Evidence map›Paper›PMID 29956020›Full record

ArticleJournal of bone and mineral metabolism2019

Incidence of four major types of osteoporotic fragility fractures among elderly individuals in Sado, Japan, in 2015.

Norio Imai, Naoto Endo, Yugo Shobugawa, Takeo Oinuma, Yasuhito Takahashi, Kazuaki Suzuki, Yuya Ishikawa, Tatsuo Makino, Hayato Suzuki, Dai Miyasaka and 1 more

Abstract read
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In one paragraph

Article in Journal of bone and mineral metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.4field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Trends of clinical vertebral and hip fractures following local government involvement in fracture prevention from 2015 to 2021 in Kure, Japan.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Observational
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  6. Trends in incidence of recorded diagnosis of osteoporosis, osteopenia, and fragility fractures in people aged 50 years and above: retrospective cohort study using UK primary care data.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
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  11. Review
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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

11 authors at 3 institutions in 1 country.

Norio ImaiDivision of Comprehensive Geriatrics in Community, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachidori, Niigata, Niigata, 9518510, Japan. imainorio2001@med.niigata-u.ac.jp.
Naoto EndoDivision of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Yugo ShobugawaDivision of International Health, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Takeo OinumaDepartment of Orthopaedic Surgery, Sado General Hospital, Sado, Japan.
Yasuhito TakahashiDepartment of Orthopaedic Surgery, Sado General Hospital, Sado, Japan.
Kazuaki SuzukiDepartment of Orthopaedic Surgery, Sado General Hospital, Sado, Japan.
Yuya IshikawaDepartment of Orthopaedic Surgery, Sado General Hospital, Sado, Japan.
Tatsuo MakinoDepartment of Orthopaedic Surgery, Sado General Hospital, Sado, Japan.
Hayato SuzukiDivision of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Dai MiyasakaDivision of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Mayumi SakumaDepartment of Physical Therapy, Faculty of Medical Technology, Niigata University of Health and Welfare, Niigata, Japan.
Niigata University · JPSado General Hospital · JPNiigata University of Health and Welfare · JP

Funding

Japan Osteoporosis Foundation JP16-O-C1
6 · The paper itself

Abstract

The aim of this study was to survey the incidence of osteoporotic fragility fractures, which include vertebral, hip, distal radius, and proximal humerus fractures, in patients ≥ 50 years of age, from 2004 to 2015, in Sado City, Japan. We examined temporal changes in the incidence of these fractures from 2010 through 2015. The incidence of vertebral (p < 0.001) and radius fractures (p = 0.001) was lower in 2015 than in 2010, with only the incidence of hip fracture (p = 0.013) being lower in 2015 than in 2004. With regard to age-specific incidences, there was a sharp increase in vertebral and hip fractures among the segment of the population 70-89 years old, with no remarkable change in the incidence of radial and humeral fractures. Pre-existing vertebral fractures were identified in 69.6% of patients with a hip fracture, 35.6% of patients with a distal radius fracture, and 55% of patients with a humeral fracture. Among patients with pre-existing vertebral fractures, 42.5% had a single fracture, whereas 57.5% had 2 or more fractures. The proportion of patients on anti-osteoporotic agents before the occurrence of fractures increased to 14.5% in 2015, compared to 4% in 2004 and 7.6% in 2010. We speculate that the increase in the use of anti-osteoporotic agents is the main reason for the declining incidence of fractures. Therefore, considering the sharp increase in hip and vertebral fractures among individuals in their mid-1970s and older, judicious use of anti-osteoporotic agents among these individuals could be useful for lowering the occurrence of these fractures.

Indexed as

AgedAged, 80 and overFemaleHip FracturesHumansHumeral FracturesIncidenceJapanMaleMiddle AgedOsteoporotic FracturesPrevalenceRadius FracturesSpinal FracturesDistal radius fractureHip fractureHumerus fractureIncidenceVertebral fracture

Identifiers

PMID29956020
OpenAlexW2811114526

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.