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, YEARCOUNTRYSETTINGNO. OF BMD TEST RESULTSBMD TEST RESULTS2 OR MORE SELECTION FACTORS OF POTENTIAL INFLUENCE*
NORMAL, %OSTEOPENIA, %OSTEOPOROSIS, %
1Schmid et al,30 2004SwitzerlandOutpatient fracture clinic2902872
2Sidwell et al,31 2004New ZealandOrthogeriatric rehabilitation ward15841779
3Becker et al,29 2006United StatesOrthopedic and rehabilitation inpatient wards6172370
4Hegeman et al,32 2005The NetherlandsOutpatient fracture clinic100132067
5Astrand et al,33 2006SwedenEmergency department and orthopedic inpatient ward239134542X
6Mulherin et al,34 2003United KingdomEmergency department91143452
7Chevalley et al,35 2002SwitzerlandOrthopedic inpatient ward and outpatient clinic242144541
8Hegeman et al,36 2004The NetherlandsDepartments of surgery and traumatology94153451
9Levasseur et al,37 2007FranceOrthopedic inpatient ward32165034
10Rozental et al,28 2008United StatesOrthopedic outpatient clinic32165034X
11Gallacher,38 2005United KingdomOrthopedic and trauma departmentsNR174637
12Harrington et al,39 2005United StatesOrthopedic inpatient ward and outpatient clinic154185032
13McLellan et al,26 2003United KingdomEmergency department, orthopedic inpatient ward, and fracture clinic2077184240
14van Helden et al,27 2008The NetherlandsEmergency department and orthopedic inpatient ward568214435X
15Majumdar et al,40 2007CanadaOrthopedic surgery department120213445
16Harrington and Lease,41 2007United StatesOrthopedic inpatient ward and outpatient clinic23225721
17Kuo et al,42 2007AustraliaOutpatient fracture clinic135244630X
18Majumdar et al,43 2008CanadaEmergency and fracture clinics95285220X
19Cuddihy et al,44 2004United StatesOrthopedic inpatient ward and outpatient clinic42295021X
20Majumdar et al,45 2004CanadaEmergency department42311752
  • 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).