Evidence map›Paper›PMID 36527534›Full record

ArticleArchives of osteoporosis2022

Osteoporotic fracture admissions compared to other major medical admissions in Irish public hospitals.

D O 'Sullivan, C Silke, B Whelan, B McGowan, M O 'Sullivan, J P McCabe, F Heaney, C Armstrong, A M Gsel, B Connaughton and 1 more

Abstract read
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In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

11 authors at 3 institutions in 1 country.

D O 'SullivanDepartment of Trauma and Orthopaedics, Galway University Hospitals, Galway, Ireland.
C SilkeSchool of Medicine, National University of Ireland, Galway, H91 V4AY, Ireland.
B WhelanSchool of Medicine, National University of Ireland, Galway, H91 V4AY, Ireland.
B McGowanSchool of Medicine, National University of Ireland, Galway, H91 V4AY, Ireland.
M O 'SullivanSchool of Medicine, National University of Ireland, Galway, H91 V4AY, Ireland.
J P McCabeDepartment of Trauma and Orthopaedics, Galway University Hospitals, Galway, Ireland.
F HeaneyDepartment of Rheumatology, Galway University Hospitals, Galway, Ireland.
C ArmstrongDepartment of Rheumatology, Galway University Hospitals, Galway, Ireland.
A M GselSchool of Medicine, National University of Ireland, Galway, H91 V4AY, Ireland.
B ConnaughtonDepartment of Rheumatology, Galway University Hospitals, Galway, Ireland.
J J CareySchool of Medicine, National University of Ireland, Galway, H91 V4AY, Ireland. John.j.carey@nuigalway.ie.ORCID http://orcid.org/0000-0001-7292-2328
Ollscoil na Gaillimhe – University of Galway · IEUniversity Hospital Galway · IENational University of Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multinational reports suggest Ireland has one of the greatest illness burdens related to osteoporosis. Hospital care represents the costliest portion of health services. We found public hospital bed days for fragility fractures in Ireland increased by 43% between 2008 and 2017 which exceeded those for other common diseases.

introductionRecent multinational reports suggest Ireland has one of the greatest illness burdens related to osteoporosis, manifesting clinically as fragility fractures (FF). International reports show that FF incidence, rate of hospital admission and cost are similar or greater than those for breast cancer, myocardial infarction and stroke. Studies addressing the illness burden of osteoporosis in Ireland are few, and none compares fragility fractures to other common chronic diseases.

methodsA retrospective analysis of national administrative data for all public hospital admissions was performed on adults aged 50 years and older from January 2008 to December 2017.

resultsIn 2017, public hospital bed days for FF totalled 249,887 outnumbering Chronic Obstructive Pulmonary Disease (COPD): 131,897; 6 solid cancers (CA): 118,098; myocardial infarction (MI): 83,477; and diabetes mellitus (DM): 31,044. Bed days for FF increased by 43% between 2008 and 2017, in contrast to a 32%, 28% and 31% reduction for CA, MI and DM, respectively, and a 12% increase for COPD. Public hospital bed days for FF in 2016 were greater than MI, stroke, atrial fibrillation and chest pain combined but less than a combination of COPD, pneumonia and lower respiratory tract infection.

conclusionOsteoporotic fractures represent a large and rapidly increasing illness burden amongst older Irish adults, with substantial care requirements and the resulting onus on our healthcare system. Urgent action is needed to address this public health issue and the services for those at risk of fracture.

Indexed as

Diabetes MellitusMyocardial InfarctionOsteoporosisOsteoporotic FracturesPulmonary Disease, Chronic ObstructiveStrokeAdultAgedAged, 80 and overHospitals, PublicHumansMiddle AgedRetrospective StudiesBurden of illnessFragility fracturesIrelandOsteoporosis

Identifiers

PMID36527534
OpenAlexW4312018905

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.