Evidence map›Paper›PMID 33986217›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2020

Prevalence and Treatment of Osteoporosis Prior to Elective Shoulder Arthroplasty.

James T Bernatz, Andrew E Brooks, Benjamin P Nguyen, Edward D Shin, Neil C Binkley, Paul A Anderson, Brian F Grogan

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Evidence-based joint statement position of perioperative bone optimization in the arthroplasty candidate, from FEMECOT, AMMOM, ACOMM, SCCOT, SECOT, SEFRAOS, SEIOMM.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Guideline
  2. Article
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  8. Osteoporosis Management for Shoulder Surgeons.Current reviews in musculoskeletal medicine · 2024
    Review
  9. Review
  10. Article
  11. 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

7 authors at 1 institution in 1 country.

James T BernatzFrom the Department of Orthopedics & Rehabilitation (Dr. Bernatz, Dr. Brooks, Mr. Nguyen, Mr. Shin, Dr. Anderson, and Dr. Grogan), and the Divisions of Endocrinology and Geriatrics, Department of Medicine (Dr. Binkley), University of Wisconsin School of Medicine and Public Health, Madison.ORCID 0000-0002-1480-4507
Andrew E Brooks
Benjamin P NguyenORCID 0000-0002-7918-5882
Neil C Binkley
Paul A Anderson
Brian F Grogan
Gratz College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe rate of preoperative osteoporosis in lower extremity arthroplasty is 33%. The prevalence of osteoporosis in shoulder arthroplasty patients is inadequately studied. The purpose of this study was to (1) determine the prevalence of osteoporosis in patients undergoing elective shoulder arthroplasty, (2) report the percentage of patients having dual-energy x-ray absorptiometry (DEXA) testing before surgery, and (3) determine the percentage of patients who have been prescribed osteoporosis medications within 6 months before or after surgery.

methodsThis retrospective case series included all adults aged 50 years and older who underwent elective shoulder arthroplasty at a single tertiary care center over an 8-year period. National Osteoporosis Foundation (NOF) criteria for screening and treatment were applied.

resultsTwo hundred fifty-one patients met the inclusion criteria; 171 (68%) met the criteria for DEXA testing, but only 31 (12%) had this testing within 2 years preoperatively. Eighty patients (32%) met the NOF criteria for receipt of pharmacologic osteoporosis treatment, and 17/80 (21%) received a prescription for pharmacotherapy. DISCUSSION: Two-thirds of elective shoulder arthroplasty patients meet the criteria to have bone mineral density measurement done, but less than 20% have this done. One in three elective shoulder arthroplasty patients meet the criteria to receive osteoporosis medications, but only 20% of these patients receive therapy.

Indexed as

Arthroplasty, Replacement, ShoulderOsteoporosisAbsorptiometry, PhotonAdultAgedArthroplastyHumansMiddle AgedPrevalenceRetrospective Studies

Identifiers

PMID33986217
PMCPMC7722598
OpenAlexW3113137812

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.