Evidence map›Paper›PMID 31044180›Full record

ArticleJBMR plus2019

Increased Cortical Porosity and Reduced Trabecular Density Are Not Necessarily Synonymous With Bone Loss and Microstructural Deterioration.

Roger Zebaze, Elizabeth J Atkinson, Yu Peng, Minh Bui, Ali Ghasem-Zadeh, Sundeep Khosla, Ego Seeman

Open access · goldAbstract read
In one paragraph

Article in JBMR plus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  3. Longitudinal Density and Volume Changes of Periacetabular Cancellous and Cortical Bone.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
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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

7 authors at 4 institutions in 2 countries.

Roger ZebazeDepartments of Medicine and Endocrinology Austin Health University of Melbourne Melbourne Australia.
Elizabeth J AtkinsonMayo Clinic Rochester MN USA.
Yu PengStraxcorp Pty Ltd Melbourne Australia.
Minh BuiCentre for Epidemiology and Biostatistics School of Population and Global Health University of Melbourne Melbourne Australia.
Ali Ghasem-ZadehDepartments of Medicine and Endocrinology Austin Health University of Melbourne Melbourne Australia.
Sundeep KhoslaMayo Clinic Rochester MN USA.
Ego SeemanDepartments of Medicine and Endocrinology Austin Health University of Melbourne Melbourne Australia.
Austin Health · AUMayo Clinic in Arizona · USUniversity of Melbourne · AUGlaxoSmithKline (Australia) · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Absolute values of cortical porosity and trabecular density are used to estimate fracture risk, but these values are the net result of their growth-related assembly and age-related deterioration. Because bone loss affects both cortical and trabecular bone, we hypothesized that a surrogate measure of bone fragility should capture the age-related deterioration of both traits, and should do so independently of their peak values. Accordingly, we developed a structural fragility score (SFS), which quantifies the increment in distal radial cortical porosity and decrement in trabecular density relative to their premenopausal mean values in 99 postmenopausal women with forearm fractures and 105 controls using HR-pQCT. We expressed the results as odds ratios (ORs; 95% CI). Cortical porosity was associated with fractures in the presence of deteriorated trabecular density (OR 2.30; 95% CI, 1.30 to 4.05;

Indexed as

BONE MINERAL DENSITYCORTICAL POROSITYMICROSTRUCTURAL DETERIORATIONTRABECULAR DENSITY

Identifiers

PMID31044180
PMCPMC6478579
OpenAlexW2889487440

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.