Evidence map›Paper›PMID 41198933›Full record

ReviewNature reviews. Rheumatology2026

WHO benchmarks for equitable hip-fracture care and osteoporosis treatment in older people.

Manju Chandran, Jotheeswaran A Thiyagarajan, Majed Alokail, Olivier Bruyère, Nicholas C Harvey, Rene Rizzoli, Nicola Veronese, Jean-Yves Reginster

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Regional data, global lessons: what the Asia-Pacific osteoporosis audit teaches the world.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
  5. Review
  6. Engineered bone-targetingMaterials today. Bio · 2026
    Article
  7. Consensus statement on the application of artificial intelligence in osteoporosis screening and management: perspectives from the Asia-Pacific region.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
  8. Article
  9. Indole derivatives intervene osteoporosis via gut-bone axis.Frontiers in cellular and infection microbiology · 2026
    Review
  10. 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.

Manju ChandranOsteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0001-9119-8443
Jotheeswaran A ThiyagarajanAgeing and Health Unit, Department of Maternal, Newborn, Child, Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland. amuthavallithiya@who.int.
Majed AlokailWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Olivier BruyèreWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.
Nicholas C HarveyWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0002-8194-2512
Rene RizzoliWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0002-1537-422X
Nicola VeroneseWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.ORCID http://orcid.org/0000-0002-9328-289X
Jean-Yves ReginsterWHO Collaborating Centre for Epidemiology of Musculoskeletal Health and Aging, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip fractures cause major morbidity, mortality and long-term disability among older persons worldwide. The World Health Organization has defined two key indicators within the framework of the UN Decade of Healthy Ageing to measure health system performance in providing care for older adults with hip fractures: the proportion who receive surgery within 48 h of fracture; and the proportion who receive pharmacological treatment for osteoporosis post-fracture. This Perspective article, which describes the clinical importance of these indicators, their amenability for adoption and implications for health equity, is based on findings from audits, guidelines and key literature. Numerous evidence-based solutions - for example, fracture liaison services, orhtogeriatric care models and digital tools support hip-fracture management, yet major barriers remain, such as data gaps, system preparedness and pathway variability. New or modified policies developed by national governments, ministries of health and other relevant authorities and tailored to specific geopolitical contexts are urgently needed to enable the implementation of timely surgical care and secondary fracture prevention strategies aligned with the WHO indicators. Improved health information systems to measure performance and to ensure translation to real-world changes in the lives of older people worldwide are of paramount importance.

Indexed as

BenchmarkingHealth EquityHip FracturesOsteoporosisOsteoporotic FracturesAgedBone Density Conservation AgentsHumansWorld Health OrganizationBone Density Conservation Agents

Identifiers

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.