Evidence map›Paper›PMID 27029481›Full record

SynthesisInternational orthopaedics2016

Increased risk of vertebral fracture in patients with diabetes: a meta-analysis of cohort studies.

Jie Wang, Wenjun You, Zhaohai Jing, Robin Wang, Zhengju Fu, Yangang Wang

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
7.5field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  3. Depression and risk of hip fracture: a systematic review and meta-analysis of cohort studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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  16. Assessment of fracture risk in diabetic patients.Journal of diabetes and metabolic disorders · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jie WangDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, 266003, China.
Wenjun YouDepartment of Endocrinology, Jining No 1 People's Hospital, Jining, 272000, China.
Zhaohai JingDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, 266003, China.
Robin WangDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, 266003, China.
Zhengju FuDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, 266003, China. echony32@126.com.
Yangang WangDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, 266003, China. qingyiwangyg@163.com.
Affiliated Hospital of Qingdao University · CNQingdao University · CNJining First People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe relationship between diabetes and risk of fracture has been reported differently in study design and risk estimates, and the relationship between diabetes and risk of vertebral fracture remained unclear. Therefore, we performed a meta-analysis of prospective or retrospective cohort studies to assess the potential relationship between diabetes and vertebral fracture.

methodsWe searched medical databases for prospective or retrospective cohort studies on the association between diabetes and vertebral fracture risk. Pooled relative risks (RR) and corresponding 95 % confidence intervals (95 % CI) were calculated with a random-effects model of meta-analysis.

resultsMeta-analysis of eight studies showed that the pooled RR of vertebral fracture for diabetic individuals was 2.03 (95 % CI 1.60-2.59; p < 0.0001). Subgroup analysis by gender showed that the corresponding RRs for male and female were 2.70 (95 % CI 1.34-5.43; p = 0.005) and 1.93 (95 % CI 1.18-3.13; p = 0.008), respectively. Subgroup analysis by study design showed that the corresponding RRs for prospective design and retrospective design were 1.81 (95  % CI 1.19-2.75; p = 0.006) and 2.23 (95  % CI 1.60-3.10; p < 0.0001), respectively. Subgroup analysis by time of follow-up showed that the RR of vertebral fracture for patients with >20 and <20 years of follow-up were 2.23 (95 % CI 1.98-3.62; p < 0.0001) and 1.67 (95  % CI 1.29-2.16; p < 0.0001), respectively.

conclusionsDiabetes is an independent risk factor for vertebral fracture, primarily being due to diabetic osteoporosis.

Indexed as

Diabetes ComplicationsDiabetes MellitusFemaleHumansMaleOsteoporosisRisk FactorsSpinal FracturesDiabetesMeta-analysisOsteoporosisVertebral fracture

Identifiers

PMID27029481
OpenAlexW2333243042

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.