Evidence map›Paper›PMID 32103764›Full record

SynthesisJournal of orthopaedic surgery and research2020

The relationship between serum vitamin D and fracture risk in the elderly: a meta-analysis.

Ning Wang, Yungang Chen, Jindou Ji, Jinlei Chang, Shengwen Yu, Bo Yu

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 25-Hydroxyvitamin D Levels, Free Serum Calcium, Glomerular Filtration Rate, Albumin, and Femoral Fracture Elderly Patient Mortality.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  4. Review
  5. Comparison of vitamin D, parathyroid hormone (PTH), and bone metabolism markers in hip fracture patients by fracture type and control group.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
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  9. Vitamin D and Mineral Ion Regulation.Advances in experimental medicine and biology · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ning WangShandong University of Traditional Chinese Medicine, Jingshi Road16369, Jinan, 250014, China.
Yungang ChenDepartment of Orthopaedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jingshi Road16369, Jinan, 250014, China.
Jindou JiShandong University of Traditional Chinese Medicine, Jingshi Road16369, Jinan, 250014, China.
Jinlei ChangShandong University of Traditional Chinese Medicine, Jingshi Road16369, Jinan, 250014, China.
Shengwen YuShandong University of Traditional Chinese Medicine, Jingshi Road16369, Jinan, 250014, China.
Bo YuDepartment of Orthopaedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jingshi Road16369, Jinan, 250014, China. YBshengzhongyi@126.com.
Shandong University of Traditional Chinese Medicine · CNAffiliated Hospital of Shandong University of Traditional Chinese Medicine · CN

Funding

Clinical Medical Science and Technology Innovation Program of the Jinan Science and Technology Bureau 201602303Medical and Health Science and Technology Development Project of Shandong Province 2016WS0582Natural Science Foundation of Shandong Province ZR2016HM43Traditional Chinese Medicine Technology Development Plan of Shandong Province 2019-0154
6 · The paper itself

Abstract

backgroundThe incidence of osteoporotic fractures has increased rapidly, and because of the poor prognosis and high mortality associated with osteoporotic fractures, they remain a prospective research area globally. One way to reduce their incidence is to investigate their intervention risk factors in the elderly. Hence, this study explores the correlation between serum 25-hydroxyvitamin D [25(OH)D] levels and osteoporotic fractures in elderly patients through a meta-analysis.

methodsWe conducted our literature search mainly in PubMed and Embase for identifying studies that investigated the relationship between serum 25(OH)D levels and the risk for osteoporotic fractures. We performed categorical analysis, heterogeneity checks, publication bias analysis, and subgroup analyses.

resultsIn total, 20 studies were included, of which 4 were case-cohort studies and 16 were cohort studies. A total of 41,738 patients from 20 studies were included in the meta-analysis, of which 5916 had fractures, including 3237 hip fractures. By combining the lowest and highest categories of relative risks (RRs) and 95% confidence intervals (CIs), it was suggested that lower serum 25-hydroxyvitamin D levels may be a risk factor for fractures. RR (95% CI) for total and hip fractures were 1.11 (0.99, 1.24) and 0.89 (0.80, 0.98) after adjustments.

conclusionsOur study showed that compared to low serum 25(OH)D levels, high serum 25(OH)D levels reduce the risk of hip fractures in the patients aged 60 years or older. In contrast, serum 25(OH)D has no significant relationship with total fracture risk.

Indexed as

AgedAged, 80 and overBiomarkersCohort StudiesFemaleHip FracturesHumansMaleOsteoporotic FracturesRisk FactorsVitamin DVitamin D Deficiency25-hydroxyvitamin DBiomarkersVitamin DHip fractureMeta-analysisOsteoporotic fractureSerum 25-hydroxyvitamin D

Identifiers

PMID32103764
PMCPMC7045381
OpenAlexW3012858202

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.