Evidence map›Paper›PMID 33605046›Full record

ArticleJournal of diabetes investigation2021

Association of hip fractures with cardiometabolic-renal risk factors in Southern Chinese patients with type 2 diabetes - the Hong Kong Diabetes Register.

Elaine Yun-Ning Cheung, Alice Pik-Shan Kong, Eric Siu-Him Lau, Elaine Yee-Kwan Chow, Andrea On-Yan Luk, Ronald Ching-Wan Ma, Tsz Ping Lam, Wayne Yuk-Wai Lee, Jack Chun-Yiu Cheng, Peter R Ebeling and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05613400 (The Effect of Simvastatin on Bone Density in Postmenopausal Women With Type 2 Diabetes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 57% 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.

NCT05613400 phase4unknown statusstarted 2022, after this paper: background citation

The Effect of Simvastatin on Bone Density in Postmenopausal Women With Type 2 Diabetes: a Double-blind, Randomized Active-comparator (Ezetimibe) Controlled Clinical Trial

Ran2022Enrolled240Registered outcomes7Posted comparisons0ConditionsDiabetes Mellitus, Type 2ArmsEzetimibe 10mg, Simvastatin 10mg
Open the trial in the graph
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

11 authors at 2 institutions in 3 countries.

Elaine Yun-Ning CheungDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-0517-7265
Alice Pik-Shan KongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.
Eric Siu-Him LauDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.
Elaine Yee-Kwan ChowDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-4147-3387
Andrea On-Yan LukDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-5244-6069
Ronald Ching-Wan MaDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-1227-803X
Tsz Ping LamSH Ho Scoliosis Research Laboratory, Department of Orthopaedics and Traumatology, Joint Scoliosis Research Center of the Chinese University of Hong Kong and Nanjing University, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, China.
Wayne Yuk-Wai LeeSH Ho Scoliosis Research Laboratory, Department of Orthopaedics and Traumatology, Joint Scoliosis Research Center of the Chinese University of Hong Kong and Nanjing University, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, China.
Jack Chun-Yiu ChengSH Ho Scoliosis Research Laboratory, Department of Orthopaedics and Traumatology, Joint Scoliosis Research Center of the Chinese University of Hong Kong and Nanjing University, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, China.
Peter R EbelingDepartment of Medicine and School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
Juliana Chung-Ngor ChanDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0003-1325-1194
Chinese University of Hong Kong · HKMonash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetes and bone health are closely related. We examined the incidence and risk factors of hip fractures in Chinese patients with type 2 diabetes (T2D). MATERIALS AND

methodsIn this prospective cohort, we consecutively enrolled 22,325 adults with T2D above the age of 40 years in the Hong Kong Diabetes Register between 1994 and 2015 with crude hip fracture incidence rate censored in 2017.

resultsAt baseline, the mean age of this cohort was 60.9 ± 10.5 years (mean duration of diabetes 6 years, 52.4% male). During a mean ± standard deviation (SD) follow-up period of 8.7 ± 5.2 years with 193,553 person-years, 603 patients were hospitalized due to hip fractures with an incidence (95% confidence interval, CI) of 315.1 (290.4-341.3) per 100,000 person-years. On multivariable analysis with competing death risk adjusted, the independent hazard ratios (95% CI) for hip fractures in T2D were 2.01 (1.61-2.51) for female sex, 1.08 (1.07-1.09) for age, 0.93 (0.90-0.95) for body mass index, 1.52 (1.25-1.85) for albuminuria and 1.12 (1.02-1.23) for low density lipoprotein-cholesterol. In men, the 30-day, 1-year and 5-year post-hip fracture mortality rate (95% CI) were 5.8 (2.4-9.1) %, 29.2 (22.3-35.5) % and 65.9 (57.3-72.8) % respectively. The corresponding rates in women were 3.4 (1.6-5.1) %, 18.6 (14.7-22.4) %, and 46.8 (40.9-52.1) %.

conclusionsSouthern Chinese patients with T2D have a high risk of hip fracture associated with suboptimal cardiometabolic-renal risk factors and a high post-fracture mortality rate. The effects of improving modifiable risk factors on bone health warrants further evaluation.

Indexed as

AdultAgedCardiovascular DiseasesDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHip FracturesHong KongHumansKidney DiseasesMaleMetabolic DiseasesMiddle AgedPrognosisProspective StudiesRisk FactorsCardiometabolic-renal risk factorsHip fracturesType 2 diabetes

Identifiers

PMID33605046
PMCPMC8409844
OpenAlexW3131431459

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.