Evidence map›Paper›PMID 35917039›Full record

ReviewArchives of osteoporosis2022

Experience of a systematic approach to care and prevention of fragility fractures in New Zealand.

Christine Ellen Gill, Paul James Mitchell, Jan Clark, Jillian Cornish, Peter Fergusson, Nigel Gilchrist, Lynne Hayman, Sue Hornblow, David Kim, Denise Mackenzie and 41 more

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Archives of osteoporosis, 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
7.0field-weighted citation impact, top 2% 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

6 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Approach to the Patient With Bone Fracture: Making the First Fracture the Last.The Journal of clinical endocrinology and metabolism · 2023
    Article
  5. Article
  6. 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

51 authors at 17 institutions in 7 countries.

Christine Ellen GillOsteoporosis New Zealand, Wellington, New Zealand.
Paul James MitchellOsteoporosis New Zealand, Wellington, New Zealand. paul.mitchell@nd.edu.au.ORCID https://orcid.org/0000-0002-7439-0369
Jan ClarkOsteoporosis New Zealand, Wellington, New Zealand.
Jillian CornishOsteoporosis New Zealand, Wellington, New Zealand.
Peter FergussonOsteoporosis New Zealand, Wellington, New Zealand.
Nigel GilchristOsteoporosis New Zealand, Wellington, New Zealand.
Lynne HaymanOsteoporosis New Zealand, Wellington, New Zealand.
Sue HornblowOsteoporosis New Zealand, Wellington, New Zealand.
David KimOsteoporosis New Zealand, Wellington, New Zealand.
Denise MackenzieOsteoporosis New Zealand, Wellington, New Zealand.
Stella MilsomOsteoporosis New Zealand, Wellington, New Zealand.
Adrienne von TunzelmannOsteoporosis New Zealand, Wellington, New Zealand.
Elizabeth BinnsFaculty of Health and Environmental Sciences, AUT University, Auckland, New Zealand.
Kim FergussonNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Stewart FlemingNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Sarah HurringNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Rebbecca LilleyNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Caroline MillerNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Pierre NavarreNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Andrea PettettNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Shankar SankaranOsteoporosis New Zealand, Wellington, New Zealand.
Min Yee SeowWaitemata District Health Board, Auckland, New Zealand.
Jenny SincockNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Nicola WardNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Mark WrightNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Jacqueline Clare Therese CloseAustralian and New Zealand Hip Fracture Registry Steering Group, Sydney, Australia.
Ian Andrew HarrisAustralian and New Zealand Hip Fracture Registry Steering Group, Sydney, Australia.
Elizabeth ArmstrongAustralian Hip Fracture Registry, Neuroscience Research Australia, Sydney, NSW, Australia.
Jamie HallenAustralian Hip Fracture Registry, Neuroscience Research Australia, Sydney, NSW, Australia.
Joanna HikakaNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Ngaire KerseNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Andrea VujnovichNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Kirtan GandaAustralian and New Zealand Fragility Fracture Registry Steering Group, Sydney, Australia.
Markus Joachim SeibelAustralian and New Zealand Fragility Fracture Registry Steering Group, Sydney, Australia.
Thomas JacksonNew Zealand Implementation and Management Committee, Australian and New Zealand Hip Fracture Registry, Wellington, New Zealand.
Paul KennedyAccident Compensation Corporation, Wellington, New Zealand.
Kirsten MalpasNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Leona DannNew Zealand Implementation and Management Committee, Australian and New Zealand Fragility Fracture Registry, Wellington, New Zealand.
Carl ShukerHealth Quality & Safety Commission New Zealand, Wellington, New Zealand.
Colleen DunneMinistry of Health, Wellington, New Zealand.
Philip WoodWaitemata District Health Board, Auckland, New Zealand.
Jay MagazinerFragility Fracture Network, c/o MCI Schweiz AG, Zürich, Switzerland.
David MarshFragility Fracture Network, c/o MCI Schweiz AG, Zürich, Switzerland.
Irewin TabuFragility Fracture Network, c/o MCI Schweiz AG, Zürich, Switzerland.
Cyrus CooperInternational Osteoporosis Foundation, Nyons, Switzerland.
Philippe HalboutInternational Osteoporosis Foundation, Nyons, Switzerland.
Muhammad Kassim JavaidNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Kristina ÅkessonInternational Osteoporosis Foundation, Nyons, Switzerland.
Anastasia Soulié MlotekInternational Osteoporosis Foundation, Nyons, Switzerland.
Eric Brûlé-ChampagneInternational Osteoporosis Foundation, Nyons, Switzerland.
Roger HarrisOsteoporosis New Zealand, Wellington, New Zealand.
Accident Compensation Corporation · NZUniversity of Auckland · NZMinistry of Health · NZThe University of Sydney · AUUNSW Sydney · AUAuckland City Hospital · NZChristchurch Clinical Studies Trust · NZIngham Institute · AULogan Hospital · AULund University · SENelson Marlborough Institute of Technology · NZNeuroscience Research Australia · AUNuffield Orthopaedic Centre · GBPhilippine General Hospital · PHStatistics New Zealand · NZUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Maryland, Baltimore · US

Funding

Medical Research Council G0400491Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_PC_21003Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1
6 · The paper itself

Abstract

This narrative review describes efforts to improve the care and prevention of fragility fractures in New Zealand from 2012 to 2022. This includes development of clinical standards and registries to benchmark provision of care, and public awareness campaigns to promote a life-course approach to bone health. PURPOSE: This review describes the development and implementation of a systematic approach to care and prevention for New Zealanders with fragility fractures, and those at high risk of first fracture. Progression of existing initiatives and introduction of new initiatives are proposed for the period 2022 to 2030.

methodsIn 2012, Osteoporosis New Zealand developed and published a strategy with objectives relating to people who sustain hip and other fragility fractures, those at high risk of first fragility fracture or falls and all older people. The strategy also advocated formation of a national fragility fracture alliance to expedite change.

resultsIn 2017, a previously informal national alliance was formalised under the Live Stronger for Longer programme, which includes stakeholder organisations from relevant sectors, including government, healthcare professionals, charities and the health system. Outputs of this alliance include development of Australian and New Zealand clinical guidelines, clinical standards and quality indicators and a bi-national registry that underpins efforts to improve hip fracture care. All 22 hospitals in New Zealand that operate on hip fracture patients currently submit data to the registry. An analogous approach is ongoing to improve secondary fracture prevention for people who sustain fragility fractures at other sites through nationwide access to Fracture Liaison Services.

conclusionWidespread participation in national registries is enabling benchmarking against clinical standards as a means to improve the care of hip and other fragility fractures in New Zealand. An ongoing quality improvement programme is focused on eliminating unwarranted variation in delivery of secondary fracture prevention.

Indexed as

Hip FracturesOsteoporosisOsteoporotic FracturesAgedAustraliaHumansNew ZealandSecondary PreventionFracture liaison serviceFragility fractureRegistrySystematic approach

Identifiers

PMID35917039
PMCPMC9344235
OpenAlexW4289522007

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.