Evidence map›Paper›PMID 40522395›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

Rehabilitation after pelvic fragility fracture in older adults: a scoping review.

Carina Carter, Stefanny Guerra, Lenise Clothier, Sophie Barlow, Rostislav Axenciuc, Rhian Milton-Cole, Xavier L Griffin, Katie Jane Sheehan

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 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. Fragility fractures of the pelvis and long-term outcomes among older adults with osteoporosis: a real-world cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  2. Review
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.

Carina CarterBarts Health NHS Trust, London, UK.
Stefanny GuerraBone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK.
Lenise ClothierBarts Health NHS Trust, London, UK.
Sophie BarlowRoyal National Orthopaedic Hospital NHS Trust, London, UK.
Rostislav AxenciucBarts Health NHS Trust, London, UK.
Rhian Milton-ColeBone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK.
Xavier L GriffinBone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK.
Katie Jane SheehanBone and Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary, University of London, London, UK. k.sheehan@qmul.ac.uk.ORCID http://orcid.org/0000-0002-5325-7454

Funding

NIHR Barts Biomedical Research Centre, Queen Mary University of London NIHR203330
6 · The paper itself

Abstract

introductionTo synthesise the evidence available on components of reported rehabilitation interventions following pelvic fragility fracture in older adults and describe outcomes measured.

methodsA scoping review reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Scoping Review extension. A systematic search of Cochrane CENTRAL, Embase, MEDLINE, and PEDro for studies of rehabilitation among patients 60 years and older with non-pathological pelvic fragility fractures, published up to May 2024. Single case studies were excluded. Screening and study selection were completed in duplicate by four independent reviewers. One reviewer completed extraction with accuracy checked by a second reviewer. A narrative synthesis approach was employed with text and tables.

resultsA total of 17 studies reporting on rehabilitation after pelvic fragility fracture were identified. For 13 studies, descriptors were limited to mobilisation strategies, with 9 citing unrestricted mobilisation as the first prescription. Three studies reporting multicomponent, multidisciplinary (physiotherapy-led) rehabilitation interventions across inpatient and community settings, incorporating exercise, psychological components, and education/advice were identified. A total of 31 outcome domains were identified, with key domains including pain, mobility, activities of daily living, quality of life, and mortality. There was an absence of consensus on which patient reported outcome instruments to use to measure relevant domains.

conclusionsThere is overall limited evidence to guide rehabilitation for older adults following fragility fracture of the pelvis. A standardised approach to rehabilitation should be designed which improves outcomes which matter most to those people affected.

Indexed as

Osteoporotic FracturesPelvic BonesActivities of Daily LivingAgedExercise TherapyHumansPhysical Therapy ModalitiesQuality of LifeExerciseFragility fractureMobilisationOccupational therapyPhysiotherapy

Identifiers

PMID40522395

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.