Evidence map›Paper›PMID 40495971›Full record

SynthesisFrontiers in medicine2025

Does atrial fibrillation increase the risk of fractures? A systematic review and meta-analysis.

Wei Chen, Yuyu Zhang, Huaze Xie, Haiyi Guo, Yangfan Gong, Zhuohao Yin, Kai Zhao, Wei Ge

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Wei ChenDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.
Yuyu ZhangDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.
Huaze XieDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.
Haiyi GuoSargent College of Health and Rehabilitation Science, Boston University, Boston, MA, United States.
Yangfan GongDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.
Zhuohao YinDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.
Kai ZhaoDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.
Wei GeDepartment of General Practice, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shannxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: We have observed in clinical practice that patients with fractures often have concomitant atrial fibrillation. However, it remains unclear whether atrial fibrillation increases the risk of bone fracture. A meta-analysis was performed to investigate the association between atrial fibrillation and fracture. Methods: PubMed and Cochrane Library were searched for relevant studies from 1 January 1943 to 31 December 2024 that compared the prevalence of fracture in atrial fibrillation group with non-atrial fibrillation group. Results: A total of five cohort studies with 187,868 participants met all the eligibility criteria for our study. A total of 835 people suffered a fracture in atrial fibrillation group and 6,512 in non-atrial fibrillation group. The overall risk of fractures was non-statistically higher in patients with 5.4% (835/15,395) in atrial fibrillation group and 3.8% (6,512/172,473) in non-atrial fibrillation group. Analysis of included studies observed non-significant association between atrial fibrillation and fractures [odds ratio (OR) = 1.17, 95% confidence interval (CI) = 0.60-2.29, Conclusion: The evidence indicated that Asians with atrial fibrillation were more prone to fractures. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/myprospero, identifier CRD42018107794.

Indexed as

Asiansatrial fibrillationcohort studyfracturemeta-analysis

Identifiers

PMID40495971
PMCPMC12149180

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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.