Evidence map›Paper›PMID 31414147›Full record

ReviewDer Unfallchirurg2019

[Establishment of fracture liaison services in Germany].

Eric Hesse, Wolfgang Böcker, Christian Kammerlander, Ulla Stumpf, Ingrid Weber, Uwe Maus

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Unfallchirurg, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. [Osteoporosis-risk evaluation and case finding].Orthopadie (Heidelberg, Germany) · 2023
    Review
  3. Observational
  4. How relevant is lumbar bone mineral density for the stability of symphyseal implants? A biomechanical cadaver study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    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

6 authors.

Eric HesseInstitut für Molekulare Muskuloskelettale Forschung, Klinikum der Ludwig-Maximilians-Universität, Fraunhoferstr. 20, 82152, Planegg-Martinsried, Deutschland. eric.hesse@med.uni-muenchen.de.
Wolfgang BöckerKlinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Ludwig-Maximilians-Universität, München, Deutschland.
Christian KammerlanderKlinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Ludwig-Maximilians-Universität, München, Deutschland.
Ulla StumpfKlinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum der Ludwig-Maximilians-Universität, München, Deutschland.
Ingrid WeberEli Lilly & Company, Bad Homburg, Deutschland.
Uwe MausPius Hospital, Medizinischer Campus, Universität Oldenburg, Oldenburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis results in fragility fractures that are associated with a high morbidity and mortality as well as an increased risk for subsequent fragility fractures. Thus, the first fragility fracture should be the last. To achieve this goal patients need treatment of osteoporosis according to the prevailing clinical guidelines.

objectiveThis article presents the current clinical care situation of patients with a manifest osteoporosis in Germany and the accompanying risks. As a possible solution the concept of a fracture liaison service (FLS) as a new intersectoral care concept is presented and options for the establishment of FLS in Germany are provided. MATERIAL AND

methodsA literature search (PubMed) was conducted using key terms. The practical experiences of the authors in the context of establishing an FLS were also considered.

resultsCompared to other countries, in Germany only a minority of patients receive treatment for osteoporosis after fragility fractures. To improve the care situation an intersectoral FLS provides a coordinated referral of patients with fragility fractures from inpatient care in hospitals to specialists in private practice. This enables the strict identification and treatment of high-risk patients according to the prevailing clinical guidelines. In Germany, different options exist to structure an FLS under consideration of the local circumstances.

conclusionIn Germany, FLS should be established nationwide and according to uniform standards. This would significantly improve the quality of clinical care of patients with manifest osteoporosis.

Indexed as

OsteoporosisOsteoporotic FracturesReferral and ConsultationGermanyHumansSecondary PreventionFragility fractureNetworkOsteoporosisPreventive health servicesSecondary prevention

Identifiers

What OpenQuestion holds

Textmetadata
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.