Evidence map›Paper›PMID 39429504›Full record

ArticleAdvances in orthopedics2024

Regular Nonsteroidal Anti-Inflammatory Drug Use Increases Stress Fracture Risk in the General Population: A Retrospective Case-Control Study.

Alexandra Ciuciu, Christopher Mulholland, Michael A Bozzi, Chris C Frymoyer, Leonardo Cavinatto, David Yaron, Marc I Harwood, Jeremy D Close, Christopher J Mehallo, Ryan E Tomlinson

Abstract read
In one paragraph

Article in Advances in orthopedics, 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. Review
  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

10 authors.

Alexandra CiuciuDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.ORCID https://orcid.org/0000-0001-6047-6332
Christopher MulhollandDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.
Michael A BozziDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.
Chris C FrymoyerDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.
Leonardo CavinattoDepartment of Orthopaedic Surgery, William Beaumont University Hospital, Corewell Health, Royal Oak 48073, MI, USA.
David YaronDepartment of Sports Medicine, The Rothman Orthopaedic Institute, Philadelphia 19107, PA, USA.
Marc I HarwoodDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.
Jeremy D CloseDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.
Christopher J MehalloDepartment of Sports Medicine, The Rothman Orthopaedic Institute, Philadelphia 19107, PA, USA.
Ryan E TomlinsonDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia 19107, PA, USA.ORCID https://orcid.org/0000-0002-6713-6047

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have shown that the use of nonsteroidal anti-inflammatory drugs (NSAIDs) is associated with increased stress fracture risk. This phenomenon has been studied predominantly in high-activity individuals, so data regarding the general population are limited despite the substantial economic and resource burden of stress fracture injuries within the general US population. Furthermore, our preclinical studies demonstrate that regular use of NSAIDs also diminishes the intrinsic ability of bone to resist fracture. To determine the association of regular NSAID use with stress fractures in the general population, we surveyed subjects presenting with either stress fracture or uncomplicated ankle sprain to assess their use of NSAIDs over the three months before their injury. We hypothesized that subjects with stress fractures would have increased regular NSAID usage as compared to controls. Subjects diagnosed with a stress fracture (

Identifiers

PMID39429504
PMCPMC11490349

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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.