Evidence map›Paper›PMID 30911782›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2019

Use of antiosteoporotic medication in the Danish ROSE population-based screening study.

M P Høiberg, K H Rubin, T Holmberg, M J Rothmann, S Möller, J Gram, M Bech, K Brixen, A P Hermann

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01388244 (Risk-stratified Osteoporosis Strategy Evaluation Study), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 47% 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.

NCT01388244 nacompletednot on this map

Risk-stratified Osteoporosis Strategy Evaluation Study (ROSE)

TypeinterventionalSponsorOdense University HospitalRan2010 to 2021Enrolled35,000ConditionsOsteoporosisArmsScreening, Control
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Long-term adherence to anti-osteoporosis medication and determinants of adherence in the population-based screening trial ROSE.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Trial
  3. Long-term cost-effectiveness of screening for fracture risk in a UK primary care setting: the SCOOP study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Trial
  4. Article
  5. Outcome evaluation of osteoporosis patient education: an observational study comparing an intervention group and matched control group.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
  6. Article
  7. 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 at 2 institutions in 2 countries.

M P HøibergDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark. mikkelhoiberg@gmail.com.ORCID http://orcid.org/0000-0002-6375-9028
K H RubinOPEN - Odense Patient Data Explorative Network, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, Odense, Denmark.
T HolmbergNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
M J RothmannDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
S MöllerOPEN - Odense Patient Data Explorative Network, Department of Clinical Research, University of Southern Denmark and Odense University Hospital, Odense, Denmark.
J GramDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
M BechVIVE - The Danish Center for Social Science Research, Copenhagen, Denmark.
K BrixenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
A P HermannDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
University of Southern Denmark · DKVIVE - The Danish Center for Social Science Research · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of antiosteoporotic medication in the population-based, risk-stratified osteoporosis strategy evaluation (ROSE) screening study, comparing the use of FRAX followed by DXA with usual care, was examined. Screening increased the overall use of medication. Being recommended treatment by the hospital and higher age increased the likelihood of starting medication, but, nevertheless, a large percentage opted not to start treatment.

introductionThe aim of the study was to examine the impact on medication prescription, adherence, and persistence of osteoporotic medicine in the randomized population-based ROSE screening study for osteoporosis.

methodsThe Danish ROSE study included a population-based random sample of women aged 65-81 years randomized to either a two-step screening program consisting of FRAX followed by DXA for high-risk participants or opportunistic screening for osteoporosis (usual care). This sub-study on the intention-to-treat population examined the impact of the screening program on antiosteoporotic medication redemption rates, adherence, and persistence using Danish registers.

resultsA total of 30,719 of 34,229 women were treatment-naïve. Significantly more participants in the screening group started on antiosteoporotic medication, but no differences in adherence and persistence rates were found. Higher age was associated with a higher likelihood of starting medication. A low Charlson comorbidity score (= 1) was associated with higher treatment initiation but lower adherence and persistence of antiosteoporotic treatment. A total of 31.7% of participants advised to initiate treatment did not follow the advice.

conclusionsScreening for osteoporosis using FRAX followed by DXA increased the overall use of antiosteoporotic medication in the screening group without differences in adherence and persistence rates. A large percentage of participants advised to initiate treatment did nevertheless fail to do so.

Indexed as

Drug MonitoringAbsorptiometry, PhotonAgedAged, 80 and overBone Density Conservation AgentsDenmarkDrug UtilizationFemaleHumansMass ScreeningMiddle AgedOsteoporosis, PostmenopausalOsteoporotic FracturesRegistriesRisk AssessmentTreatment RefusalBone Density Conservation AgentsAdherenceComplianceMedicationOsteoporosisPersistencePopulation-based screening

Identifiers

PMID30911782
OpenAlexW2922876924

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.