Evidence map›Paper›PMID 31880071›Full record

ArticleOrthopaedic surgery2020

Bone Turnover Markers and Bone Mineral Density to Predict Osteoporotic Fractures in Older Women: A Retrospective Comparative Study.

Xiao-Long Qu, Bo Zheng, Tian-Yi Chen, Zong-Rui Cao, Bo Qu, Tao Jiang

Open access · goldAbstract readComparative Study
In one paragraph

Article in Orthopaedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
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

17 citing papers in PubMed, 34 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Xiao-Long QuChengdu Medical College, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Bo ZhengChengdu Medical College, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Tian-Yi ChenChengdu Medical College, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Zong-Rui CaoDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Bo QuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Tao JiangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
First Affiliated Hospital of Chengdu Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the clinical significance of the detection of bone mineral density (BMD) and bone turnover markers (BTM) in older women with osteoporosis, and to compare their predictive power for osteoporotic fractures (OF).

methodsIn this retrospective study, 96 patients with OF and 107 patients with osteoporosis who were hospitalized in the Department of Orthopedics at the First Affiliated Hospital of Chengdu Medical College were examined from October 2017 to February 2019. All selected patients were divided into either the fracture group (96 cases, 47.3%) or the non-fracture group (107 cases, 52.7%). BMD was measured by dual-energy X-ray absorptiometry (DXA). BTM were detected by electrochemical luminescence: aminoterminal propeptide of type I procollagen (PINP), β-cross-linked C-telopeptide of type I collagen (β-CTX), and molecular fragment of osteocalcin N terminal (N-MID). Bone metabolism-related indicators were detected, including alkaline phosphatase (ALP), calcium (Ca), and phosphorus (P). Independent-samples t-tests were used to compare the measurement data between the two groups, one-way ANOVA to compare the gaps between groups, and binary logistic regression to analyze the correlation of BMD and BTM with OF.

resultsThere were no significant differences in age, weight, height, body mass index, age, and time of menopause between the two groups. There were a total of 71 cases (35.0%) in group A (60-70 years), 80 cases (39.4%) in group B (71-80 years), and 52 cases (25.6%) in group C (81-90 years). The fracture group was compared with the non-fracture group for BMD in the lumbar (0.75 ± 0.05 vs 0.88 ± 0.13, 0.75 ± 0.16 vs 0.87 ± 0.09, 0.74 ± 0.21 vs 0.87 ± 0.12 g/cm

conclusionOsteoporotic older women, with lower bone density and higher β-CTX, are more likely to incur OF. β-CTX is better than BMD at predicting OF and can help in its management and in implementing interventions in high-risk populations.

Indexed as

Bone DensityBone RemodelingAgedAged, 80 and overBiomarkersFemaleHumansMiddle AgedOsteoporosis, PostmenopausalOsteoporotic FracturesRetrospective StudiesBiomarkersBone mineral densityBone turnover markersOlder womenOsteoporotic fractures

Identifiers

PMID31880071
PMCPMC7031572
OpenAlexW2998286767

What Socratic holds

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LicenceCC BY
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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 Socratic graph.