Evidence map›Paper›PMID 35829991›Full record

ArticleAging clinical and experimental research2022

The potential of assessment based on the WHO framework of intrinsic capacity in fragility fracture prevention.

Paolo Astrone, Monica Rodrigues Perracini, Finbarr C Martin, David R Marsh, Matteo Cesari

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Aging clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Pre-fracture functional status and 30-day recovery predict 5-year survival in patients with hip fracture: findings from a prospective real-world study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Observational
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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

5 authors at 5 institutions in 3 countries.

Paolo AstroneSubacute Care Unit, Azienda Socio Sanitaria Territoriale (ASST) Lodi, Lodi, Italy. paolo.astrone@outlook.com.ORCID http://orcid.org/0000-0003-0448-1879
Monica Rodrigues PerraciniMaster's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
Finbarr C MartinEmeritus Geriatrician and Professor of Medical Gerontology, Population Health Sciences, School of Life Sciences and Population Health, King's College London, London, UK.
David R MarshEmeritus Professor of Orthopaedics, University College London, London, UK.
Matteo CesariGeriatric Unit, Fondazione IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.
Azienda Socio Sanitaria Territoriale Lariana · ITKing's College London · GBUniversidade Estadual de Campinas (UNICAMP) · BRUniversity College London · GBUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The risk of falls associated with population ageing and the burden of chronic diseases increase the risk of fragility fractures. Globally, a large increase in the numbers of people sustaining fragility fractures is predicted. The management of highly vulnerable older persons who present and/or are at risk of fragility fractures is challenging given their clinical complexity and the fragmentation of the healthcare services. Fragility fractures frequently result in reduced functional ability and quality of life. Therefore, it is essential to implement person-centered models of care to address the individual's priorities and needs. In this context, the multidimensional construct of intrinsic capacity, composed of the critical functions on which the individual's functional ability rely, becomes of particular interest.In this article, the potential of current models to meet the global challenge is considered, particularly where healthcare systems are less integrated and poorly structured. It then describes how assessment of intrinsic capacity might provide the clinician with a holistic picture of an older individual's reserves before and after a fragility fracture and the implications of implementing this approach based on the construct of intrinsic capacity in healthcare systems, in both well-developed and low-resourced settings. It suggests that optimization of intrinsic capacity and functional ability is a credible conceptual model and might support a generally feasible approach to primary and secondary fracture prevention in older people.

Indexed as

OsteoporosisOsteoporotic FracturesAgedAged, 80 and overHumansQuality of LifeSecondary PreventionWorld Health OrganizationAgeingFallsFragility fracturesFunctional abilityOsteoporosisPublic health

Identifiers

PMID35829991
OpenAlexW4285085067

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.