Evidence map›Paper›PMID 38565791›Full record

ArticleArchives of osteoporosis2024

Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association.

Joon Kiong Lee, Paul James Mitchell, Seng Bin Ang, Leilani Basa Mercado-Asis, Reynaldo Rey-Matias, Jianan Li, Leon Flicker, Edward Leung, David Choon, Sankara Kumar Chandrasekaran and 20 more

Abstract read
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In one paragraph

Article in Archives of osteoporosis, 2024. 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
1.1field-weighted citation impact, top 24% 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, 2 citations in OpenAlex.

  1. 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

30 authors at 20 institutions in 16 countries.

Joon Kiong LeeBeacon Hospital, Department of Orthopedics, Petaling Jaya, Malaysia. osteoporosis_jklee@yahoo.com.
Paul James MitchellSchool of Medicine, University of Notre Dame Australia, Sydney, Australia.
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.
Jianan LiAsia-Oceanian Society of Physical and Rehabilitation Medicine, Kowloon, Hong Kong SAR, China.
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, Reinacherstrasse 131, 4053, Basel, Switzerland.
Hannah SeymourFragility Fracture Network, Reinacherstrasse 131, 4053, Basel, Switzerland.
Cyrus CooperInternational Osteoporosis Foundation, Nyon, Switzerland.
Philippe HalboutInternational Osteoporosis Foundation, Nyon, Switzerland.
Robert Daniel BlankInternational Society for Clinical Densitometry, Middletown, CT, USA.
Yanling ZhaoInternational Society for Clinical Densitometry, Middletown, CT, USA.
Rajesh MalhotraDepartment of Orthopaedics, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Aasis UnnanuntanaDepartment of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Yew Lok WooDepartment of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore.
Zairin NoorDepartment of Orthopaedic and Traumatology, Ulin General Hospital, Banjarmasin, Indonesia.
Rong-Sen YangDepartment of Orthopaedic Surgery, National Taiwan University & Hospital, Taipei, Taiwan.
Irewin TabuDepartment of Orthopedics, University of the Philippines-Philippine General Hospital, Manila, Philippines.
Syed Shahidul IslamDepartment of Orthopaedics and Spine Surgery, Evercare Hospital, Dhaka, Bangladesh.
Muhammad Amin ChinoyDepartment of Trauma and Orthopaedics, The Indus Hospital, Korangi Crossing, Karachi, Pakistan.
Sonali PandeTerritory Sportsmedicine, Darwin, NT, Australia.
Buland ThapaDepartment of Orthopaedics and Trauma, Nepal Academy of Science and Technology, Bir Hospital, Kathmandu, Nepal.
Ronald Man Yeung WongDepartment of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, China.
Ketan PandeDepartment of Orthopaedics, RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam.
Ding-Cheng Derrick ChanDepartment of Geriatrics and Gerontology and Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. dingchengchan@ntu.edu.tw.
Asia Pacific Fragility Fracture Alliance and the Asia Pacific Osteoporosis and Fragility Fracture Society
University of Malaya · MYAll India Institute of Medical Sciences · INBreast Cancer Network Australia · AUChinese University of Hong Kong · CNFiona Stanley Hospital · AUHong Kong Sanatorium and Hospital · HKIndus Hospital · PKInternational Society for Clinical Densitometry · USKK Women's and Children's Hospital · SGMahidol University · THMedical College of Wisconsin · USNanjing Medical University · CNNational Taiwan University Hospital · TWNepal Academy of Science and Technology · NPNorthern Territory Health Services · AUPhilippine General Hospital · PHPhilippine Heart Center · PHRaja Isteri Pengiran Anak Saleha Hospital · BNSingapore General Hospital · SGSquare Hospitals · BD

Funding

Amgen Fragility Fracture Society.Amgen The Asia Pacific Orthopaedic Association received sponsorship from Amgen Asia to support the activities of the Asia Pacific Fragility Fracture Alliance (APFFA). This publication was drafted independently by APFFAAmgen the Asia Pacific Osteoporosis
6 · The paper itself

Abstract

A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region. A Call to Action is proposed to improve acute care, rehabilitation and secondary fracture prevention across Asia Pacific. PURPOSE: Fragility fractures impose a substantial burden on older people and their families, healthcare systems and national economies. The current incidence of hip and other fragility fractures across the Asia Pacific region is enormous and set to escalate rapidly in the coming decades. This publication describes findings of a survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association (APOA) conducted in 2022.

methodsThe survey was developed as a collaboration between the Asia Pacific Osteoporosis and Fragility Fracture Society and the Asia Pacific Fragility Fracture Alliance, and included questions relating to aspects of care upon presentation, during surgery and mobilisation, secondary fracture prevention, and access to specific services.

resultsIn total, 521 APOA members completed the survey and marked variation in delivery of care was evident. Notable findings included: Fifty-nine percent of respondents indicated that analgesia was routinely initiated in transit (by paramedics) or within 30 minutes of arrival in the Emergency Department. One-quarter of respondents stated that more than 80% of their patients underwent surgery within 48 hours of admission. One-third of respondents considered non-hip, non-vertebral fractures to merit assessment of future fracture risk. One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service.

conclusionA Call to Action for all National Orthopaedic Associations affiliated with APOA is proposed to improve the care of fragility fracture patients across the region.

Indexed as

OrthopedicsOsteoporotic FracturesAgedApolipoproteins AAsiaHumansSurveys and QuestionnairesApolipoproteins AFracture liaison serviceFragility fractureOrthogeriatricsOsteoporosisSystematic approach

Identifiers

PMID38565791
OpenAlexW4393407860

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.