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. 2013 Dec;59(12):e564-e571.

Table 1.

Proportion of patients from each study with normal test results, osteopenia, and osteoporosis, as well as descriptive data extracted from the studies: N = 20.

STUDY NO. AUTHOR, YEAR COUNTRY SETTING NO. OF BMD TEST RESULTS BMD TEST RESULTS
2 OR MORE SELECTION FACTORS OF POTENTIAL INFLUENCE*
NORMAL, % OSTEOPENIA, % OSTEOPOROSIS, %
1 Schmid et al,30 2004 Switzerland Outpatient fracture clinic 29 0 28 72
2 Sidwell et al,31 2004 New Zealand Orthogeriatric rehabilitation ward 158 4 17 79
3 Becker et al,29 2006 United States Orthopedic and rehabilitation inpatient wards 61 7 23 70
4 Hegeman et al,32 2005 The Netherlands Outpatient fracture clinic 100 13 20 67
5 Astrand et al,33 2006 Sweden Emergency department and orthopedic inpatient ward 239 13 45 42 X
6 Mulherin et al,34 2003 United Kingdom Emergency department 91 14 34 52
7 Chevalley et al,35 2002 Switzerland Orthopedic inpatient ward and outpatient clinic 242 14 45 41
8 Hegeman et al,36 2004 The Netherlands Departments of surgery and traumatology 94 15 34 51
9 Levasseur et al,37 2007 France Orthopedic inpatient ward 32 16 50 34
10 Rozental et al,28 2008 United States Orthopedic outpatient clinic 32 16 50 34 X
11 Gallacher,38 2005 United Kingdom Orthopedic and trauma departments NR 17 46 37
12 Harrington et al,39 2005 United States Orthopedic inpatient ward and outpatient clinic 154 18 50 32
13 McLellan et al,26 2003 United Kingdom Emergency department, orthopedic inpatient ward, and fracture clinic 2077 18 42 40
14 van Helden et al,27 2008 The Netherlands Emergency department and orthopedic inpatient ward 568 21 44 35 X
15 Majumdar et al,40 2007 Canada Orthopedic surgery department 120 21 34 45
16 Harrington and Lease,41 2007 United States Orthopedic inpatient ward and outpatient clinic 232 2 57 21
17 Kuo et al,42 2007 Australia Outpatient fracture clinic 135 24 46 30 X
18 Majumdar et al,43 2008 Canada Emergency and fracture clinics 95 28 52 20 X
19 Cuddihy et al,44 2004 United States Orthopedic inpatient ward and outpatient clinic 42 29 50 21 X
20 Majumdar et al,45 2004 Canada Emergency department 42 31 17 52

BMD—bone mineral density, NR—not reported.

*

Selection factors of potential bias included study of wrist fractures only, younger age, study sample not restricted to fragility fractures (ie, might have included moderate-trauma fractures but no high-trauma fractures), and BMD testing received as part of an integrated program (ie, more people with normal BMD might have been tested).