Evidence map›Paper›PMID 27275738›Full record

Trial reportPloS one2016

Disrupted Bone Metabolism in Long-Term Bedridden Patients.

Keiko Eimori, Naoto Endo, Seiji Uchiyama, Yoshinori Takahashi, Hiroyuki Kawashima, Kei Watanabe

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Validation of the Saga Fall Injury Risk Model.International journal of medical sciences · 2024
    Observational
  9. Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review Protocol.International journal of environmental research and public health · 2021
    Article
  10. The MEK5/ERK5 Pathway in Health and Disease.International journal of molecular sciences · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. The regulation of RANKL by mechanical force.Journal of bone and mineral metabolism · 2021
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. The Effect of Inflammation on Bone.Frontiers in physiology · 2020
    Review
  20. Observational
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.

Keiko EimoriDivisions of Pediatric Orthopedic Surgery, Nishi-Niigata Chuo National Hospital, Niigata, Japan.ORCID http://orcid.org/0000-0003-3484-9195
Naoto EndoDepartment of Regenerative and Transplant Medicine, Division of Orthopedic Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Seiji UchiyamaDivisions of Orthopedic Surgery, Nishi-Niigata Chuo National Hospital, Niigata, Japan.
Yoshinori TakahashiDivisions of Orthopedic Surgery, Nishi-Niigata Chuo National Hospital, Niigata, Japan.
Hiroyuki KawashimaDepartment of Regenerative and Transplant Medicine, Division of Orthopedic Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Kei WatanabeDepartment of Regenerative and Transplant Medicine, Division of Orthopedic Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Niigata University · JPNishi Niigata Chuo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBedridden patients are at risk of osteoporosis and fractures, although the long-term bone metabolic processes in these patients are poorly understood. Therefore, we aimed to determine how long-term bed confinement affects bone metabolism.

methodsThis study included 36 patients who had been bedridden from birth due to severe immobility. Bone mineral density and bone metabolism markers were compared to the bedridden period in all study patients. Changes in the bone metabolism markers during a follow-up of 12 years were studied in 17 patients aged <30 years at baseline.

resultsThe bone mineral density was reduced (0.58±0.19 g/cm3), and the osteocalcin (13.9±12.4 ng/mL) and urine N-terminal telopeptide (NTX) levels (146.9±134.0 mM BCE/mM creatinine) were greater than the cutoff value for predicting fracture. Among the bone metabolism markers studied, osteocalcin and NTX were negatively associated with the bedridden period. During the follow-up, osteocalcin and parathyroid hormone were decreased, and the 25(OH) vitamin D was increased. NTX at baseline was negatively associated with bone mineral density after 12 years.

conclusionsUnique bone metabolic abnormalities were found in patients who had been bedridden for long periods, and these metabolic abnormalities were altered by further bed confinement. Appropriate treatment based on the unique bone metabolic changes may be important in long-term bedridden patients.

Indexed as

BedsBone DensityPersons with Disabilities25-Hydroxyvitamin D 2AdultAge FactorsFemaleFollow-Up StudiesHumansImmobilizationMaleOsteocalcinOsteoporosis25-Hydroxyvitamin D 2Osteocalcin

Identifiers

PMID27275738
PMCPMC4898699
OpenAlexW2418089108

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.