Evidence map›Paper›PMID 36692851›Full record

ArticleArchives of osteoporosis2023

Three-year outcomes of a fracture liaison service model at a university-based tertiary care hospital in Thailand.

Pojchong Chotiyarnwong, Nitchanant Kitcharanant, Ekasame Vanitcharoenkul, Chirathit Anusitviwat, Atthakorn Jarusriwanna, Worasit Suthutvoravut, Wararat Boonnasa, Aasis Unnanuntana

Open access · hybridAbstract read
In one paragraph

Article in Archives of osteoporosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Fracture liaison service evaluation during admission for fragility femur fracture increases rates of bone health intervention and outpatient follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
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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

8 authors at 5 institutions in 1 country.

Pojchong Chotiyarnwong *Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand.ORCID http://orcid.org/0000-0002-0287-222X
Nitchanant Kitcharanant *Department of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID http://orcid.org/0000-0002-5660-2743
Ekasame VanitcharoenkulDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand.ORCID http://orcid.org/0000-0002-3731-958X
Chirathit AnusitviwatDepartment of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.ORCID http://orcid.org/0000-0001-6730-7486
Atthakorn JarusriwannaDepartment of Orthopaedics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand.ORCID http://orcid.org/0000-0002-3919-8195
Worasit SuthutvoravutDepartment of Orthopedics, Bhumibol Adulyadej Hospital, Bangkok, Thailand.
Wararat BoonnasaDepartment of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Aasis UnnanuntanaDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkok Noi, Bangkok, 10700, Thailand. uaasis@gmail.com.ORCID http://orcid.org/0000-0002-5742-298X
Siriraj Hospital · THBhumibol Adulyadej Hospital · THChiang Mai University · THNaresuan University · THPrince of Songkla University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fragility hip fracture (FHF) is a serious complication of osteoporosis. A fracture liaison service (FLS) is crucial in preventing FHF. Our retrospective data of 489 patients with FHF and 3-year follow-ups demonstrated that the FLS improved functional outcomes. Our study's mortality rates were lower than in other published series. PURPOSE: This study assessed the 3-year outcomes after fragility hip fracture (FHF) treatment by a multidisciplinary team from the Siriraj Fracture Liaison Service (Si-FLS). The review investigated the administration rates of anti-osteoporosis medication, refracture, and mortality; activities of daily living; mobility; and health-related quality of life.

methodsA retrospective review was performed of the records of Si-FLS patients given FHF treatment between June 2016 and October 2018. The outcomes were evaluated at 3 time points: before discharge, and 1 and 3 years after treatment.

resultsThe study enrolled 489 patients (average age, 78). The mortality and refracture rates at 1 year after hip fracture were 13.9% and 1.6%, respectively. At the 3-year follow-up, both rates were higher (20.4% and 5.7%, respectively). The Barthel Index and EuroQoL Visual Analogue Scale had risen to a plateau at the 1-year follow-up and remained stable to the 3-year follow-up. One year after treatment, approximately 60% of the patients could ambulate outdoors, and the proportion remained steady until the 3-year follow-up. There was no difference in the 1- and 3-year follow-up anti-osteoporosis medication administration rates (approximately 40%).

conclusionsThis study confirms the benefits of having a multidisciplinary FLS care team to manage older people with FHF. An FLS improves the care of patients with FHF and the social support of caregivers and relatives. The FLS maintained the functional outcomes of the patients through 3 years of postfracture treatment.

Indexed as

Bone Density Conservation AgentsHip FracturesOsteoporosisOsteoporotic FracturesActivities of Daily LivingAgedHumansQuality of LifeRetrospective StudiesSecondary PreventionTertiary Care CentersThailandUniversitiesBone Density Conservation AgentsAnti-osteoporosisFracture liaison service (FLS)Fragility hip fracture (FHF)Functional outcomesMortality rateRefracture rate

Identifiers

PMID36692851
PMCPMC9873743
OpenAlexW4317838233

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.