Evidence map›Paper›PMID 41641076›Full record

ReviewJBMR plus2026

Time to reframe osteoporosis: a position statement to characterize the osteoporosis care gap.

Zoe Paskins, Laurna Bullock, Ashley Hawarden, Fiona Blackman, David J Armstrong, Ida Bentley, Emma M Clark, Robin M Daly, Deborah David, Valerie Farr and 22 more

Erratum issuedAbstract readReview
In one paragraph

Review in JBMR plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Zoe PaskinsCentre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.ORCID https://orcid.org/0000-0002-7783-2986
Laurna BullockCentre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.ORCID https://orcid.org/0000-0002-4193-1835
Ashley HawardenCentre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Fiona BlackmanIntegrated Musculoskeletal Service Solihull Community, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2GW, United Kingdom.
David J ArmstrongAltnagelvin Hospital, Department of Rheumatology, Western Heath and Social Care Trust, Londonderry, BT47 5, United Kingdom.ORCID https://orcid.org/0000-0002-1583-8602
Ida BentleyPublic Contributor from Keele University Research User Group, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Emma M ClarkMusculoskeletal Research Unit, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, BS8 1QU, United Kingdom.ORCID https://orcid.org/0000-0001-8332-9052
Robin M DalyInstitute for Physical Activity and Nutrition, Deakin University, Melbourne, Victoria 3125, Australia.
Deborah DavidDeborah David Nutrition, Richmond, TW12 2NA, United Kingdom.
Valerie FarrPublic contributor, Royal Osteoporosis Society, Bath, BA2 3BH, United Kingdom.
Dan FlowerPublic Contributor from Keele University Research User Group, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Celia L GregsonMusculoskeletal Research Unit, Bristol Medical School, Faculty of Health Sciences, University of Bristol, Bristol, BS8 1QU, United Kingdom.ORCID https://orcid.org/0000-0001-6414-0529
Jill GriffinUniversity Hospitals Plymouth, Department of Radiology, Plymouth, PL6 8DH, United Kingdom.
Barbara HauserRheumatology Department, Western General Hospital, Edinburgh, EX4 2XU, United Kingdom.ORCID https://orcid.org/0000-0003-2693-1957
Muhammad Kassim JavaidNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford.ORCID https://orcid.org/0000-0001-7985-0048
Clare JinksCentre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Rose JonesCentre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Chelsea KettleCentre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Emily LamPublic Contributor from Keele University Research User Group, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Sarah LeylandRoyal Osteoporosis Society, Bath, BA2 3BH, United Kingdom.
Janice McKinleyPublic contributor, Royal Osteoporosis Society, Bath, BA2 3BH, United Kingdom.
Elaine NichollsKeele Clinical Trials Unit/Centre for Musculoskeletal Health Research, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Terence W O'NeillCentre for Epidemiology Versus Arthritis, University of Manchester, Manchester, M13 9PT, United Kingdom.
Terence Ong Ing WeiDepartment of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Malaysia.
Opinder SahotaDepartment of HCOP, Medicine Division, Nottingham University Hospitals NHS Trust, Nottingham, NG5 1PB, United Kingdom.
Ken PooleDepartment of Medicine, University of Cambridge, Cambridge, CB2 0AW, United Kingdom.
Stuart RalstonCentre for Genomic and Experimental Medicine, MRC Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, EX4 2XU, United Kingdom.ORCID https://orcid.org/0000-0002-2804-7586
Carmelinda RuggerioDepartment of Medicine and Surgery, University of Perugia, Perugia, 1 - 06132 - PERUGIA, Italy.
Kanta SandhuPublic Contributor from Keele University Research User Group, School of Medicine, Keele University, Keele, ST5 5BG, United Kingdom.
Caroline SanganRoyal Osteoporosis Society, Bath, BA2 3BH, United Kingdom.
Corinne TurnbullPublic contributor, Royal Osteoporosis Society, Bath, BA2 3BH, United Kingdom.
Nic VinePublic contributor, Royal Osteoporosis Society, Bath, BA2 3BH, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis, a condition marked by increased fracture risk, remains under-diagnosed and under-treated worldwide, resulting in a substantial "treatment gap"-the difference between those eligible for osteoporosis treatment and those who actually receive it. While the concept of closing the treatment gap is commendable, and has galvanized clinical and policy efforts, this position statement argues that the prevailing narrative is in danger of becoming disease-focused and parentalistic, neglecting person-centered care. An international consensus group, including public contributors with lived experience were convened to define and characterize the "osteoporosis care gap" as a broader framework, encompassing deficits not only in pharmacological treatment but also in diagnosis, assessment, and multi-disciplinary management. The care gap is thus defined as "the discrepancy between the care provided to those at risk of osteoporotic fractures and best practice, person-centered care

Indexed as

adherencecare gapfractureosteoporosistreatment gap

Identifiers

PMID41641076
PMCPMC12866924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.