Evidence map›Paper›PMID 27185402›Full record

SynthesisOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016

Stroke increases the risk of hip fracture: a systematic review and meta-analysis.

L Luan, R Li, Z Wang, X Hou, W Gu, X Wang, S Yan, D Xu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Article
  6. Does the rate of hip abductor and adductor muscle activation during weight transfer influence voluntary lateral stepping in chronic stroke?Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2025
    Article
  7. An exploration of serious falls after stroke using a large international stroke rehabilitation database.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Development and validation of common data model-based fracture prediction model using machine learning algorithm.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
  12. Article
  13. The association between peripheral arterial disease and risk for hip fractures in elderly men is not explained by low hip bone mineral density. Results from the MrOS Sweden study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Observational
  14. Article
  15. Article
  16. Article
  17. Pre-Existing Disability and Its Risk of Fragility Hip Fracture in Older Adults.International journal of environmental research and public health · 2019
    Article
  18. Review
  19. Article
  20. 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

8 authors at 4 institutions in 1 country.

L LuanDepartment of Neurology, People's hospital of Jiangbei, Nanjing, 210048, China.
R LiDepartment of Orthopedics, the Third People's Hospital of Anyang, Anyang, 455000, China.
Z WangDepartment of Gynaecology and Obstetrics, Maternal and Child Health Care Hospital of Weifang, Weifang, 261000, China.
X HouDepartment of Rheumatology and Immunology, the Affiliated Hospital of Weifang Medical University, Weifang, 261000, Shandong Province, China.
W GuDepartment of Rheumatology and Immunology, the Affiliated Hospital of Weifang Medical University, Weifang, 261000, Shandong Province, China.
X WangDepartment of Rheumatology and Immunology, the Affiliated Hospital of Weifang Medical University, Weifang, 261000, Shandong Province, China.
S YanDepartment of Anorectal Surgery, the Affiliated Hospital of Weifang Medical University, Weifang, 261000, China. yanshushan@163.com.
D XuDepartment of Rheumatology and Immunology, the Affiliated Hospital of Weifang Medical University, Weifang, 261000, Shandong Province, China. flower322@163.com.
Weifang Medical University · CNNanjing Jiangning Hospital · CNThe Fifth People's Hospital of Anyang · CNWeifang Maternity and Child Care Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many studies have investigated the association between stroke and hip fracture risk, but the precise association was still unclear due to insufficient statistical power in single studies with relatively small sample size. Thus, we firstly conducted a meta-analysis of all published studies to precisely estimate the relationship of stroke with hip fracture risk. The strength for this relationship was weighed by pooled relative risks (RRs) with 95 % confidence intervals (95 % CIs) after adjustment for confounding variables. Stratified analyses by study design and ethnicity and sensitivity analysis were also performed. Two investigators independently performed a comprehensive literature search in databases of PubMed, Embase, and Wanfang for eligible articles. A Bayesian meta-analysis was also performed to get a more precise assessment of the relationship. Eleven relevant studies from 10 publications were finally included into our meta-analysis according to the inclusion criteria. Overall, stroke significantly and independently increased the risk of hip fracture (RR = 2.06, 95 % CI 1.68-2.52, P < 0.001). Bayesian meta-analysis showed that stroke was also associated with an over two-fold increased risk of hip fracture (RR = 2.11, 95 % CI 1.62-2.75). In stratified analysis, stroke could increase the risk of hip fracture in Caucasians (RR = 2.36, 95 % CI 1.83-3.05, P < 0.001). These data support the notion that stroke is an independent risk factor for hip fracture, and patients with stroke have a two-fold increased risk of hip fracture than those without stroke.

Indexed as

Bayes TheoremHip FracturesHumansResearch DesignRisk FactorsStrokeCardiovascular diseaseHip fractureStroke

Identifiers

PMID27185402
OpenAlexW2406009944

What OpenQuestion holds

Textmetadata
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.