Evidence map›Paper›PMID 32503454›Full record

ArticleBMC geriatrics2020

The association between a fracture risk tool and frailty: Geelong Osteoporosis Study.

Monica C Tembo, Kara L Holloway-Kew, Mohammadreza Mohebbi, Sophia X Sui, Sarah M Hosking, Sharon L Brennan-Olsen, Lana J Williams, Mark A Kotowicz, Julie A Pasco

Abstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Perioperative Considerations for Orthopedic Surgery in a Geriatric Population.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Review
  2. Article
  3. Article
  4. A comparison of content from across contemporary Australian population health surveys.Australian and New Zealand journal of public health · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

9 authors.

Monica C TemboEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia. mctembo@deakin.edu.au.ORCID 0000-0003-1210-2437
Kara L Holloway-KewEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia.
Mohammadreza MohebbiFaculty of Health, Biostatistics Unit, Deakin University, Geelong, VIC, Australia.
Sophia X SuiEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia.
Sarah M HoskingEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia.
Sharon L Brennan-OlsenAustralian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne, St Albans, Australia.
Lana J WilliamsEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia.
Mark A KotowiczEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia.
Julie A PascoEpi-Centre for Healthy Ageing, Deakin University, PO Box 281, Geelong, Victoria, 3220, Australia.

Funding

National Health and Medical Research Council 251638National Health and Medical Research Council 299831National Health and Medical Research Council 628582
6 · The paper itself

Abstract

backgroundFrailty is characterised by age-related declines in physical, psychological and social functioning. Features of frailty overlap with risk factors for fragility fractures. The aim of this study was to investigate the association between the fracture risk assessment tool (FRAX®) and frailty.

methodsIn cross-sectional analysis, frailty status was determined for participants aged 60-90 yr at 15-year follow-up of the Geelong Osteoporosis Study, using a modified Fried frailty phenotype. Using the FRAX on-line tool, scores for hip and major osteoporotic fracture (MOF) were calculated with and without bone mineral density (BMD). Using the area under Receiver Operating Characteristic (AUROC) curves, and FRAX scores calculated at the baseline visit for these participants, we investigated the association of FRAX and frailty 15 years later.

resultsForty-seven of 303 women (15.5%) and 41 of 282 men (14.5%) were frail at the 15-year visit. There was a gradient of increasing median FRAX scores from robust to frail. For example, for women, median MOF-FRAX without BMD increased from 5.9 for the robust to 7.5 for the pre-frail and 14.0 for the frail (p < 0.001). In secondary analyses, an association was observed between FRAX and frailty over 15 years, with the highest AUROC for women being 0.72 for MOF-FRAX with BMD, and for men, 0.76 hip-FRAX without BMD.

conclusionAn association was observed between FRAX and frailty where frail men and women had higher FRAX-scores compared to the other groups. Preliminary data suggest that FRAX, with or without BMD, may be useful in enhancing the information on frailty. Further research using larger datasets will be required to explore this.

Indexed as

FrailtyHip FracturesOsteoporosisOsteoporotic FracturesAbsorptiometry, PhotonAgedAged, 80 and overBone DensityCross-Sectional StudiesFemaleHumansMaleRisk AssessmentRisk FactorsAssociationFrailtyFRAXOlder adults

Identifiers

PMID32503454
PMCPMC7275607

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.