Evidence map›Paper›PMID 31643073›Full record

ArticleAging clinical and experimental research2020

Characteristics and outcomes of osteoporotic hip fractures: treatment gaps in a tertiary care center in Riyadh, Saudi Arabia.

Yousef Al Saleh, Mohammed E El Seid, Mead E Ruhaiyem, Fatimah Al Sayed, Abeer Alkhairy, Sarah Al Zaid, Osama Al Sayed, Soad Salih, Nasser M Al-Daghri

Abstract read
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In one paragraph

Article in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Osteoporotic hip and vertebral fractures in the Arab region: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Pooled it
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  9. Estimated Direct Medical Cost of Osteoporosis in Saudi Arabia: A Single-Center Retrospective Cost Analysis.International journal of environmental research and public health · 2021
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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

9 authors at 5 institutions in 1 country.

Yousef Al SalehCollege of Medicine, King Saud Bin Abdulaziz University and King Abdullah International Medical Research Center, Riyadh, 11425, Saudi Arabia. yousef.alaslawi@gmail.com.ORCID http://orcid.org/0000-0002-5875-0950
Mohammed E El SeidDepartment of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Mead E RuhaiyemKing Abdullah International Medical Research Center, Riyadh, 11426, Saudi Arabia.
Fatimah Al SayedKing Abdullah International Medical Research Center, Riyadh, 11426, Saudi Arabia.
Abeer AlkhairyKing Abdullah International Medical Research Center, Riyadh, 11426, Saudi Arabia.
Sarah Al ZaidKing Abdullah International Medical Research Center, Riyadh, 11426, Saudi Arabia.
Osama Al SayedKing Abdullah International Medical Research Center, Riyadh, 11426, Saudi Arabia.
Soad SalihKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Nasser M Al-DaghriChair for Chronic Diseases, College of Science, King Saud University, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center · SAKing Abdulaziz Medical City · SAKing Faisal Specialist Hospital & Research Centre · SAKing Saud bin Abdulaziz University for Health Sciences · SAKing Saud University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip fracture is the most clinically devastating and economically important complication of osteoporosis. Pain, suffering, loss of mobility and independence are some of the devastating consequences of hip fractures. The present study aimed to determine the main characteristics and outcomes of patients with osteoporotic hip fracture and treatment gaps at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia.

methodsThis is a single-center, retrospective cohort study analyzing charts of patients > 45 years who were admitted for hip fracture secondary to low-grade trauma from 2008 to 2012.

resultsA total of 264 patients (50.4% males and 49.6% females) were included. The most common fracture types were trochanter (49%) and femoral neck (46%). History of falls was documented in 115 (43.6%) patients. Bone mineral density (BMD) was assessed in only 41 (15.5%) patients. Majority underwent surgery (92%). Surgical complications occurred in 15 (5.7%) patients and medical complications in 21 (7.9%) patients. Vitamin D and calcium were the most common medications, but given only to 45 (17%) patients. Bone mineral density (BMD) assessment was significantly more frequent post-surgery than pre-surgery (p = 0.03). Very few patients received osteoporosis-specific therapy. F ollow-up revealed that 62 (23.5%) patients died 1 year after surgery.

conclusionThese present findings warrant urgent reassessment of clinical care and treatments provided to patients with osteoporotic hip fractures to prevent recurrent fractures. The introduction of Fracture Liaison Service (FLS) in institutions caring for patients with hip fractures as internationally recommended will definitely change the current status of care.

Indexed as

Hip FracturesOsteoporotic FracturesBone DensityFemaleHumansMaleMiddle AgedRetrospective StudiesSaudi ArabiaTertiary Care CentersCharacteristicsHip FractureOsteoporosisOutcome and mortality

Identifiers

PMID31643073
OpenAlexW2981583445

What OpenQuestion holds

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Registered trials

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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.