Evidence map›Paper›PMID 41115975›Full record

ArticleScientific reports2025

A machine learning tool for predicting newly diagnosed osteoporosis in primary healthcare in the Stockholm Region.

Per Wändell, Axel C Carlsson, Per Swärd, Julia Eriksson, Johan Ärnlöv, Andreas Rosenblad, Caroline Wachtler, Toralph Ruge

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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.

Per WändellDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, NVS Department, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Solna, Huddinge, Sweden.
Axel C CarlssonDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, NVS Department, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Solna, Huddinge, Sweden. axel.carlsson@ki.se.
Per SwärdClinical and Molecular Osteoporosis Research Unit, Departments of Orthopedics and Clinical Sciences, Skåne University Hospital, Lund University, Malmö, Sweden.
Julia ErikssonDivision of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Johan ÄrnlövDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, NVS Department, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Solna, Huddinge, Sweden.
Andreas RosenbladDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, NVS Department, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Solna, Huddinge, Sweden.
Caroline WachtlerDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, NVS Department, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Solna, Huddinge, Sweden.
Toralph RugeDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, NVS Department, Karolinska Institutet, Alfred Nobels Allé 23, 141 83, Solna, Huddinge, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving accuracy and timeliness for osteoporosis diagnosis could help prevent fragility fractures, morbidity, and mortality for older individuals. Osteoporosis is an often silent health condition, especially as regards vertebral fractures, and WHO issued a call to action for primary care to lead efforts in screening, assessing, and managing diseases such as osteoporosis. We used a machine learning method, Stochastic Gradient Boosting (SGB), to identify what diagnoses in a primary care setting predict a new osteoporosis diagnosis, using a sex- and age-matched case-control design. Cases of new osteoporosis (ICD-10 code: M80, M81, M82) were identified across all outpatient care settings during 2012-2019. We included individuals aged ≥ 40 years old, stratified by sex and age-groups 40-65 years and > 65 years old. Controls were sampled from outpatients that did not have osteoporosis at any time during 2010-2019. Using the SGB model, we ranked the most important diagnoses related to newly diagnosed osteoporosis, presented as the normalized relative influence (NRI) score with a corresponding odds ratio of marginal effects (OR

Indexed as

Boosting Machine Learning AlgorithmsOffice VisitsOsteoporosisPredictive Learning ModelsPrimary Health CareAdultAgedArea Under CurveCase-Control StudiesFemaleHumansMaleMiddle AgedOdds RatioPrediction AlgorithmsRisk AssessmentMachine learningOsteoporosisPrimary careVertebral fractures

Identifiers

PMID41115975
PMCPMC12537854

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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.