Evidence map›Paper›PMID 40780283›Full record

ArticleZeitschrift fur Orthopadie und Unfallchirurgie2026

Mapping the Clinical Care Pathway of Fragility Fracture Patients at a German Maximum Care Provider Through Qualitative Research.

Gábor Köhalmi, Patrick Dirks, Dorian Fass, Romy Bley, Hans Derk Pannen, Ralf Kuhlen, Andreas Bollmann, Nina Voigt, Clayton Kraft

Abstract read
In one paragraph

Article in Zeitschrift fur Orthopadie und Unfallchirurgie, 2026. 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

9 authors.

Gábor KöhalmiHelios Health Institute, Berlin, Germany.
Patrick DirksHelios Health Institute, Berlin, Germany.
Dorian FassHelios Health Institute, Berlin, Germany.
Romy BleyRWE, UCB Pharma GmbH, Monheim am Rhein, Germany.
Hans Derk PannenMedical Strategy, UCB Pharma GmbH, Monheim am Rhein, Germany.
Ralf KuhlenHelios Health Institute, Berlin, Germany.
Andreas BollmannHelios Health Institute, Berlin, Germany.
Nina VoigtClinic for Orthopedics, Trauma- and Hand Surgery, HELIOS Klinikum Krefeld, Krefeld, Germany.
Clayton KraftClinic for Orthopedics, Trauma- and Hand Surgery, HELIOS Klinikum Krefeld, Krefeld, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis is a chronic underdiagnosed condition that weakens bone structure with increased risk of fragility fractures. While the prevalence of osteoporosis is expected to increase due to demographic developments in many countries, there is found to be a serious treatment gap for patients. This is partly due to inadequate diagnostic procedures at healthcare facilities. Considering this, there is a need to understand factors that affect processes involving diagnosis and treatment in osteoporotic patients. This study's primary aim is to explore the management of patients with fragility fractures and osteoporosis by conducting and analyzing semi-structured interviews with healthcare professionals at a German maximum care provider. Insights from the interviews were used to map out the pathway of clinical care for patients and the results suggest a multitude of factors including disease awareness, communication, and up-to-date information to be particularly important for increased treatment quality. Future studies shall focus on improving generalizability and exploring the effectiveness of recently updated guidelines for management of osteoporosis.

Indexed as

Critical PathwaysOsteoporosisOsteoporotic FracturesAgedFemaleGermanyHumansMaleMiddle AgedQualitative Research

Identifiers

PMID40780283
PMCPMC12911323

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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.