Table 1.
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).