Evidence map›Paper›PMID 30717733›Full record

ArticleBMC complementary and alternative medicine2019

Decreased fracture incidence with traditional Chinese medicine therapy in patients with osteoporosis: a nationwide population-based cohort study.

Yu-Chi Wang, Jen-Huai Chiang, Hsin-Cheng Hsu, Chun-Hao Tsai

Abstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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  14. Network Pharmacological Study ofBioMed research international · 2021
    Article
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  16. Research Progress of Male Reproductive Toxicity of Chinese Materia Medicas.Evidence-based complementary and alternative medicine : eCAM · 2019
    Review
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

4 authors.

Yu-Chi WangDepartment of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.
Jen-Huai ChiangManagement Office for Health Data, China Medical University Hospital, Taichung, Taiwan.
Hsin-Cheng HsuDepartment of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.
Chun-Hao TsaiDepartment of Orthopedics, China Medical University Hospital, Taichung, Taiwan. ritsai8615@gmail.com.ORCID http://orcid.org/0000-0002-8806-6869

Funding

China Medical University Hospital, Academia Sinica Taiwan Biobank Stroke Biosignature Project BM10601010036Taiwan Clinical Trial Consortium for Stroke MOST 106-2321-B-039-005Taiwan Ministry of Health and Welfare Clinical Trial Center MOHW106-TDU-B-212-113004
6 · The paper itself

Abstract

backgroundThere are no published studies regarding the efficacy of traditional Chinese medicine (TCM) for the prevention of osteoporotic fracture. Therefore, we conducted this nationwide, population-based cohort study to investigate the probable effect of TCM to decrease the fracture rate.

methodsWe identified cases with osteoporosis and selected a comparison group that was frequency-matched according to sex, age (per 5 years), diagnosis year of osteoporosis, and index year. The difference between the two groups in the development of fracture was estimated using the Kaplan-Meier method and the log-rank test.

resultsAfter inserting age, gender, urbanization level, and comorbidities into the Cox's proportional hazard model, patients who used TCM had a lower hazard ratio (HR) of fracture (adjusted HR: 0.47, 95% CI: 0.37-0.59) compared to the non-TCM user group. The Kaplan-Meier curves showed that osteoporosis patients who used TCM had a lower incidence of fracture events than those who did not (p < 0.00001). Our study also demonstrated that the longer the TCM use, the lesser the fracture rate.

conclusionOur study showed that TCM might have a positive impact on the prevention of osteoporotic fracture.

Indexed as

OsteoporosisAgedCross-Sectional StudiesDrugs, Chinese HerbalFemaleHumansMaleMedicine, Chinese TraditionalMiddle AgedOsteoporotic FracturesDrugs, Chinese HerbalNational Health Insurance Research DatabaseOsteoporotic fractureTraditional Chinese medicine

Identifiers

PMID30717733
PMCPMC6360787

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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.