Evidence map›Paper›PMID 34846612›Full record

ReviewArchives of osteoporosis2021

The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations.

Gulistan Bahat, Nezahat Muge Catikkas, Dilek Gogas Yavuz, Pinar Borman, Rengin Guzel, Jean Yves Reginster

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
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

6 authors at 5 institutions in 2 countries.

Gulistan BahatDivision of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, 34093, Istanbul, Turkey. gbahatozturk@yahoo.com.ORCID http://orcid.org/0000-0001-5343-9795
Nezahat Muge CatikkasDivision of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, 34093, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-2494-1625
Dilek Gogas YavuzDivision of Endocrinology and Metabolism, Department of Internal Medicine, Marmara Medical School, Marmara University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-0075-6313
Pinar BormanDepartment of Physical Medicine and Rehabilitation, Hacettepe Medical School, Hacettepe University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1212-6797
Rengin GuzelDepartment of Physical Medicine and Rehabilitation, Cukurova Medical School, Cukurova University, Adana, Turkey.ORCID http://orcid.org/0000-0002-3064-5868
Jean Yves ReginsterDepartment of Public Health, Epidemiology and Health Economics, Liège Medical School, University of Liège, Liège, Belgium.ORCID http://orcid.org/0000-0001-6290-752X
Istanbul University · TRCukurova University · TRHacettepe University · TRMarmara University · TRUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe total number of older adults in Turkey is striking, amounting to around 8 million, and this translates into considerably higher numbers of cases of osteoporosis (OP) and fractures in older adults. In this article, we outlined the current situation of OP in older adults in Turkey and investigated the differences between Turkey and a representative developed European country (Belgium), in terms of the screening, diagnosis, and treatment of OP. Our intention in this regard was to identify areas in need of improvement and subsequently to make a clear call for action to address these issues.

methodsHerein, considering the steps related to the OP approach, we made a complete review of the studies conducted in Turkey and compared with the literature recommendations.

resultsThere is a need for a national osteoporotic fracture registry; measures should be taken to improve the screening and treatment of OP in older males, such as educational activities; technicians involved in dual-energy X-ray absorptiometry (DXA) scanning should undergo routine periodic training; all DXA centers should identify center-specific least significant change values; all older adults should be considered for routine lateral dorsolumbar X-ray imaging for the screening of vertebral fractures while ordering DXA scans; the inclusion of vertebral fracture assessment (VFA) software in DXA assessments should be considered; screening using a fracture risk assessment tool (FRAX) algorithm that is specific to Turkey should be integrated; the fortification of foods with vitamin D is required; the high fracture risk by country-specific FRAX algorithm and the presence of falls/high fall risk should be integrated in reimbursement terms; and finally, more "fracture liaison services" should be established.

conclusionWe suggest that the practical consideration of our suggestions will provide considerable support to the efforts for combating with the adverse consequences of OP in society. This approach can be subsequently modeled for other populations to improve the management of OP globally.

Indexed as

OsteoporosisOsteoporotic FracturesAbsorptiometry, PhotonAgedBone DensityHumansMaleRisk AssessmentTurkeyCurrent situationImprovementOlderOsteoporosisTurkey

Identifiers

PMID34846612
OpenAlexW3215211690

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.