Evidence map›Paper›PMID 38633218›Full record

ArticleClinical epidemiology2024

Validity of Major Osteoporotic Fracture Diagnoses in the Danish National Patient Registry.

Anne Clausen, Sören Möller, Michael Kriegbaum Skjødt, Rasmus Bank Lynggaard, Pernille Just Vinholt, Martin Lindberg-Larsen, Jens Søndergaard, Bo Abrahamsen, Katrine Hass Rubin

Abstract read
In one paragraph

Article in Clinical epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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. Demographic and clinical differences between individuals with and without DXA scans in Denmark.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  2. Article
  3. Article
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  5. Article
  6. Parathyroid hormone and alkaline phosphatase are associated with fracture risk in non-dialysis-dependent chronic kidney disease.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  7. The recurrence of osteoporotic fractures among first- and second-generation immigrants in Sweden.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  8. Fracture trends in Denmark from 1997 to 2021.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  9. Article
  10. An enhanced Fracture Risk Evaluation Model (FREM) using national health data on morbidity and medications.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  11. Introducing FREMArchives of osteoporosis · 2025
    Article
  12. Article
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  14. Observational
  15. 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

9 authors.

Anne ClausenResearch Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-9027-2012
Sören MöllerResearch Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5045-536X
Michael Kriegbaum SkjødtResearch Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Rasmus Bank LynggaardDepartment of Clinical Biochemistry, Odense University Hospital, Odense, Denmark.
Pernille Just VinholtDepartment of Clinical Biochemistry, Odense University Hospital, Odense, Denmark.
Martin Lindberg-LarsenDepartment of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark.
Jens SøndergaardThe Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-1629-1864
Bo AbrahamsenResearch Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Katrine Hass RubinResearch Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the validity of diagnosis codes for Major Osteoporotic Fracture (MOF) in the Danish National Patient Registry (NPR) and secondly to evaluate whether the fracture was incident/acute using register-based definitions including date criteria and procedural codes. Methods: We identified a random sample of 2400 records with a diagnosis code for a MOF in the NPR with dates in the year of 2018. Diagnoses were coded with the 10th revision of the International Classification of Diseases (ICD-10). The sample included 2375 unique fracture patients from the Region of Southern Denmark. Medical records were retrieved for the study population and reviewed by an algorithmic search function and medical doctors to verify the MOF diagnoses. Register-based definitions of incident/acute MOF was evaluated in NPR data by applying date criteria and procedural codes. Results: The PPV for MOF diagnoses overall was 0.99 (95% CI: 0.98;0.99) and PPV=0.99 for the four individual fracture sites, respectively. Further, analyses of incident/acute fractures applying date criteria, procedural codes and using patients' first contact in the NPR resulted in PPV=0.88 (95% CI: 0.84;0.91) for hip fractures, PPV=0.78 (95% CI: 0.74;0.83) for humerus fractures, PPV=0.78 (95% CI: 0.73;0.83) for clinical vertebral fractures and PPV=0.87 (95% CI: 0.83;0.90) for wrist fractures. Conclusion: ICD-10 coded MOF diagnoses are valid in the NPR. Furthermore, a set of register-based criteria can be applied to qualify if the MOF fracture was incident/acute. Thus, the NPR is a valuable and reliable data source for epidemiological research on osteoporotic fractures.

Indexed as

algorithmic search functionepidemiologymajor osteoporotic fracturespositive predictive valuethe Danish National Patient Registervalidity

Identifiers

PMID38633218
PMCPMC11022871

What OpenQuestion holds

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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.