Evidence map›Paper›PMID 34580957›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2022

Perspectives of patients with depression and chronic pain about bone health after a fragility fracture: A qualitative study.

Joanna E M Sale, Monique Gignac, Lucy Frankel, Stephen Thielke, Earl Bogoch, Victoria Elliot-Gibson, Gillian Hawker, Larry Funnell

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 citing papers in PubMed.

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  6. Perspectives of patients with depression and chronic pain about bone health after a fragility fracture: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022
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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

8 authors.

Joanna E M SaleMusculoskeletal Health and Outcomes Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0389-3038
Monique GignacInstitute for Work & Health, Toronto, Ontario, Canada.
Lucy FrankelMusculoskeletal Health and Outcomes Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Stephen ThielkePsychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Earl BogochDepartment of Surgery, St. Michael's Hospital, Unity Health Toronto, University of Toronto, Toronto, Ontario, Canada.
Victoria Elliot-GibsonMusculoskeletal Health and Outcomes Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Gillian HawkerInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Larry FunnellOsteoporosis Canada, Toronto, Ontario, Canada.

Funding

CIHR COB-136622
6 · The paper itself

Abstract

backgroundCompromised bone health is often associated with depression and chronic pain.

objectiveTo examine: (1) the experience of existing depression and chronic nonfracture pain in patients with a fragility fracture; and (2) the effects of the fracture on depression and pain.

designA phenomenological study guided by Giorgi's analytical procedures. SETTING AND

participantsFracture patients who reported taking prescription medication for one or more comorbidities, excluding compromised bone health. MAIN VARIABLES STUDIED: Patients were interviewed within 6 weeks of their fracture, and 1 year later. Interview questions addressed the recent fracture and patients' experience with bone health and their other health conditions, such as depression and chronic pain, including the medications taken for these conditions.

resultsTwenty-six patients (5 men, 21 women) aged 45-84 years old with hip (n = 5) and nonhip (n = 21) fractures were recruited. Twenty-one participants reported depression and/or chronic nonfracture pain, of which seven reported having both depression and chronic pain. Two themes were consistent, based on our analysis: (1) depression and chronic pain overshadowed attention to bone health; and (2) the fracture exacerbated reported experiences of existing depression and chronic pain.

conclusionExperiences with depression and pain take priority over bone health and may worsen as a result of the fracture. Health care providers treating fragility fractures might ask patients about depression and pain and take appropriate steps to address patients' more general emotional and physical state. PATIENT CONTRIBUTION: A patient representative was involved in the study conception, data interpretation and manuscript writing.

Indexed as

Chronic PainOsteoporotic FracturesAgedAged, 80 and overBone DensityDepressionFemaleHumansMaleMiddle AgedQualitative Researchbone healthchronic paindepressionfragility fracturepatient perspective

Identifiers

PMID34580957
PMCPMC8849261

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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.