beigongxi Str, Weifang, 261021, Shandong Province, People's Republic of China. myukizasd@163.com.
Hai WuInstitute of Traumatic Orthopedics, The 89th Hospital of People's Liberation Army, No. 256 Beigongxi Str, Weifang, 261021, Shandong Province, People's Republic of China. lstelake34@sina.com.
Yan-Long GuoInstitute of Traumatic Orthopedics, The 89th Hospital of People's Liberation Army, No. 256 Beigongxi Str, Weifang, 261021, Shandong Province, People's Republic of China. hongsemian32@126.com.
People's Liberation Army No. 150 Hospital · CNWeifang People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is limited information on the prevalence of vitamin D deficiency among patients diagnosed with hip fracture in the Chinese Han population. Therefore, the aim of this study was to assess the effects of change in the serum levels of 25-hydroxyvitamin D [25(OH) D] and intact parathyroid hormone (iPTH) among postmenopausal women in North China with confirmed hip fracture.

methodsThis study was done from May 1, 2012 to April 30, 2014. Three hundred and forty-nine postmenopausal women who were diagnosed with first-ever hip fracture and 349 matched controls without fracture were used for this study. The 25(OH) D, iPTH, alkaline phosphatase, calcium, and phosphorus levels were measured in fasting venous blood samples collected from the subjects. A predesigned questionnaire was used to collect information on covariates for multivariate analyses to evaluate the hypothesized relationship between vitamin D deficiency and fracture risk.

resultsThe serum 25(OH) D levels were found to be significantly (P < 0.0001) lower in hip fracture patients than in the controls [37.0 (interquartile range [IQR] 28.0-48.0) nmol/L vs. 41.3 (IQR 32.0-54.5) nmol/L; P < 0.0001], and the iPTH levels were significantly higher in the former group [10.2 (IQR 6.3-14.9) pmol/L vs. 5.8 (IQR 4.1-6.6) pmol/L; P < 0.0001]. Further, a 25(OH) D level ≤50 nmol/L was found to independently indicate the occurrence of hip fracture [odds ratio (OR), 3.023; 95 % confidence interval (CI) 2.154-4.298], as well as hip fracture with concomitant upper limb fracture (OR 4.473; 95 % CI 2.984-10.532). Similarly, a serum iPTH level ≥6.8 pmol/L independently indicated the development of hip fracture (OR 2.498; 95 % CI 1.764-3.942), as well as hip fracture with concomitant upper limb fracture (OR 3.254; 95 % CI 1.998-7.984).

conclusionsVitamin D insufficiency and secondary hyperparathyroidism were found to be common problems in the sample of postmenopausal women who had experienced hip fracture. Monitoring the alterations in the serum levels of 25(OH) D and iPTH could be applied clinically as independent risk factors for hip fracture.

Indexed as

PostmenopauseCase-Control StudiesFemaleHip FracturesHumansMiddle AgedVitamin D25-hydroxyvitamin DVitamin D

Identifiers

PMID26699707
PMCPMC4690420
OpenAlexW2205533084

What OpenQuestion holds

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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.