Evidence map›Paper›PMID 35987919›Full record

ReviewArchives of osteoporosis2022

Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region.

Paul James Mitchell, Seng Bin Ang, Leilani Basa Mercado-Asis, Reynaldo Rey-Matias, Wen-Shiang Chen, Leon Flicker, Edward Leung, David Choon, Sankara Kumar Chandrasekaran, Jacqueline Clare Therese Close and 14 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

24 authors at 19 institutions in 12 countries.

Paul James MitchellSchool of Medicine, University of Notre Dame Australia, Sydney, Australia.ORCID http://orcid.org/0000-0002-7439-0369
Seng Bin AngAsian Federation of Osteoporosis Societies, c/o KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore.
Leilani Basa Mercado-AsisAsian Federation of Osteoporosis Societies, c/o KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore.
Reynaldo Rey-MatiasAsia-Oceanian Society of Physical and Rehabilitation Medicine, Kowloon, Hong Kong SAR, China.
Wen-Shiang ChenAsia-Oceanian Society of Physical and Rehabilitation Medicine, Kowloon, Hong Kong SAR, China.ORCID http://orcid.org/0000-0003-1488-5164
Leon FlickerAsia Pacific Geriatric Network, Virtual Network, Perth, Australia.
Edward LeungAsia Pacific Geriatric Network, Virtual Network, Perth, Australia.
David ChoonAsia Pacific Orthopaedic Association, Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
Sankara Kumar ChandrasekaranAsia Pacific Orthopaedic Association, Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
Jacqueline Clare Therese CloseFragility Fracture Network, c/o MCI Schweiz AG, Zurich, Switzerland.
Hannah SeymourFragility Fracture Network, c/o MCI Schweiz AG, Zurich, Switzerland.
Cyrus CooperInternational Osteoporosis Foundation, Nyons, Switzerland.
Philippe HalboutInternational Osteoporosis Foundation, Nyons, Switzerland.
Robert Daniel BlankInternational Society for Clinical Densitometry, Middletown, CT, USA.ORCID http://orcid.org/0000-0003-2950-1944
Yanling ZhaoInternational Society for Clinical Densitometry, Middletown, CT, USA.
Jae-Young LimDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.
Irewin TabuDepartment of Orthopedics, University of the Philippines - Philippine General Hospital, Manila, Philippines.ORCID http://orcid.org/0000-0001-5952-128X
Maoyi TianThe George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5660-8571
Aasis UnnanuntanaDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Ronald Man Yeung WongDepartment of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0001-5615-6627
Noriaki YamamotoDepartment of Orthopaedic Surgery, Niigata Rehabilitation Hospital, Niigata, Japan.
Ding-Cheng ChanDepartment of Geriatrics and Gerontology and Department of Internal Medicine, National Taiwan University Hospital, No. 1, Changde St, Taipei, Taiwan. dingchengchan@ntu.edu.tw.
Joon Kiong LeeDepartment of Orthopaedics, Beacon Hospital, 1, Jalan 215, Section 51, Off Jalan Templer, 46050, Petaling Jaya, Selangor, Malaysia. osteoporosis_jklee@yahoo.com.ORCID http://orcid.org/0000-0002-4215-1689
Asia Pacific Fragility Fracture Alliance
KK Women's and Children's Hospital · SGNational Taiwan University Hospital · TWUniversity of Malaya · MYAdventist University of the Philippines · PHBeijing United Family Hospital · CNBreast Cancer Network Australia · AUChinese University of Hong Kong · HKFiona Stanley Hospital · AUGarvan Institute of Medical Research · AUHarbin Medical University · CNNiigata University of Rehabilitation · JPNuffield Orthopaedic Centre · GBPhilippine General Hospital · PHSeoul National University Bundang Hospital · KRSiriraj Hospital · THThe University of Western Australia · AUUniversiti Tun Abdul Razak · MYUniversity Hospital Southampton NHS Foundation Trust · GBUNSW Sydney · AU

Funding

Medical Research Council G0400491Medical Research Council MC_PC_21000Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015
6 · The paper itself

Abstract

This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations 'Decade of Healthy Ageing'. PURPOSE: This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region.

methodsThe review focuses on published studies, reports and quality improvement initiatives undertaken during the period July 2019 to May 2022.

resultsEpidemiological studies conducted in countries and regions throughout Asia Pacific highlight the current and projected increasing burden of fragility fractures. Recent studies and reports document a persistent and pervasive post-fracture care gap among people who have sustained fragility fractures. Global initiatives developed by the Fragility Fracture Network and International Osteoporosis Foundation have gained significant momentum in the Asia Pacific region, despite the disruption caused by the COVID-pandemic. The Asia Pacific Fragility Fracture Alliance has developed educational resources including a Hip Fracture Registry Toolbox and a Primary Care Physician Education Toolkit. The Asia Pacific Osteoporosis and Fragility Fractures Society-a new section of the Asia Pacific Orthopaedic Association-is working to engage orthopaedic surgeons across the region in the care and prevention of fragility fractures. The Asia Pacific Consortium on Osteoporosis developed a framework to support national clinical guidelines development groups. Considerable activity at the national level is evident in many countries across the region.

conclusionDevelopment and implementation of national Road Maps informed by the findings of this review are urgently required to respond to the epidemiological emergency posed by fragility fractures during the United Nations 'Decade of Healthy Ageing'.

Indexed as

COVID-19OsteoporosisOsteoporotic FracturesAsiaHumansQuality ImprovementSecondary PreventionFracture liaison serviceFragility fractureOrthogeriatricsOsteoporosisSystematic approach

Identifiers

PMID35987919
PMCPMC9392505
OpenAlexW4292450708

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.