ArticleArchives of osteoporosis2026
Trend in DXA examination rates and the prevalence of osteoporosis in patients with distal radius fractures at a trauma flagship hospital.
Article in Archives of osteoporosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Distal radius fractures may indicate underlying osteoporosis. In 856 surgical patients ≥ 50 years, DXA testing rose from 19.0 to 85.7%; 64.5% had osteoporosis and 36.3% had fracture risk. Many were previously untreated. Routine DXA screening for all DRF patients ≥ 50, including men, may enable early treatment and secondary fracture prevention. PURPOSES: The objective was to investigate the dual-energy X-ray absorptiometry (DXA) examination rate, osteoporosis diagnosis rate, and osteoporosis severity in distal radius fracture (DRF) at a trauma flagship hospital.
methodsWe retrospectively examined 856 DRF patients aged 50 years or older (723 women, 133 men; mean 71.8 years) who underwent surgery between 2007 and 2025. We evaluated the presence of DXA testing, osteoporosis diagnosis (T-score ≤ -2.5SD), and osteoporosis with high fracture risk, including (1) L-spine T-score < -3.3SD, (2) T-score ≤ -2.5SD with at least one fragility fracture, (3) two or more vertebral fractures, or (4) semiquantitative grade 3 vertebral fracture. Subgroup comparisons were according to sex, age, and mechanism of injury (low vs. high energy). The chi-square test and Cochran-Armitage test were used for statistical analysis.
resultsDXA implementation rate was 31.0% and increased significantly from 19.0% in 2007 to 85.7% in 2025. This rate was significantly higher in women (34.2%) than men (13.5%). Of those tested, 64.5% were diagnosed with osteoporosis (women 65.2%, men 55.6%). Osteoporosis was observed in over half of patients even in 50 s (57.1%) and with high-energy injuries (56.5%). Among osteoporosis patients, 81.9% had not received prior treatment for osteoporosis, and 90% of untreated cases subsequently initiated treatment. Fracture risk was estimated in 36.3% of osteoporosis cases.
conclusionThese results revealed a high prevalence of latent osteoporosis, regardless of age, sex, or injury mechanism. DXA testing should be recommended to prevent secondary fragility fractures for all DRF patients aged 50 and older, including males.
Indexed as
Identifiers
42091785What OpenQuestion holds
Registered trials
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.