Evidence map›Paper›PMID 34510231›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

Electronic search programs are effective in identifying patients with minimal trauma fractures.

K Blaker, A Wijewardene, E White, G Stokes, S Chong, K Ganda, L Ridley, S Brown, C White, R Clifton-Bligh and 1 more

Abstract read
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In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Approach to the Patient With Bone Fracture: Making the First Fracture the Last.The Journal of clinical endocrinology and metabolism · 2023
    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

11 authors at 5 institutions in 1 country.

K BlakerDepartment of Endocrinology & Metabolism, Concord Repatriation General Hospital, Concord, NSW, 2139, Australia.
A WijewardeneDepartment of Endocrinology & Metabolism, Concord Repatriation General Hospital, Concord, NSW, 2139, Australia. awij1156@uni.sydney.edu.au.
E WhiteDepartment of Endocrinology, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
G StokesDepartment of Endocrinology & Metabolism, Prince of Wales Hospital, Randwick, NSW, 2031, Australia.
S ChongDepartment of Endocrinology & Metabolism, Concord Repatriation General Hospital, Concord, NSW, 2139, Australia.
K GandaDepartment of Endocrinology & Metabolism, Concord Repatriation General Hospital, Concord, NSW, 2139, Australia.
L RidleyFaculty of Medicine and Health, Sydney Medical School, The University of Sydney, Sydney, NSW, 2006, Australia.
S BrownAbbot Diagnostics, Macquarie Park, NSW, 2113, Australia.
C WhiteDepartment of Endocrinology & Metabolism, Prince of Wales Hospital, Randwick, NSW, 2031, Australia.
R Clifton-BlighDepartment of Endocrinology, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
M J SeibelDepartment of Endocrinology & Metabolism, Concord Repatriation General Hospital, Concord, NSW, 2139, Australia.
Concord Repatriation General Hospital · AUUniversity of Sydney · AUPrince of Wales Hospital · AUAnzac Research Institute · AURoyal North Shore Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed two electronic search tools that screen medical records for documented fractures. Both programs reliably identified patients with any fracture but missed individuals with minimal trauma fracture to different degrees. A hybrid tool combining the methodology of both tools is likely to improve the identification of those with osteoporosis. PURPOSE: Most patients who suffer a minimal trauma fracture remain undiagnosed, placing them at high risk of refracture. Case finding can be improved by electronic search tools that screen medical records for documented fractures. Here, we assessed the efficacy of two new programs, AES and XRAIT, in identifying patients with minimal trauma fracture.

methodsEach tool was applied to search the electronic medical record and/or radiology reports at two tertiary hospitals in Sydney, Australia, from 1 July to 31 December 2018. Samples of the extracted reports were then manually reviewed to determine the sensitivity of each program in detecting minimal trauma fractures.

resultsAt the two centers, AES detected 872 and 1364 cases, whereas XRAIT identified 1414 and 2180 patients with fractures, respectively. The true positive rate for "any fracture" was similar for both instruments (77-88%). However, the ability to detect "minimal trauma fractures" differed between programs and centers (53-75% accuracy), with each tool identifying separate subsets of patients. Concordance between both tools was less than half of the combined total number of minimal trauma fractures (43-45%). Considering the total number of minimal trauma fractures detected by both tools combined, AES correctly identified 52-55% of cases while XRAIT identified 88-93% of cases.

conclusionBoth programs reliably identified patients with any fracture but missed individuals with minimal trauma fracture to different degrees. Hybrid tools combining the methodology of XRAIT and AES are likely to improve the identification of patients who require investigation and treatment for osteoporosis.

Indexed as

OsteoporosisOsteoporotic FracturesDelivery of Health CareElectronic Health RecordsElectronicsHumansElectronic search toolsFracture liaison serviceHealth informaticsMinimal trauma fractureNatural language processingOsteoporosis

Identifiers

PMID34510231
OpenAlexW3199349628

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.