Evidence map›Paper›PMID 33415510›Full record

ArticleArchives of osteoporosis2021

Osteoporosis care during the COVID-19 pandemic in the Netherlands: A national survey.

Joséphine Jeanne Maria Peeters, Peter van den Berg, Joop P van den Bergh, Marielle H Emmelot-Vonk, Gijs de Klerk, Willem F Lems, Elizabeth M Winter, M Carola Zillikens, Natasha M Appelman-Dijkstra

Open access · greenAbstract read
In one paragraph

Article in Archives of osteoporosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. 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 at 7 institutions in 2 countries.

Joséphine Jeanne Maria PeetersDepartment of Internal Medicine, Division of Endocrinology, Center for Bone Quality, Leiden University Medical Center, Leiden, The Netherlands. j.j.m.peeters@lumc.nl.
Peter van den BergFracture Liaison Service, Department of Orthopaedics and Traumasurgery, Reinier de Graaf Gasthuis, Delft, The Netherlands.
Joop P van den BerghDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands.
Marielle H Emmelot-VonkDepartment of Geriatrics, University Medical Center Utrecht, Utrecht, The Netherlands.
Gijs de KlerkDepartment of Surgery, Admiraal de Ruyter Ziekenhuis Goes, Goes, The Netherlands.
Willem F LemsDepartment of Rheumatology, Amsterdam UMC, location VUmc, Amsterdam, The Netherlands.
Elizabeth M WinterDepartment of Internal Medicine, Division of Endocrinology, Center for Bone Quality, Leiden University Medical Center, Leiden, The Netherlands.
M Carola ZillikensBone Center, department of Internal Medicine, section Endocrinology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.
Natasha M Appelman-DijkstraDepartment of Internal Medicine, Division of Endocrinology, Center for Bone Quality, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLAdmiraal De Ruyter Ziekenhuis · NLAmsterdam University Medical Centers · NLErasmus MC · NLReinier de Graaf Hospital · NLUniversity Medical Center Utrecht · NLVieCuri Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a survey study concerning osteoporosis care during the COVID-19 pandemic in the Netherlands. Respondents reported that osteoporosis care stagnated and lower quality of care was provided. This leads to the conclusion that standardization of osteoporosis care delivery in situations of crisis is needed. PURPOSE: During the initial phase of the COVID-19 pandemic, there was no guidance of professional societies or guidelines on the organization of osteoporosis care in case of such a crisis, and treatment relied on local ad hoc strategies. Experiences from the current pandemic need to be taken into account for the near future, and therefore, a national multidisciplinary survey was carried out in the Netherlands.

methodsA survey of 17 questions concerning the continuation of bone mineral density measurements by Dual Energy X-ray absorptiometry (DXA), outpatient clinic visits, and prescription of medication was sent to physicians, nurses, nurse practitioners, and physician assistants working in the field of osteoporosis.

results77 respondents finished the questionnaire, of whom 39 (50.6%) reported a decline in DXA-scanning and 36 (46.8%) no scanning at all during the pandemic. There was an increase in remote consultations for both new and control patient visits (n = 48, 62.3%; n = 62, 81.7% respectively). Lower quality of care regarding fracture prevention was reported by more than half of the respondents (n = 44, 57.1%). Treatment with intravenous bisphosphonates and denosumab was delayed according to 35 (45.4%) and 6 (6.3%) of the respondents, respectively.

conclusionDuring the COVID-19 pandemic, osteoporosis care almost completely arrested, especially because of the discontinuation of DXA-scanning and closing of outpatient clinics. More than half of the respondents reported a substantial lower quality of osteoporosis care during the COVID pandemic. To prevent an increase in fracture rates and a decrease in patient motivation, adherence and satisfaction, standardization of osteoporosis care delivery in situations of crisis is needed.

Indexed as

COVID-19OsteoporosisAbsorptiometry, PhotonHumansNetherlandsPandemicsSARS-CoV-2Surveys and QuestionnairesCOVID-19Fracture liaison serviceFracturesOsteoporosis

Identifiers

PMID33415510
PMCPMC7790356
OpenAlexW3119799183

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.