Observational studyArchives of osteoporosis2023
Risk of osteoporotic fracture and refracture: the importance of index fracture site.
Observational study 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 8 papers.
What it found
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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.
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.
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Who cites it
8 citing papers in PubMed.
- Identification of factors predictive of contralateral secondary hip fractures in patients after initial hip fracture - A prospective observational study.Bone reports · 2026Article
- MRI-Based Inter-Vertebral Signal Concordance Index Is a Risk Factor of Osteoporotic Vertebral Compression Fracture: A Novel Index Inspired by Entropy.Orthopaedic surgery · 2026Article
- Impact of the FLS model on patients with major fracture in Gran Canaria: 2018-2022 experience.Archives of osteoporosis · 2025Article
- Antiresorptive injections in older adult patients with prior osteoporotic fractures: a real-world observational study.Archives of osteoporosis · 2025Observational
- Prediction of subsequent fragility fractures: application of machine learning.BMC musculoskeletal disorders · 2024Article
- Who should care about the patient's next fracture? A treatment gap after shoulder fractures in the elderly.Acta orthopaedica · 2023Article
- A clinical study on the surgical treatment of simple multiple rib fractures in older adult patients.Journal of thoracic disease · 2023Article
- Osteoporosis: Spotlight on current approaches to pharmacological treatment.Turkish journal of physical medicine and rehabilitation · 2023Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The current study shows that patients aged 50 or more who have sustained an osteoporotic fracture have a significant risk of suffering a new fracture. Refracture risk is also increased when anatomic site of both index and subsequent fracture are the same. PURPOSE: The purpose of this study is to describe the profile of a patient sustaining a fragility fracture, the influence of the initial or index fracture on subsequent fracture risk and the role that anatomic site of index and subsequent fracture play on fracture risk.
methodsIn this retrospective observational cohort study, individuals aged ≥ 50 years who sustained at least one clinical fragility fracture were identified from the public health service register between January 1, 2014, and December 31, 2015. Two separate analysis cohorts were identified. Group 1 (index FF) included patients that sustained at least one clinical fragility fracture during the study period. Group 2 (subsequent FF) included those patients from group 1 who sustained at least one clinical subsequent fracture during the following 2 years after index fracture.
resultsA total of 11,986 fractures constituted group 1 (index FF), and 792 constituted group 2 (subsequent FF). The incidence of subsequent fractures was 6.61%, with a major percentage of them (36.99%) identified within the first 6 months following index FF. Hip was the most frequent site for index (30.09%) and subsequent fracture (34.85%). We found an increased risk mainly when anatomic site of index and subsequent FF are the same.
conclusionsSustaining a subsequent fracture after an index fracture is a common event in the population over age 50, more commonly occurring within 6 months of index fracture. Analysis of fracture site correlation shows that refracture risk is increased mainly when index and subsequent fracture site are the same.
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Registered trials
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