Fahimfar Noushin, Gharibzadeh Safoora, Sanjari Mahnaz, Mansourzadeh Mohammad Javad, Khalagi Kazem, Mehrdad Neda, Atlasi Rasha, Adibi Hossein, Larijani Bagher, Ostovar Afshin
Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.
J Diabetes Metab Disord. 2021 Jan 23;23(2):1545-1551. doi: 10.1007/s40200-021-00733-2. eCollection 2024 Dec.
Osteoporotic fractures impose a vast burden on the health system, especially in countries with an old population or an ageing trend such as Iran. This study reviews the articles published by the Endocrinology and Metabolism Research Institute (EMRI) to map and summarize the evidence, identify key themes and highlight research gaps to plan future research.
We searched for studies affiliated with EMRI on osteoporotic fracture. Scopus, PubMed, Google Scholar, Scientific Information Database (SID) and Persian databases were used, without restricting time and language. All papers published up to December 2019 were retrieved and merged using Endnote software. Two independent researchers reviewed documents, and non-related papers were removed from the collection. The reference lists of the relevant articles were reviewed to avoid missing any publication. All papers addressing any aspects of fragility fractures were included. Meeting abstracts and letters to the editor were excluded. The visualization of the co-authorship network was illustrated with VOSveiwer program software.
The total number of 20 papers, published between 2004 and 2019 were included in our study. "Larijani, B" with 12, "Keshtkar, A", "Abolhassani, F", and "Soltani, A" with five papers were the most prolific authors. Six out of 20 (30 %) of the papers were published in the last three years. Among different perspectives of osteoporotic fractures, addressed by EMRI, four main categories of articles were defined including incidence (n = 7), related factors (n = 9), fracture risk assessment (n = 2), and the burden of osteoporotic fractures in Iran (n = 4). There was no updated information about the incidence of osteoporotic fracture and its burden in recent years.
Considering the importance of osteoporotic fractures in Iran with an ageing trend, Osteoporosis Research Centers can play an essential role in providing evidence for policymakers. Worldwide, there is a large care gap to assess bone health and start treatments after fragility fractures. Accordingly, following international recommendations, practical interventions are required to fill this gap. EMRI began developing the "Registry of osteoporosis" and also pilot the "Fracture Liaison Services", as an operative model to address the existing care gap and implement applied research in this science area.
The online version contains supplementary material available at 10.1007/s40200-021-00733-2.
骨质疏松性骨折给卫生系统带来了巨大负担，尤其是在像伊朗这样人口老龄化或有老龄化趋势的国家。本研究回顾了内分泌与代谢研究所（EMRI）发表的文章，以梳理和总结证据、确定关键主题并突出研究空白，从而规划未来的研究。
我们在Scopus、PubMed、谷歌学术、科学信息数据库（SID）和波斯语数据库中搜索与EMRI相关的骨质疏松性骨折研究，不限制时间和语言。检索了截至2019年12月发表的所有论文，并使用Endnote软件进行合并。两名独立研究人员对文献进行审查，将不相关的论文从收集中剔除。对相关文章的参考文献列表进行审查，以避免遗漏任何出版物。纳入所有涉及脆性骨折任何方面的论文。会议摘要和给编辑的信被排除在外。使用VOSveiwer程序软件绘制共同作者网络的可视化图。
本研究纳入了2004年至2019年间发表的20篇论文。“拉里贾尼，B”发表了12篇，“凯什特卡尔，A”、“阿博尔哈桑尼，F”和“索尔塔尼，A”各发表了5篇，是发文最多的作者。20篇论文中有6篇（30%）是在过去三年发表的。在EMRI所涉及的骨质疏松性骨折的不同视角中，定义了四类主要文章，包括发病率（n = 7）、相关因素（n = 9）、骨折风险评估（n = 2）以及伊朗骨质疏松性骨折的负担（n = 4）。近年来没有关于骨质疏松性骨折发病率及其负担的最新信息。
考虑到骨质疏松性骨折在有老龄化趋势的伊朗的重要性，骨质疏松研究中心可以在为政策制定者提供证据方面发挥重要作用。在全球范围内，在评估骨骼健康和在脆性骨折后开始治疗方面存在很大的护理差距。因此，按照国际建议，需要采取实际干预措施来填补这一差距。EMRI已开始开发“骨质疏松症登记册”，并试点“骨折联络服务”，作为一种操作模式来解决现有的护理差距并在该科学领域开展应用研究。
在线版本包含可在10.1007/s40200-021-00733-2获取的补充材料。
