Effect of clinical care pathways on quality of life and physical function after fragility fracture: A meta-analysis

Journal article


Talevski, Jason, Sanders, Kerrie M., Duque, Gustavo, Connaughton, Catherine, Beauchamp, Alison, Green, Darci, Millar, Lynne and Brennan-Olsen, Sharon L.. (2019). Effect of clinical care pathways on quality of life and physical function after fragility fracture: A meta-analysis. Journal of the American Medical Directors Association. 20(7), pp. 926.e1 - 926.e11. https://doi.org/10.1016/j.jamda.2019.02.022
AuthorsTalevski, Jason, Sanders, Kerrie M., Duque, Gustavo, Connaughton, Catherine, Beauchamp, Alison, Green, Darci, Millar, Lynne and Brennan-Olsen, Sharon L.
Abstract

Objectives To evaluate the effect of clinical care pathways (CCPs) on health-related quality of life (HRQoL) and physical function following fragility fracture and identify the specific characteristics of CCPs that are associated with improved outcomes. Design Systematic review and meta-analysis. Setting and participants Randomized controlled studies and nonrandomized studies that involved participants aged ≥50 years who sustained a fragility fracture, evaluated the effects of a CCP compared to usual care, and reported outcomes of HRQoL or physical function. Methods We systematically searched Ovid Medline, CINAHL, Embase, and the Cochrane Central Register of Controlled Trials from the earliest records to July 25, 2018. Two reviewers independently extracted study data and assessed methodologic quality. Results Overall, 22 studies (17 randomized controlled trials, 5 nonrandomized studies) were included, comprising 5842 participants. Twenty-one studies included hip fracture patients, and 1 included wrist fracture patients. Majority of studies (82%) were assessed as high quality. Meta-analyses showed moderate improvements in the CCP group for HRQoL [standardized mean difference (SMD) = 0.24, 95% confidence interval (CI) 0.12, 0.35] and physical function (SMD 0.21, 95% CI 0.10, 0.33) compared with usual care post hip fracture. Inpatient CCPs that extended to the outpatient setting showed greater improvements in HRQoL and physical function compared to CCPs that were only inpatient or outpatient. CCPs that included a care coordinator, geriatric assessment, rehabilitation, prevention of inpatient complications, nutritional advice, or discharge planning also showed greater improvements in outcomes. Conclusions and Implications Treatment with CCPs following fragility fracture showed greater improvements in HRQoL and physical function compared with usual care. Further research is warranted to assess the combination of CCP components that provide the most beneficial results, evaluate the effect of CCPs in patients with nonhip fractures, and determine which patient groups are more likely to benefit from CCPs.

Keywordsclinical care pathway; elderly; fragility fracture; quality of life; physical function
Year2019
JournalJournal of the American Medical Directors Association
Journal citation20 (7), pp. 926.e1 - 926.e11
PublisherElsevier Inc.
ISSN1525-8610
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jamda.2019.02.022
Scopus EID2-s2.0-85063936253
Page range926.e1 - 926.e11
Research GroupMary MacKillop Institute for Health Research
Publisher's version
File Access Level
Controlled
Place of publicationUnited States of America
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Sajjad, M. Amber, Holloway, Kara L., Kotowicz, Mark A., Livingston, Patricia M., Khasraw, Mustafa, Hakkennes, Sharon, Dunning, Trisha, Brumby, Susan, Page, Richard S., Pedler, Daryl, Sutherland, Alasdair, Venkatesh, Svetha, Brennan-Olsen, Sharon L., Williams, Lana J. and Pasco, Julie A.. (2016). Ageing, chronic disease and injury: A study in Western Victoria (Australia). Journal of Public Health Research. 5(2), pp. 81 - 86. https://doi.org/10.4081/jphr.2016.678
Non-hip and non-vertebral fractures: the neglected fracture sites
Holloway, Kara, Henry, Margaret, Brennan-Olsen, Sharon, Bucki-Smith, Gosia, Nicholson, Geoffrey Charles, Korn, S., Sanders, Kerrie, Pasco, Julie and Kotowicz, Mark. (2016). Non-hip and non-vertebral fractures: the neglected fracture sites. Osteoporosis International. 27(3), pp. 905 - 913. https://doi.org/10.1007/s00198-015-3322-8
Fracture prediction from repeat BMD measurements in clinical practice
Leslie, William D., Brennan-Olsen, Sharon L., Morin, Suzanne N. and Lix, Lisa M.. (2016). Fracture prediction from repeat BMD measurements in clinical practice. Osteoporosis International. 27(1), pp. 203 - 210. https://doi.org/10.1007/s00198-015-3259-y
DNA methylation and the social gradient of osteoporotic fracture: A conceptual model
Brennan-Olsen, Sharon L., Page, Richard S., Berk, Michael, Riancho, Jose A., Leslie, William D., Wilson, Scott G., Saban, Karen L., Janusek, Linda, Pasco, Julie A., Hodge, Jason M., Quirk, Shae E., Hyde, Natalie K., Hosking, Sarah M. and Williams, Lana J.. (2016). DNA methylation and the social gradient of osteoporotic fracture: A conceptual model. Bone. 84, pp. 204 - 212. https://doi.org/10.1016/j.bone.2015.12.015
The association between anxiety and falls: A meta-analysis
Hallford, David John, Nicholson, Geoffrey Charles, Sanders, Kerrie and McCabe, Marita Patricia. (2016). The association between anxiety and falls: A meta-analysis. Journal of Gerontology: Psychological Sciences. 00(00), pp. 1 - 13. https://doi.org/10.1093/geronb/gbv160
Therapy: New findings on vitamin D3 supplementation and falls-when more is perhaps not better
Sanders, Kerrie and Seibel, Markus J.. (2016). Therapy: New findings on vitamin D3 supplementation and falls-when more is perhaps not better. Nature Reviews Endocrinology. 12(4), pp. 190 - 191. https://doi.org/10.1038/nrendo.2016.29
Anxiety Disorders and falls among older adults
Holloway, Kara L., Williams, L. J., Brennan-Olsen, Sharon L., Morse, Amelia G., Kotowicz, Mark A., Nicholson, Geoffrey Charles and Pasco, Julie A.. (2016). Anxiety Disorders and falls among older adults. Journal of Affective Disorders. 205, pp. 20 - 27. https://doi.org/10.1016/j.jad.2016.06.052
Changes in bone mineral density in the year after critical illness
Orford, Neil R., Lane, Steven E., Bailey, Michael, Pasco, Julie A., Cattigan, Claire, Elderkin, Tania, Brennan-Olsen, Sharon L., Bellomo, Rinaldo, Cooper, David J. and Kotowicz, Mark A.. (2016). Changes in bone mineral density in the year after critical illness. American Journal of Respiratory and Critical Care Medicine. 193(7), pp. 736 - 744. https://doi.org/10.1164/rccm.201508-1514OC
Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: A multi-level study of Australian registry data
Brennan-Olsen, Sharon L., Page, Richard S., Lane, Steven E., Lorimer, Michelle, Buchbinder, Rachelle, Osborne, Richard H., Pasco, Julie A., Wluka, Anita E., Sanders, Kerrie M., Ebeling, Peter R. and Graves, Stephen E.. (2016). Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: A multi-level study of Australian registry data. BMC Musculoskeletal Disorders. 17(291), pp. 1 - 9. https://doi.org/10.1186/s12891-016-1134-4
Population prevalence of personality disorder and associations with physical health comorbidities and health care service utlization: A Review
Quirk, Shae E., Berk, Michael, Chanen, Andrew M., Koivumaa-Honkanen, Heli, Brennan-Olsen, Sharon L., Pasco, Julie A. and Williams, Lana J.. (2016). Population prevalence of personality disorder and associations with physical health comorbidities and health care service utlization: A Review. Personality Disorders: Theory, Research, and Treatment (print). 7(2), pp. 136 - 146. https://doi.org/10.1037/per0000148
Dietary protein intake and risk of type 2 diabetes: Results from the Melbourne Collaborative Cohort Study and a meta-analysis of prospective studies
Shang, Xianwen, Scott, David, Hodge, Allison M., English, Dallas R., Giles, Graham G., Ebeling, Peter R. and Sanders, Kerrie M.. (2016). Dietary protein intake and risk of type 2 diabetes: Results from the Melbourne Collaborative Cohort Study and a meta-analysis of prospective studies. American Journal of Clinical Nutrition. 104(5), pp. 1352 - 1365. https://doi.org/10.3945/ajcn.116.140954
Vitamin D and physical activity status : Associations with five-year changes in body composition and muscle function in community-dwelling older adults
Scott, David, Ebeling, Peter, Sanders, Kerrie, Aitken, Dawn, Winzenberg, Tania and Jones, Graeme. (2015). Vitamin D and physical activity status : Associations with five-year changes in body composition and muscle function in community-dwelling older adults. The Journal of Clinical Endocrinology and Metabolism. 100(2), pp. 670 - 678. https://doi.org/10.1210/jc.2014-3519
Editorial comment on "Psychology treatment trials for hypoactive sexual desire disorder: A sexual medicine critique and perspective"
McCabe, Marita P. and Connaughton, Catherine. (2015). Editorial comment on "Psychology treatment trials for hypoactive sexual desire disorder: A sexual medicine critique and perspective". Journal of Sexual Medicine. 12(12), pp. 2459 - 2460. https://doi.org/10.1111/jsm.13057
Validity of 12-month falls recall in community-dwelling older women participating in a clinical trial
Sanders, Kerrie M., Stuart, Amanda L., Scott, David, Kotowicz, Mark A. and Nicholson, Geoff C.. (2015). Validity of 12-month falls recall in community-dwelling older women participating in a clinical trial. International Journal of Endocrinology. https://doi.org/10.1155/2015/210527
The epidemiology of incident fracture from cradle to senescence
Pasco, Julie, Lane, Stephen, Brennan-Olsen, Sharon, Holloway, Kara, Timney, Elizabeth, Bucki-Smith, Gosia, Morse, Amelia, Dobbins, Amelia, Williams, Lana, Hyde, Natalie and Kotowicz, Mark. (2015). The epidemiology of incident fracture from cradle to senescence. Calcified Tissue International. 97(6), pp. 568 - 576. https://doi.org/10.1007/s00223-015-0053-y
Effectiveness of dual-task functional power training for preventing falls in older people : Study protocol for a cluster randomised controlled trial
Daly, Robin, Duckham, Rachel, Tait, Jamie, Rantalainen, Timo, Nowson, Caryl, Taaffe, Dennis, Sanders, Kerrie, Hill, Keith, Kidgell, Dawson and Busija, Ljoudmila. (2015). Effectiveness of dual-task functional power training for preventing falls in older people : Study protocol for a cluster randomised controlled trial. Trials (online). 16(120), pp. 1 - 15. https://doi.org/10.1186/s13063-015-0652-y
Humeral fractures in south-eastern Australia: Epidemiology and risk factors
Holloway, Kara, Bucki-Smith, Gosia, Morse, Amelia, Brennan-Olsen, Sharon, Kotowicz, Mark, Moloney, David, Sanders, Kerrie, Korn, S, Timney, Elizabeth, Dobbins, Amelia and Pasco, Julie. (2015). Humeral fractures in south-eastern Australia: Epidemiology and risk factors. Calcified Tissue International. 97(5), pp. 453 - 465. https://doi.org/10.1007/s00223-015-0039-9
Dietary a-linolenic acid and total omega-3 fatty acids are inversely associated with abdominal aortic calcification in older women, but not in older men
Shang, Xianwen, Sanders, Kerrie, Scott, David, Khan, Belal, Hodge, Allison, Khan, Nayab, English, Dallas, Giles, Graham and Ebeling, Peter. (2015). Dietary a-linolenic acid and total omega-3 fatty acids are inversely associated with abdominal aortic calcification in older women, but not in older men. The Journal of Nutrition. 145(8), pp. 1778 - 1786. https://doi.org/10.3945/jn.115.211789
Changes in gait performance over several years are associated with recurrent falls status in community-dwelling older women at high risk of fracture
Scott, David, McLaughlin, Patrick, Nicholson, Geoff C., Ebeling, Peter, Stuart, Amanda, Kay, Deborah and Sanders, Kerrie. (2015). Changes in gait performance over several years are associated with recurrent falls status in community-dwelling older women at high risk of fracture. Age and Ageing. 44(2), pp. 287 - 293. https://doi.org/10.1093/ageing/afu169
Effects of a targeted multimodal exercise program incorporating high-speed power training on falls and fracture risk factors in older adults: A community-based randomized controlled trial
Gianoudis, Jenny, Bailey, Christine A., Ebeling, Peter R., Nowson, Caryl A., Sanders, Kerrie M., Hill, Keith and Daly, Robin M.. (2014). Effects of a targeted multimodal exercise program incorporating high-speed power training on falls and fracture risk factors in older adults: A community-based randomized controlled trial. Journal of Bone and Mineral Research. 29(1), pp. 182 - 191. https://doi.org/10.1002/jbmr.2014
Associations between socioeconomic status and primary total knee joint replacements performed for osteoarthritis across Australia 2003-10: data from the Australian Orthopaedic Association National Joint Replacement Registry
Brennan, Sharon L., Lane, Stephen E., Lorimer, Michelle, Buchbinder, Rachelle, Wluka, Anita E., Page, Richard S., Osborne, Richard H., Pasco, Julie A., Sanders, Kerrie M., Cashman, Kara, Ebeling, Peter R. and Graves, Stephen E.. (2014). Associations between socioeconomic status and primary total knee joint replacements performed for osteoarthritis across Australia 2003-10: data from the Australian Orthopaedic Association National Joint Replacement Registry. BMC Musculoskeletal Disorders. 15(356), pp. 1 - 9. https://doi.org/10.1186/1471-2474-15-356
Sarcopenic obesity and dynapenic obesity: 5-year associations with falls risk in middle-aged and older adults
Scott, David, Sanders, Kerrie M., Aitken, Dawn, Hayes, Alan, Ebeling, Peter R. and Jones, Graeme. (2014). Sarcopenic obesity and dynapenic obesity: 5-year associations with falls risk in middle-aged and older adults. Obesity. 22(6), pp. 1568 - 1574. https://doi.org/10.1002/oby.20734
Efficacy and safety of oral methazolamide in patients with type 2 diabetes: A 24-week, placebo-controlled, double-blind study
Simpson, Richard W., Nicholson, Geoffrey C., Proietto, Joseph, Sarah, Alana, Sanders, Kerrie M., Phillips, Gabrielle, Chambers, Jo, MacGinley, Rob, Orford, Neil, Walder, Ken, Krippner, Guy, Skoff, Kathy and Wacher, Vincent J.. (2014). Efficacy and safety of oral methazolamide in patients with type 2 diabetes: A 24-week, placebo-controlled, double-blind study. Diabetes Care. 37(11), pp. 3121 - 3123. https://doi.org/10.2337/dc14-1038
Shining the Light on Sunshine: A systematic review of the influence of sun exposure on type 2 diabetes mellitus-related outcomes
Shore-Lorenti, Catherine, Brennan, Sharon L., Sanders, Kerrie M., Neale, Rachel E., Lucas, Robyn M. and Ebeling, Peter R.. (2014). Shining the Light on Sunshine: A systematic review of the influence of sun exposure on type 2 diabetes mellitus-related outcomes. Clinical Endocrinology. 81(6), pp. 799 - 811. https://doi.org/10.1111/cen.12567
Psychosocial factors associated with male sexual difficulties
McCabe, Marita and Connaughton, Catherine. (2014). Psychosocial factors associated with male sexual difficulties. Journal of Sex Research. 51(1), pp. 31 - 42. https://doi.org/10.1080/00224499.2013.789820
Serum selenium status in Graves' disease with and without orbitopathy: A case-control study
Khong, Jwu Jin, Goldstein, Rebecca F., Sanders, Kerrie M., Schneider, Hans, Pope, Jeffrey, Burdon, Kathryn P., Craigh, Jamie E., Ebeling, Peter R. and Peter, . (2014). Serum selenium status in Graves' disease with and without orbitopathy: A case-control study. Clinical Endocrinology. 80(6), pp. 905 - 910. https://doi.org/10.1111/cen.12392
Investigating the predictive ability of gait speed and quadriceps strength for incident falls in community-dwelling older women at high risk of fracture
Scott, David, Stuart, Amanda, Kay, Deborah, Ebeling, Peter, Nicholson, Geoffrey and Sanders, Kerrie. (2014). Investigating the predictive ability of gait speed and quadriceps strength for incident falls in community-dwelling older women at high risk of fracture. Archives of Gerontology and Geriatrics. 58(3), pp. 308 - 313. https://doi.org/10.1016/j.archger.2013.11.004
The prevalence of vitamin B12 deficiency in a random sample from the Australian population
Moore, Eileen, Pasco, Julie, Mander, Alastair, Sanders, Kerrie, Carne, Ross, Jenkins, Nicole, Black, Marion, Schneider, Hans, Ames, David and Watters, David. (2014). The prevalence of vitamin B12 deficiency in a random sample from the Australian population. Journal of Investigational Biochemistry. 3(3), pp. 95 - 100. https://doi.org/10.5455/jib.20140716041521
Undercarboxylated osteocalcin, muscle strength and indices of bone health in older women
Levinger, Itamar, Scott, David, Nicholson, Geoffrey, Stuart, Amanda, Duque, Gustavo, McCorquodale, Thomas, Herrmann, Markus, Ebeling, Peter and Sanders, Kerrie. (2014). Undercarboxylated osteocalcin, muscle strength and indices of bone health in older women. Bone. 64, pp. 8 - 12. https://doi.org/10.1016/j.bone.2014.03.008
How the Prevalence Rates of Male Sexual Dysfunction Vary Using Different Criteria
McCabe, Marita Patricia and Connaughton, Catherine. (2014). How the Prevalence Rates of Male Sexual Dysfunction Vary Using Different Criteria. International Journal of Sexual Health. 26(3), pp. 229 - 237. https://doi.org/10.1080/19317611.2013.873104
Is high dose Vitamin D harmful?
Sanders, Kerrie, Nicholson, Geoffrey and Ebeling, Peter. (2013). Is high dose Vitamin D harmful? Calcified Tissue International. 92(2), pp. 191 - 206. https://doi.org/10.1007/s00223-012-9679-1
Vitamin D and health in adults in Australia and New Zealand : A position statement
Nowson, Caryl A., McGrath, John J., Ebeling, Peter R., Haikerwal, Anjali, Daly, Robin M., Sanders, Kerrie M., Seibel, Markus J. and Mason, Rebecca S.. (2012). Vitamin D and health in adults in Australia and New Zealand : A position statement. Medical Journal of Australia. 196(11), pp. 686-687. https://doi.org/10.5694/mja11.10301
Osteo-cise: Strong Bones for Life: Protocol for a community-based randomised controlled trial of a multi-modal exercise and osteoporosis education program for older adults at risk of falls and fractures
Gianoudis, Jenny, Bailey, Christine A., Sanders, Kerrie M., Nowson, Caryl A., Hill, Keith, Ebeling, Peter R. and Daly, Robin M.. (2012). Osteo-cise: Strong Bones for Life: Protocol for a community-based randomised controlled trial of a multi-modal exercise and osteoporosis education program for older adults at risk of falls and fractures. BMC Musculoskeletal Disorders. 13(78), pp. 1 - 16. https://doi.org/10.1186/1471-2474-13-78
Vitamin D with calcium reduces mortality: Patient level pooled analysis of 70,528 patients from eight major vitamin D trials
Rejnmark, Lars, Avenell, Alison, Masud, Tahir, Anderson, Frazer, Meyer, Haakon E., Sanders, Kerrie M., Salovaara, Kari, Cooper, Cyrus, Smith, Helen E., Jacobs, Elizabeth T., Torgerson, David, Jackson, Rebecca D., Manson, JoAnn E., Brixon, Kim, Mosekilde, Leif, Robbins, John A., Francis, Roger M. and Abrahamsen, Bo. (2012). Vitamin D with calcium reduces mortality: Patient level pooled analysis of 70,528 patients from eight major vitamin D trials. The Journal of Clinical Endocrinology and Metabolism. 97(8), pp. 2670 - 2681. https://doi.org/10.1210/jc.2011-3328
Fracture risk score and absolute risk of fracture
Henry, Margaret, Pasco, Julie, Merriman, Elizabeth, Zhang, Yu, Sanders, Kerrie, Kotowicz, Mark and Nicholson, Geoffrey. (2011). Fracture risk score and absolute risk of fracture. Radiology. 259(2), pp. 495 - 501. https://doi.org/10.1148/radiol.10101406
Changes in hip fracture rates in southeastern Australia spanning the period 1994-2007
Pasco, Julie, Brennan, Sharon, Henry, Margaret, Nicholson, Geoffrey, Sanders, Kerrie, Zhang, Yu and Kotowicz, Mark. (2011). Changes in hip fracture rates in southeastern Australia spanning the period 1994-2007. Journal of Bone and Mineral Research. 26(7), pp. 1648 - 1654. https://doi.org/10.1002/jbmr.393
Independent and combined effects of calcium-vitamin D3 and exercise on bone structure and strength in older men: An 18-month factorial design randomized controlled trial
Kukuljan, Sonja, Nowson, Caryl, Sanders, Kerrie, Nicholson, Geoffrey, Seibel, Markus, Salmon, Jo and Daly, Robin. (2011). Independent and combined effects of calcium-vitamin D3 and exercise on bone structure and strength in older men: An 18-month factorial design randomized controlled trial. The Journal of Clinical Endocrinology and Metabolism. 96(4), pp. 955 - 963. https://doi.org/10.1210/jc.2010-2284
Inflammatory cytokine responses to progressive resistance training and supplementation with fortified milk in men aged 50+ years: An 18-month randomized controlled trial
Peake, Jonathan, Kukuljan, Sonja, Nowson, Caryl, Sanders, Kerrie and Daly, Robin. (2011). Inflammatory cytokine responses to progressive resistance training and supplementation with fortified milk in men aged 50+ years: An 18-month randomized controlled trial. European Journal of Applied Physiology. 111(12), pp. 3079 - 3088. https://doi.org/10.1007/s00421-011-1942-z
Paracetamol (acetaminophen) use, fracture and bone mineral density
Williams, Lana, Pasco, Julie, Henry, Margaret, Sanders, Kerrie, Nicholson, Geoffrey, Kotowicz, Mark and Berk, Michael. (2011). Paracetamol (acetaminophen) use, fracture and bone mineral density. Bone. 48(6), pp. 1277 - 1281. https://doi.org/10.1016/j.bone.2011.03.435
Annual high-dose vitamin D3 and mental well-being: Randomised controlled trial
Sanders, Kerrie, Stuart, Amanda, Williamson, Elizabeth, Jacka, Felice, Dodd, Seetal, Nicholson, Geoff and Berk, Michael. (2011). Annual high-dose vitamin D3 and mental well-being: Randomised controlled trial. British Journal of Psychiatry. 198(5), pp. 357 - 364. https://doi.org/10.1192/bjp.bp.110.087544
Annual feedback is an effective tool for a sustained increase in calcium intake among older women
Sanders, Kerrie, Stuart, Amanda L., Kotowicz, Mark and Nicholson, Geoff. (2010). Annual feedback is an effective tool for a sustained increase in calcium intake among older women. Nutrients. 2(9), pp. 1018 - 1025. https://doi.org/10.3390/nu2091018
Patterns of alcohol use and associated physical and lifestyle characteristics according to new Australian guidelines
Coulson, Carolyn E., Williams, Lana J., Henry, Margaret, Berk, Michael, Lubman, Dan, Brennan-Olsen, Sharon, Nicholson, Geoff, Kotowicz, Mark, Korn, S and Pasco, Julie. (2010). Patterns of alcohol use and associated physical and lifestyle characteristics according to new Australian guidelines. Australian and New Zealand Journal of Psychiatry. 44(10), pp. 946 - 951. https://doi.org/10.3109/00048674.2010.495051
Socioeconomic status, obesity and lifestyle in men: The Geelong Osteoporosis Study
Brennan-Olsen, Sharon, Henry, Margaret, Nicholson, Geoff, Kotowicz, Mark and Pasco, Julie. (2010). Socioeconomic status, obesity and lifestyle in men: The Geelong Osteoporosis Study. Journal of Men's Health. 7(1), pp. 31 - 41. https://doi.org/10.1016/j.jomh.2009.10.004
Does an increase in body mass index over 10 years affect knee structure in a population-based cohort study of adult women?
Brennan-Olsen, Sharon, Cicuttini, Flavia, Pasco, Julie, Henry, Margaret, Wang, Yuanyuan, Kotowicz, Mark, Nicholson, Geoff and Wluka, Anita. (2010). Does an increase in body mass index over 10 years affect knee structure in a population-based cohort study of adult women? Arthritis Research and Therapy. 12(4), pp. 1 - 7. https://doi.org/10.1186/ar3078
Annual high-dose oral vitamin D and falls and fractures in older women: A randomized controlled trial
Sanders, Kerrie, Stuart, Amanda L., Williamson, Elizabeth J., Simpson, Julie A., Kotowicz, Mark, Young, Doris and Nicholson, Geoff. (2010). Annual high-dose oral vitamin D and falls and fractures in older women: A randomized controlled trial. JAMA: Journal of the American Medical Association. 303(18), pp. 1815 - 1822. https://doi.org/10.1001/jama.2010.594
Socioeconomic status and bone mineral density in a population-based sample of men
Brennan-Olsen, Sharon, Henry, Margaret, Wluka, Anita, Nicholson, Geoff, Kotowicz, Mark and Pasco, Julie. (2010). Socioeconomic status and bone mineral density in a population-based sample of men. Bone. 46(4), pp. 993 - 999. https://doi.org/10.1016/j.bone.2009.12.029
The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women
Kanis, John, Oden, Anders, Johnell, O., Johansson, Helena, Laet, C. De, Brown, Jacques P., Burckhardt, Peter, Cooper, Cyrus, Christiansen, Claus, Cummings, Steven R., Eisman, John A., Fujiwara, S., Glüer, C. C., Goltzman, David, Hans, Didier, Krieg, Marc Antoine, Lacroix, Andrea Z., McCloskey, Eugene, Mellström, Dan, ... Yoshimura, N.. (2007). The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women. Osteoporosis International. 18(8), pp. 1033 - 1046. https://doi.org/10.1007/s00198-007-0343-y