Evidence map›Paper›PMID 30333001›Full record

SynthesisBMC psychiatry2018

Association between depression and the risk for fracture: a meta-analysis and systematic review.

Lei Qiu, Qin Yang, Na Sun, Dandan Li, Yuxin Zhao, Xiaotong Li, Yanhong Gong, Chuanzhu Lv, Xiaoxv Yin

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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
    Pooled it
  2. Article
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  4. Review
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  6. Depressive symptoms and incident osteoporosis in older adults: A cohort study with competing-risk and mediation analyses in English Longitudinal Study of Aging.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Association of depressive symptoms with incident fractures: the Japan Public Health Center-based Prospective Study for the Next Generation (JPHC-NEXT).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  11. Article
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  17. Situational risk factors for fall-related vertebral fractures in older men and women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    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

9 authors.

Lei QiuSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Qin YangSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Na SunSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Dandan LiSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Yuxin ZhaoSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Xiaotong LiSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Yanhong GongSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China.
Chuanzhu LvDepartment of Emergency, The Second Affiliated Hospital of Hainan Medical University, Haikou, 571199, People's Republic of China. lvchuanzhu677@126.com.
Xiaoxv YinSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, People's Republic of China. yxx@hust.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies have suggested that depression is associated with an increased risk for fracture; however, the results are conflicting. This study aimed to conduct a meta-analysis of cohort studies assessing the association between depression and the risk for fracture.

methodsRelevant studies were identified by a search of Web of Science, PubMed, Embase, China National Knowledge Infrastructure and WanFang database to Feb 2018. Cohort studies on the relationship between depression and the risk for fracture in the general population were included in the meta-analysis. Data collection was in accordance with the Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines, and the quality of the included studies was assessed using the Newcastle-Ottawa scale. Two independent investigators screened the abstracts and full texts of the studies, extracted data, and assessed the quality of the study. Either a fixed-effect or random-effects model was used to compute the pooled risk estimates when appropriate.

resultsIn total, 16 cohort studies with 25 independent reports that included 414,686 participants during a follow-up duration of 3-14 years were included in the analysis. The pooled hazard ratio (HR) for total fracture was 1.24 (95% confidence interval [CI]: 1.14-1.35; P < 0.001 for heterogeneity; random-effects model). In the subgroup analyses conducted in terms of study region, the pooled HR for the studies conducted in Europe was higher (HR: 1.76; 95% CI: 1.44-2.17; P = 0.792 for heterogeneity) than that in America and Asia, with a significant difference between the groups (P = 0.036).

conclusionThe results of our meta-analysis suggest that depression is prospectively associated with a significantly increased risk for fracture, which may have substantial implications, both clinical and preventive.

Indexed as

Cohort StudiesDepressionFractures, BoneHumansObservational Studies as TopicDepressionFractureMeta-analysis

Identifiers

PMID30333001
PMCPMC6192066

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.