Evidence map›Paper›PMID 30938111›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2019

Dementia is Associated with an Increased Risk of Hip Fractures: A Nationwide Analysis in Korea.

Jae Hyuen Jeon, Jeong Hoon Park, Chungkun Oh, Jae Kyung Chung, Jeong Yun Song, Seongheon Kim, Seung Hwan Lee, Jae Won Jang, Young Ju Kim

Abstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Circulating neurodegenerative brain injury markers and hip fracture and fall hospitalizations: the Cardiovascular Health Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  4. Brain-Bone Axis in Physiological and Pathological Conditions.International journal of molecular sciences · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Dementia and the Risk of Hip Fracture.Journal of clinical neurology (Seoul, Korea) · 2020
    Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jae Hyuen JeonDepartment of Statistics, Kangwon National University, Chuncheon, Korea.
Jeong Hoon ParkDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Chungkun OhDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Jae Kyung ChungDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Jeong Yun SongDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Seongheon KimDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Seung Hwan LeeDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Jae Won JangDepartment of Neurology, Kangwon National University School of Medicine, Kangwon National University Hospital, Chuncheon, Korea. light26@kangwon.ac.kr.
Young Ju KimDepartment of Statistics, Kangwon National University, Chuncheon, Korea. ykim7stat@kangwon.ac.kr.

Funding

Korea Health Industry Development Institute HI18C0479National Research Foundation of Korea 2014M3C7A1064752
6 · The paper itself

Abstract

background and purposeDementia has been reported to be associated with an increased risk of hip fracture, but few case-control studies have been performed to actually confirm this. This study investigated the association between dementia and hip fracture by comparing the risk of hip fracture between subjects with and without dementia.

methodsWe examined a population-based matched cohort from the National Health Insurance Service-Senior Cohort data set that covers approximately half a million recipients of medical insurance in South Korea. Subjects with new clinically verified dementia during 2003-2007 were included, and five subjects without dementia were matched for age, sex, and index year to each subject with dementia as the controls. The risk of hip fracture for dementia was evaluated up to 2015 using Cox regression analysis.

resultsDuring the 12-year follow-up period, 284 subjects with dementia (10.66%) and 603 subjects without dementia (4.53%) experienced hip fractures. Dementia was independently associated with a higher risk of hip fracture [hazard ratio (HR)=2.840, 95% CI=2.449-3.293] and the adjusted HR for hip fracture in the subjects with dementia was highest within 2 years after the initial diagnosis (HR=2.862, 95% CI=2.053-3.990).

conclusionsThis study found that dementia could be an independent risk factor for hip fracture even at the early stage. This necessitates consideration of the future risk of falls and balance deficits in terms of physical activity after a diagnosis of dementia.

Indexed as

dementiafracturehip

Identifiers

PMID30938111
PMCPMC6444145

What Socratic 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 Socratic graph.