Evidence map›Paper›PMID 31876618›Full record

ArticleMenopause (New York, N.Y.)2020

Menopause and risk of hip fracture in middle-aged Chinese women: a 10-year follow-up of China Kadoorie Biobank.

Ke Peng, Pang Yao, Christiana Kartsonaki, Ling Yang, Derrick Bennett, Maoyi Tian, Liming Li, Yu Guo, Zheng Bian, Yiping Chen and 5 more

Open access · greenAbstract read
In one paragraph

Article in Menopause (New York, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Global burden of hip fracture: The Global Burden of Disease Study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  5. Article
  6. Early Menopause and Risk of Fractures-A Preventable Gap.Iranian journal of public health · 2023
    Article
  7. [Detection of DNA methylation ofNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022
    Article
  8. Article
  9. 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

15 authors at 7 institutions in 4 countries.

Ke PengSchool of Public Health, The University of Sydney, Sydney, Australia.
Pang YaoClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
Christiana KartsonakiClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
Ling YangClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
Derrick BennettClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
Maoyi TianThe George Institute for Global Health, UNSW, Sydney, Australia.
Liming LiChinese Academy of Medical Sciences, Beijing, China.
Yu GuoDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Zheng BianDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Yiping ChenClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
Zhengming ChenClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
Rebecca IversSchool of Public Health, The University of Sydney, Sydney, Australia.
Mark WoodwardThe George Institute for Global Health, UNSW, Sydney, Australia.
Robert ClarkeClinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford, Old Road Campus, Oxford, United Kingdom.
China Kadoorie Biobank Collaborative Group
University of Oxford · GBPeking University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNGeorge Institute for Global Health · GBGeorge Institute for Global Health · CNThe George Institute for Global Health · AUUNSW Sydney · AU

Funding

Cancer Research UK 29186Medical Research Council MC_U137686851Medical Research Council MC_UU_00017/1Medical Research Council MC_UU_12026/2Wellcome Trust 088158Wellcome Trust 104085Wellcome Trust 202922Wellcome Trust 212946/Z/18/Z
6 · The paper itself

Abstract

objectiveBone loss is accelerated after menopause in women, as is the risk of hip fracture, but little is known about the importance of age at menopause, time since menopause, and total reproductive years for risk of hip fracture.

methodsBetween 2004 and 2008, the China Kadoorie Biobank recruited 125,336 postmenopausal women who had a natural menopause and recorded 1,327 incident cases of hip fracture during the first 10 years of follow-up. Multivariable Cox regression was used to estimate hazard ratios and 95% CIs for incident hip fracture for age at menopause, time since menopause, and total reproductive years.

resultsThe mean (SD) age at menopause was 48.8 (4.0) years. Compared with women who reached menopause before age 53 years, women with a later age at menopause had a 22% (95% CI, 11%-35%) lower risk of hip fracture. Compared with women who were <5 years since menopause, those who were 5 to 9, 10 to 14, 15 to 19, and ≥20 years since menopause had hazard ratios of hip fracture of 1.43 (95% CI, 1.01-2.04), 2.10 (95% CI, 1.71-2.57), 2.50 (95% CI, 2.21-2.83), and 2.33 (95% CI, 1.97-2.75), respectively. Women with a longer (≥36 y) versus shorter (<30 y) duration of total reproductive years had a 19% (95% CI, 9-28) lower risk of hip fracture.

conclusionsWomen with younger age at menopause, longer interval since menopause, or shorter duration of total reproductive years had the highest risks of hip fracture.

Indexed as

Age FactorsPostmenopauseTime FactorsAdultAgedAsian PeopleChinaFemaleFollow-Up StudiesHip FracturesHumansIncidenceMiddle AgedProportional Hazards ModelsReproductionRisk Factors

Identifiers

PMID31876618
PMCPMC7616980
OpenAlexW2981900936

What OpenQuestion holds

Textmetadata
LicenceTDM
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.