Evidence map›Paper›PMID 36247199›Full record

ArticleClinical interventions in aging2022

Association Between Poor Nutritional Status and Increased Risk for Subsequent Vertebral Fracture in Elderly People with Percutaneous Vertebroplasty.

Xin-Yue Fang, Hao-Wei Xu, Hao Chen, Shu-Bao Zhang, Yu-Yang Yi, Xiao-Yong Ge, Shan-Jin Wang

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

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

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  13. Prognostic nutritional index and modified frailty index, independent risk factors for recompression in elderly patients with osteoporotic vertebral compression fractures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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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

7 authors at 1 institution in 1 country.

Xin-Yue FangDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Hao-Wei XuDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Hao ChenDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Shu-Bao ZhangDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Yu-Yang YiDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Xiao-Yong GeDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Shan-Jin WangDepartment of Spinal Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Shanghai East Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relationship between a poor nutritional state and the risk of fractures has not been investigated. This study aimed to investigate the ability of the Controlling Nutritional Status (CONUT) and Geriatric Nutritional Risk Index (GNRI) to predict the incidence of subsequent vertebral fracture (SVF) after percutaneous vertebroplasty (PVP). Methods: A total of 307 women and 138 men over 50 years old who underwent PVP for osteoporotic vertebral compression fracture (OVCF) were included. Blood biochemical indexes, body mass index (BMI), bone mineral density (BMD), physical function, and muscle strength were measured at baseline. Cox regression analysis was used to determine whether nutritional state was an independent predictor for SVF. Results: During follow-up, 35 (25.4%) men and 85 (27.7%) women suffered SVF. Patients with SVF had lower BMI, serum albumin levels, GNRI scores, grip strength, lumbar BMD, and Short-Physical Performance Battery (SPPB) scores and higher fall rates and CONUT scores (P < 0.05). Compared with normal nutrition, mild malnutrition was associated with higher risk for SVF (women: HR 2.37, p=0.001, men: HR 2.97, p=0.021 by GNRI; women: HR 2.36, p=0.005, men: HR 3.62, p=0.002 by CONUT) after adjusting for confounding factors. Those with moderate-severe malnutrition also had a higher risk of SVF. Kaplan-Meier analysis showed that poor nutrition state was significantly associated with lower SVF-free survival (P<0.05). The area under curve (AUC) for predicting SVF was 0.65 and 0.73 for the GNRI and 0.67 and 0.66 for the CONUT in men and women, respectively. Conclusion: GNRI and CONUT are simple and effective tools for predicting SVF in patients undergoing PVP. Health management and nutrition supplement after PVP is a potentially effective prevention strategy against SVF.

Indexed as

Fractures, CompressionMalnutritionOsteoporotic FracturesSpinal FracturesVertebroplastyAgedFemaleHumansMaleNutritional StatusRetrospective StudiesRisk FactorsSerum AlbuminSerum Albuminnutrition statusosteoporotic vertebral fracturepercutaneous vertebroplastysubsequent vertebral fracture

Identifiers

PMID36247199
PMCPMC9553503
OpenAlexW4304588255

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Registered trials

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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.