Evidence map›Paper›PMID 41195583›Full record

ArticleScandinavian journal of primary health care2026

Reduced Risk of Recurrent Fragility Fractures After a Primary Care-Based Fracture Prevention Intervention: A 20-Year Non-Randomized Controlled Follow-Up Study in Women Aged 70-100.

Moses Sjölander, Lisa Alvunger, Robert Eggertsen, Anna Lindgren, Ulrica Mölstad, Ferdinando Petrazzuoli, Anna Segernäs, Hans Thulesius, Pär Wanby, Daniel Albertsson

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 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

10 authors.

Moses SjölanderDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Lisa AlvungerDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Robert EggertsenRegion Västra Götaland, Research, Education, Development and Innovation, Primary Health Care, Gothenburg, Sweden.ORCID 0000-0003-3807-3769
Anna LindgrenCentre for Mathematical Sciences, Lund University, Lund, Sweden.ORCID 0000-0002-3839-2498
Ulrica MölstadDepartment of Research & Development, Region Kronoberg, Växjö, Sweden.
Ferdinando PetrazzuoliSchool of Specialization in Community Medicine and Primary Care, University of Naples "Federico II", Naples, Italy.ORCID 0000-0003-1058-492X
Anna SegernäsPrimary Health Care Centre Ekholmen, Linköping and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0001-8111-7742
Hans ThulesiusDepartment of Research & Development, Region Kronoberg, Växjö, Sweden.ORCID 0000-0002-3785-5630
Pär WanbyDepartment of Medicine and Optometry, Linnaeus University, Kalmar, Sweden.ORCID 0000-0001-8538-6800
Daniel AlbertssonDepartment of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Sweden 70,000 people suffer fragility fractures annually, including 16,000 hip fractures with one-year mortality of up to 25%. Strategies to prevent falls, improve physical function, and enhance bone strength have shown mixed results.

aimTo evaluate the incidence of hip and other fragility fractures following a fracture prevention intervention and assess baseline risk factors for long-term fracture outcomes.

methods1,233 rural Swedish women aged 70-100 years in 2002 were followed until 2021 after a primary care-based, non-randomized graded fracture prevention intervention 2002-2004 that included physical activity, fall prevention, and pharmacological treatment tailored to hip fracture risk. Fractures were identified through radiology reports 2002-2021.

resultsThe most common fractures occurred in the hip with 236 women sustaining 268 hip fractures with highest incidence in women aged 90-94 years. One-year hip fracture mortality was 27%. Hip fractures occurred in 17.7% of the intervention group (77/434) and 19.9% of controls (159/799,

conclusionsWe noticed a non-significant reduction in hip fractures after 20 years, yet repeated fractures were less frequent in the intervention group suggesting a potential long-term benefit. Older, taller and lighter women were at greater risk for hip fracture.

Indexed as

Accidental FallsHip FracturesOsteoporotic FracturesPrimary Health CareSecondary PreventionAgedAged, 80 and overExerciseFemaleFollow-Up StudiesHumansIncidenceRecurrenceRisk FactorsRural PopulationSwedenfracture preventionfragility fractureship fractureslongitudinal studiesosteoporosisPrimary health carerisk factors

Identifiers

PMID41195583
PMCPMC12918357

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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.