Evidence map›Paper›PMID 31069544›Full record

ArticleArchives of osteoporosis2019

Primary screening for increased fracture risk by the FRAX® questionnaire-uptake rates in relation to invitation method.

Louise M E Moberg, Peter M Nilsson, Anna H Holmberg, Göran Samsioe, Christer Borgfeldt

Abstract readEvaluation Study
In one paragraph

Article in Archives of osteoporosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

5 authors.

Louise M E MobergDepartment of Obstetrics and Gynaecology, Department of Clinical Sciences, Skåne University Hospital, Lund University, SE-221 85, Lund, Sweden. louise.moberg@med.lu.se.
Peter M NilssonDepartment of Internal Medicine, Department of Clinical Sciences, Skåne University Hospital, Lund University, Malmö, Sweden.
Anna H HolmbergDepartment of Orthopaedics, Department of Clinical Sciences Malmö, Skåne University Hospital, Lund University, Malmö, Sweden.
Göran SamsioeDepartment of Obstetrics and Gynaecology, Department of Clinical Sciences, Skåne University Hospital, Lund University, SE-221 85, Lund, Sweden.
Christer BorgfeldtDepartment of Obstetrics and Gynaecology, Department of Clinical Sciences, Skåne University Hospital, Lund University, SE-221 85, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to evaluate the feasibility and most efficient way of offering middle-aged Swedish women a primary fracture screening program via a questionnaire. Two out of five invited women returned the FRAX questionnaire and those contacted directly by mail were most prone to respond. PURPOSE: Osteoporosis and its associated fractures are increasing, and this study aims to explore ways to identify women at an increased risk of fracture using the FRAX® algorithm.

methodsThree thousand middle-aged women were invited and presented a questionnaire distributed by three different methods-by mail, at routine mammography, or internet-based.

resultsIn total, 1120 (37.3%) women responded to the questionnaire and agreed to participate. The response rates for the mail, mammography, and internet-based groups were 39.1%, 35.7%, and 25.2% respectively. Women in the mammography group weighed more, were slightly older than the other women, and also had a higher BMI than women from the mail and internet-based groups. No difference was observed between the groups regarding previous fracture, family history for fracture, current smoking, glucocorticoid use, and alcohol usage. The mammography group had a higher median (interquartile range) major osteoporotic FRAX® score (10.0% (7.8-17.0)) than the mail group (9.7% (7.1-15.0); p = 0.005) and the internet-based group (8.7% (6.7-14.0); p = 0.001).

conclusionsTwo out of five early postmenopausal women returned the questionnaire and women contacted directly by mail were more prone to respond. Out of the participants, 26.6% had a 10-year fracture risk score ≥ 15% according to the FRAX® algorithm.

Indexed as

AgedAlgorithmsBone DensityFeasibility StudiesFemaleHumansMammographyMass ScreeningMiddle AgedOsteoporosisOsteoporotic FracturesPatient Acceptance of Health CarePostmenopauseRisk AssessmentRisk FactorsSurveys and QuestionnairesFracture riskFRAXScreeningWomen

Identifiers

PMID31069544
PMCPMC6924260

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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.