Evidence map›Paper›PMID 34708563›Full record

ArticleJournal of cachexia, sarcopenia and muscle2021

Subcutaneous fat area at the upper thigh level is a useful prognostic marker in the elderly with femur fracture.

Youn-Jung Kim, Dong-Woo Seo, Yousun Ko, Seok-In Hong, Kyung Won Kim, Won Young Kim

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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  10. Muscle composition and the imminent mortality risk after hip fracture.Journal of cachexia, sarcopenia and muscle · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Youn-Jung KimDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Dong-Woo SeoDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Yousun KoBiomedical Research Center, Asan Institute for Life Sciences, Asan Medical Center, Seoul, South Korea.
Seok-In HongDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Kyung Won KimDepartment of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.
Won Young KimDepartment of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.ORCID 0000-0002-6904-5966
Ulsan College · KRAsan Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate prognostic value of body tissue composition at the upper thigh level for 1 year mortality in elderly patients with proximal femur fracture.

methodsThis retrospective cohort study included consecutive elderly (aged ≥65) patients diagnosed with proximal femur fracture based on the findings of pelvic bone computed tomography (CT) performed at the emergency department of a tertiary care hospital and treated with surgery between 2010 and 2017. The cross-sectional area of subcutaneous fat and skeletal muscle at the upper thigh level was measured using CT. Adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for 1 year mortality were estimated using a Cox proportional hazards model. Survival based on the SFA quartiles was assessed using nonparametric Kaplan-Meier survival analysis and compared used log-rank tests.

resultsAmong 876 elderly patients included in this study, the median age was 79.0 years, and 646 (73.7%) patients were female. A total of 93 (10.6%) died within 1 year after admission to the emergency department. Survivors had a significantly higher median subcutaneous fat area (SFA) than non-survivors (170.2 vs. 133.0 cm

conclusionsThe SFAs measured at the upper thigh level and 1 year mortality are positively associated in elderly patients with proximal femur fracture. SFA may be an independent prognostic biomarker for 1 year mortality of femur fracture.

Indexed as

Subcutaneous FatThighAgedFemaleFemurHumansMuscle, SkeletalPrognosisRetrospective StudiesBody compositionElderlyFemur fractureMortalityUpper thigh

Identifiers

PMID34708563
PMCPMC8718083
OpenAlexW3209834653

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.