Evidence map›Paper›PMID 40204330›Full record

Observational studyBMJ open2025

Associations among health-related quality of life, mental resilience and social support in patients early after surgery for osteoporotic vertebral compression fractures: a longitudinal study.

Anqi Wang, Cui Wu, Di Tang, Jianghan Zhao, Shuo Yang, Hai Qin Fang, Liying Jiang

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

  1. Review
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4 · The record

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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

7 authors.

Anqi Wang *Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Cui Wu *Department of Non-Communicable Disease, Shanghai Baoshan Center of Disease Prevention and Control, Baoshan, Shanghai, China.
Di Tang *College of Public Health, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Jianghan ZhaoCollege of Public Health, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Shuo YangCollege of Public Health, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Hai Qin Fang *Department of Nutrition Division, China National Center for Food Safety Risk Assessment, Beijing, China.ORCID http://orcid.org/0000-0002-4987-7888
Liying Jiang *Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai, China J_meili@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to explore the profile of health-related quality of life (HRQoL) of postoperative osteoporotic vertebral compression fracture (OVCF) patients through a longitudinal investigation, especially in the early postoperative phase, discern the effect of mental resilience and social support on postoperative HRQoL and further explore the mechanisms by which mental resilience exerts influences on HRQoL.

designThis longitudinal observational study was conducted to examine the HRQoL of OVCF patients during the early postoperative period. Data collection occurred at three distinct time points: baseline assessment on postoperative day 1 (T1), followed by subsequent evaluations at 1 month (T2) and 3 months (T3) postsurgery.

settingZhoupu Hospital, in Shanghai, China.

participantsA total of 155 postoperative OVCF patients completed the baseline survey, with 150 and 140 participants completing the follow-up at T2 and T3. OUTCOME MEASURES: Primary end-point variables were HRQoL, mental resilience and social support. Secondary end-point outcomes included demographic data and disease-related information.

resultsThe baseline data indicated that the average age of participants was 69.6 years, ranging from 53 to 92 years, with females accounting for 69.0%. There was no significant difference in demographic characteristics, such as age, gender and other factors, between the follow-up and the lost (p>0.05). Although the level of HRQoL, mental resilience and social support still remain at relatively lower levels at three separate times, they gradually elevated with time. Both mental resilience (r=0.293, p<0.01) and social support (r=0.257, p<0.01) demonstrated significant positive correlations with HRQoL. Multiple linear regression analysis at T3 identified smoking history (β=-0.137, p<0.001), gender (β=-0.154, p<0.001) and diabetes (β=0.126, p=0.001) as independent factors for postoperative HRQoL. Longitudinal mediation analysis suggests that social support exerted an indirect effect on HRQoL through mental resilience (β=1.017, p<0.001).

conclusionsMental resilience and social support are strongly intertwined with HRQoL of OVCF patients after surgery in the early postoperative stage. Notably, social support exerts its beneficial effects on HRQoL through enhanced mental resilience in this critical postoperative period. Targeted interventions should be implemented to optimise social support networks and cultivate psychological resilience, which may substantially improve postoperative HRQoL outcomes.

Indexed as

Fractures, CompressionOsteoporotic FracturesQuality of LifeResilience, PsychologicalSocial SupportSpinal FracturesAgedAged, 80 and overChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedPostoperative PeriodAdult orthopaedicsAgedQuality of LifeSocial SupportSpine

Identifiers

PMID40204330
PMCPMC11987136

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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.