Evidence map›Paper›PMID 38681999›Full record

ArticleJBMR plus2024

An Emergency Department-based system intervention to improve osteoporosis screening for older adults at high-risk of fracture.

Lesley E Jackson, Rachel M Skains, Amy Mudano, Norma Techarukpong, James S Booth, Kenneth G Saag, Liana Fraenkel, Maria I Danila

Abstract read
In one paragraph

Article in JBMR plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Lesley E JacksonDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.
Rachel M SkainsDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.
Amy MudanoDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.
Norma TecharukpongDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.
James S BoothDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.
Kenneth G SaagDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.
Liana FraenkelSection of Rheumatology, Allergy and Immunology, Yale School of Medicine, New Haven, CT 06510, United States.
Maria I DanilaDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.

Funding

Rehabilitation Research Resource to Enhance Clinical Trials (ReACT)P2CHD086851 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BAMMAN, MARCAS M · 2015 to 2019
$7.1M
Methods and Health Informatics CoreP30AR072583 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JEFFREY R. CURTIS · 2020 to 2026
$5.7M
Training Program in Rheumatic and Musculoskeletal Diseases ResearchT32AR069516 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI John D Mountz · 2016 to 2026
$2.6M
AHRQ HHS T32 HS013852NIAMS NIH HHS P30 AR072583NIAMS NIH HHS T32 AR069516NICHD NIH HHS P2C HD086851
6 · The paper itself

Abstract

Falls and osteoporosis are risk factors for fragility fractures. Bone mineral density (BMD) assessment is associated with better preventative osteoporosis care, but it is underutilized by those at high fracture risk. We created a novel electronic medical record (EMR) alert-driven protocol to screen patients in the Emergency Department (ED) for fracture risk and tested its feasibility and effectiveness in generating and completing referrals for outpatient BMD testing after discharge. The EMR alert was configured in 2 tertiary-care EDs and triggered by the term "fall" in the chief complaint, age (≥65 years for women, ≥70 years for men), and high fall risk (Morse score ≥ 45). The alert electronically notified ED study staff of potentially eligible patients. Participants received osteoporosis screening education and had BMD testing ordered. From November 15, 2020 to December 4, 2021, there were 2,608 EMR alerts among 2,509 patients. We identified 558 patients at high-risk of fracture who were screened for BMD testing referral. Participants were excluded for: serious illness (

Indexed as

DXAfracture preventionfracture risk assessmentosteoporosisscreening

Identifiers

PMID38681999
PMCPMC11055962

What OpenQuestion holds

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LicenceCC BY-NC
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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.