Evidence map›Paper›PMID 39261867›Full record

ArticleJournal of orthopaedic surgery and research2024

Analysis of the impact of underlying diseases in the elderly on postoperative re-fractures after osteoporotic compression fractures.

Bao Qi, Xiangqing Kong, Chunyang Meng, Qingwei Li

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Bao QiDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Gu Huai Road 89, Jining, 27200, Shandong, P.R. China.
Xiangqing KongDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Gu Huai Road 89, Jining, 27200, Shandong, P.R. China.
Chunyang MengDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Gu Huai Road 89, Jining, 27200, Shandong, P.R. China. 17661345209@163.com.
Qingwei LiDepartment of Spine Surgery, Affiliated Hospital of Jining Medical University, Gu Huai Road 89, Jining, 27200, Shandong, P.R. China. plasurg0618@163.com.

Funding

Jining City Bureau of Science and Technology 2023YXNS039
6 · The paper itself

Abstract

backgroundPostoperative refracture of osteoporotic compression fractures in the elderly due to underlying illnesses is a complicated matter involving several variables. A multidisciplinary approach involving orthopedics, geriatrics, endocrinology, and rehabilitation medicine is necessary for an investigation of these issues. investigating the impact of older patients' underlying medical conditions on the refracture of osteoporotic compression fractures following surgery.

methodsA retrospective analysis was conducted on 2383 patients between August 2013 and August 2023. 550 patients with comorbid geriatric underlying diseases were screened, 183 patients underwent refractories, and 367 patients were classified as non-refractories. The patients were then divided into two groups: those undergoing refractories and those not, and the underlying diseases of the patients in both groups were examined using ROC curves and unifactorial and multifactorial logistic regression analyses.

resultsAmong the patients gathered, the frequency of re-fracture was 33.3%. A statistically significant difference was observed when re-fracture was linked to patients with long-term alcohol consumption, operated vertebrae ≤ 1, hypertension, COPD, diabetes mellitus, stroke sequelae, conservative treatment of coronary heart disease, trauma, mental abnormality, scoliosis, and chronic renal disease. Having hypertension decreased the risk of re-fracture (P = 0.018, OR = 0.548), while alcohol intake ≥ 10years (P = 0.003, OR = 2.165), mental abnormality (P < 0.001, OR = 4.093), scoliosis (P < 0.001, OR = 6.243), chronic kidney disease (P = 0.002, OR = 2.208), and traumatic injuries (P = 0.029, OR = 3.512) were the risk factors examined in a binary logistic regression analysis. The results of multiple linear stepwise regression analysis indicated that re-fracture was more influenced by scoliosis.

conclusionsHypertensive disorders were protective factors against the formation of re-fracture, while alcohol intake usage for more than ten years, psychological abnormalities, scoliosis, chronic kidney disease, and trauma were risk factors. Scoliosis had the highest influence on re-fracture.

Indexed as

Fractures, CompressionOsteoporotic FracturesPostoperative ComplicationsAgedAged, 80 and overAlcohol DrinkingFemaleHumansHypertensionMaleRecurrenceRetrospective StudiesRisk FactorsSpinal FracturesElderlyOsteoporotic compression fractureRe-fractureUnderlying diseases

Identifiers

PMID39261867
PMCPMC11389243

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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.