Evidence map›Paper›PMID 40474101›Full record

SynthesisBMC musculoskeletal disorders2025

Prognostic assessment of sarcopenia in patients with fractures: a systematic review and meta-analysis.

Hejie Zheng, Tianhong Wang, Zhuoyang Li, Huimin Lu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. 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

4 authors.

Hejie ZhengDepartment of Urology, Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, University of Electronic Science and Technology of China, Chengdu, 610072, China.
Tianhong WangDepartment of Clinical Research, West China Hospital, Sichuan University, Chengdu, 610041, China.
Zhuoyang LiSchool of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China.ORCID http://orcid.org/0009-0003-1631-3634
Huimin LuCenter of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, 610041, Sichuan Province, China. hm.lu@scu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, the prevalence of sarcopenia is on the rise. Sarcopenia may significantly affect the prognosis of fracture patients by increasing postoperative complications, diminishing quality of life, and raising mortality rates. This studyaims to investigate the impact of sarcopenia on the prognosis of fractures.

methodsA systematic search was carried out in PubMed, Embase, Cochrane Library, and Web of Science using the keywords "sarcopenia" and "fracture" from the inception of each database to January 14, 2025. The logarithm and its standard error of the odds ratio (OR) were calculated to assess the effect size. Sensitivity analysis was conducted using a one-by-one exclusion approach. Publication bias was evaluated through funnel plots, Egger's test, Begg's test, and the trim and fill method.

resultsOur pooled analysis of data from 30 studies, comprising 32 datasets, demonstrated that sarcopenia significantly elevated the risk of poor prognosis in fracture patients (OR 1.51, 95% CI 1.24-1.85), particularly, the risk of refracture (OR 1.66, 95% CI 1.36-2.03). In hip fractures, sarcopenia similarly increased the risk of poor prognosis (OR 1.43, 95% CI 1.17-1.76), refracture (OR 1.54, 95% CI 1.21-1.96) and poor functional recovery (OR 2.13, 95% CI 1.41-3.21).

conclusionSarcopenia plays a crucial role as a risk factor for poor prognosis in patients with fractures, including both an elevated risk of mortality, refracture and poor functional recovery. This necessitates that clinical workers place greater emphasis on the identification and diagnosis of sarcopenia in practice, deliver enhanced clinical care tailored to fracture patients, conduct more prospective studies, and advocate for the global standardization of sarcopenia diagnostic criteria in the future.

Indexed as

Fractures, BoneSarcopeniaHumansPrognosisRisk FactorsFractureMeta-analysisMortalityPrognosisRefractureSarcopenia

Identifiers

PMID40474101
PMCPMC12142896

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.