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Validity of parental recall of children’s fracture: implications for investigation of childhood osteoporosis
Summary Fracture history is an important component of osteoporosis diagnosis in children. One in six parentally reported lifetime fractures in children were not confirmed on review of radiographs. Care should be taken to avoid unnecessary investigations for possible osteoporosis due to parental over...
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| Published in: | Osteoporosis international 2016-02, Vol.27 (2), p.809-813 |
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| container_title | Osteoporosis international |
| container_volume | 27 |
| creator | Moon, R. J. Lim, A. Farmer, M. Segaran, A. Clarke, N. M. P. Harvey, N. C. Cooper, C. Davies, J. H. |
| description | Summary
Fracture history is an important component of osteoporosis diagnosis in children. One in six parentally reported lifetime fractures in children were not confirmed on review of radiographs. Care should be taken to avoid unnecessary investigations for possible osteoporosis due to parental over-reporting of soft tissue injuries as fractures.
Introduction
The diagnosis of osteoporosis in children requires either a vertebral compression fracture, or a significant fracture history (defined as ≥2 long bone fractures |
| doi_str_mv | 10.1007/s00198-015-3287-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4778270</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4217474571</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-da2717a737bafbd60565e9b217bb0157348bc71e3e0a5a34965f9422503e6a483</originalsourceid><addsrcrecordid>eNp1UU2LFDEUDKK44-oP8CINXry05qvzOh4EWVwVFryoeAuv0-mZLJlOm3Qv7M2_4d_zl2zaWYdV8BSoV1V59YqQp4y-ZJTCq0wp021NWVML3kIN98iGSSFqrlVzn2yoFlBryb6dkEc5X9Ki0RoekhOueKsUhw0Zv2LwvZ-vqzhUEyY3zhiq5CyGsEJ250Nf0F8_fuZqSGjnJbnXld9PwVucfRwLHFPlxyuXZ7_9DR2Fuxj7KubZxSmmmH1-TB4MGLJ7cvueki_n7z6ffagvPr3_ePb2oraNpHPdIwcGCAI6HLpe0UY1TnecQdeVtCBk21lgTjiKDQpZ4g5act5Q4RTKVpySNwffaen2rrclVsJgpuT3mK5NRG_-nox-Z7bxykiAlgMtBi9uDVL8vpRoZu-zdSHg6OKSDQNVjkwlW6nP_6FexiWNJZ5hLdeNEkqsG7EDy5ZD5OSG4zKMmrVNc2jTlHxmbdNA0Ty7m-Ko-FNfIfADIZfRuHXpztf_db0BxfWt4Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1829563638</pqid></control><display><type>article</type><title>Validity of parental recall of children’s fracture: implications for investigation of childhood osteoporosis</title><source>Springer Link</source><creator>Moon, R. J. ; Lim, A. ; Farmer, M. ; Segaran, A. ; Clarke, N. M. P. ; Harvey, N. C. ; Cooper, C. ; Davies, J. H.</creator><creatorcontrib>Moon, R. J. ; Lim, A. ; Farmer, M. ; Segaran, A. ; Clarke, N. M. P. ; Harvey, N. C. ; Cooper, C. ; Davies, J. H.</creatorcontrib><description>Summary
Fracture history is an important component of osteoporosis diagnosis in children. One in six parentally reported lifetime fractures in children were not confirmed on review of radiographs. Care should be taken to avoid unnecessary investigations for possible osteoporosis due to parental over-reporting of soft tissue injuries as fractures.
Introduction
The diagnosis of osteoporosis in children requires either a vertebral compression fracture, or a significant fracture history (defined as ≥2 long bone fractures <10 years or ≥3 long bone fractures <19 years, excluding high impact fractures) and low bone mineral density. As children with frequent fractures might benefit from further evaluation, we determined whether parental reports of lifetime fracture were accurate compared to radiological reports and if they appropriately selected children for further consideration of osteoporosis.
Methods
Parents of children (<18 years) with a musculoskeletal injury completed a questionnaire on their child’s fracture history, including age, site and mechanism of previous fracture(s). Radiological reports were reviewed to confirm the fracture.
Results
Six hundred sixty parents completed the questionnaire and reported 276 previous fractures in 207 children. An injury treated at our hospital was recorded in 214 of the 276 parentally reported fractures. Thirty-four of 214 (16 %) were not a confirmed fracture. An injury was recorded for all parentally reported fractures in 150 children, but for 21 % children, there were inaccurate details (no evidence of fracture, incorrect site or forgotten fractures) on parent report. Eighteen of 150 children had a significant fracture history on parental report alone, but following review of radiology reports, 2 of 18 (11 %) did not have clinically significant fracture histories.
Conclusions
Approximately one in six fractures reported by parents to have occurred in their child’s lifetime had not resulted in a fracture. One in nine children with a significant fracture history could have been investigated unnecessarily.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-015-3287-7</identifier><identifier>PMID: 26286627</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Adolescent ; Child ; Child, Preschool ; Children & youth ; Endocrinology ; England ; Female ; Fractures ; Humans ; Infant ; Male ; Medical History Taking - standards ; Medicine ; Medicine & Public Health ; Memory ; Mental Recall ; Orthopedics ; Osteoporosis ; Osteoporosis - diagnosis ; Osteoporotic Fractures - diagnosis ; Osteoporotic Fractures - psychology ; Parents - psychology ; Patient Selection ; Pediatrics ; Recurrence ; Rheumatology ; Short Communication ; Unnecessary Procedures - statistics & numerical data</subject><ispartof>Osteoporosis international, 2016-02, Vol.27 (2), p.809-813</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2015</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-da2717a737bafbd60565e9b217bb0157348bc71e3e0a5a34965f9422503e6a483</citedby><cites>FETCH-LOGICAL-c540t-da2717a737bafbd60565e9b217bb0157348bc71e3e0a5a34965f9422503e6a483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26286627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moon, R. J.</creatorcontrib><creatorcontrib>Lim, A.</creatorcontrib><creatorcontrib>Farmer, M.</creatorcontrib><creatorcontrib>Segaran, A.</creatorcontrib><creatorcontrib>Clarke, N. M. P.</creatorcontrib><creatorcontrib>Harvey, N. C.</creatorcontrib><creatorcontrib>Cooper, C.</creatorcontrib><creatorcontrib>Davies, J. H.</creatorcontrib><title>Validity of parental recall of children’s fracture: implications for investigation of childhood osteoporosis</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary
Fracture history is an important component of osteoporosis diagnosis in children. One in six parentally reported lifetime fractures in children were not confirmed on review of radiographs. Care should be taken to avoid unnecessary investigations for possible osteoporosis due to parental over-reporting of soft tissue injuries as fractures.
Introduction
The diagnosis of osteoporosis in children requires either a vertebral compression fracture, or a significant fracture history (defined as ≥2 long bone fractures <10 years or ≥3 long bone fractures <19 years, excluding high impact fractures) and low bone mineral density. As children with frequent fractures might benefit from further evaluation, we determined whether parental reports of lifetime fracture were accurate compared to radiological reports and if they appropriately selected children for further consideration of osteoporosis.
Methods
Parents of children (<18 years) with a musculoskeletal injury completed a questionnaire on their child’s fracture history, including age, site and mechanism of previous fracture(s). Radiological reports were reviewed to confirm the fracture.
Results
Six hundred sixty parents completed the questionnaire and reported 276 previous fractures in 207 children. An injury treated at our hospital was recorded in 214 of the 276 parentally reported fractures. Thirty-four of 214 (16 %) were not a confirmed fracture. An injury was recorded for all parentally reported fractures in 150 children, but for 21 % children, there were inaccurate details (no evidence of fracture, incorrect site or forgotten fractures) on parent report. Eighteen of 150 children had a significant fracture history on parental report alone, but following review of radiology reports, 2 of 18 (11 %) did not have clinically significant fracture histories.
Conclusions
Approximately one in six fractures reported by parents to have occurred in their child’s lifetime had not resulted in a fracture. One in nine children with a significant fracture history could have been investigated unnecessarily.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Endocrinology</subject><subject>England</subject><subject>Female</subject><subject>Fractures</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical History Taking - standards</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Memory</subject><subject>Mental Recall</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Osteoporosis - diagnosis</subject><subject>Osteoporotic Fractures - diagnosis</subject><subject>Osteoporotic Fractures - psychology</subject><subject>Parents - psychology</subject><subject>Patient Selection</subject><subject>Pediatrics</subject><subject>Recurrence</subject><subject>Rheumatology</subject><subject>Short Communication</subject><subject>Unnecessary Procedures - statistics & numerical data</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1UU2LFDEUDKK44-oP8CINXry05qvzOh4EWVwVFryoeAuv0-mZLJlOm3Qv7M2_4d_zl2zaWYdV8BSoV1V59YqQp4y-ZJTCq0wp021NWVML3kIN98iGSSFqrlVzn2yoFlBryb6dkEc5X9Ki0RoekhOueKsUhw0Zv2LwvZ-vqzhUEyY3zhiq5CyGsEJ250Nf0F8_fuZqSGjnJbnXld9PwVucfRwLHFPlxyuXZ7_9DR2Fuxj7KubZxSmmmH1-TB4MGLJ7cvueki_n7z6ffagvPr3_ePb2oraNpHPdIwcGCAI6HLpe0UY1TnecQdeVtCBk21lgTjiKDQpZ4g5act5Q4RTKVpySNwffaen2rrclVsJgpuT3mK5NRG_-nox-Z7bxykiAlgMtBi9uDVL8vpRoZu-zdSHg6OKSDQNVjkwlW6nP_6FexiWNJZ5hLdeNEkqsG7EDy5ZD5OSG4zKMmrVNc2jTlHxmbdNA0Ty7m-Ko-FNfIfADIZfRuHXpztf_db0BxfWt4Q</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Moon, R. J.</creator><creator>Lim, A.</creator><creator>Farmer, M.</creator><creator>Segaran, A.</creator><creator>Clarke, N. M. P.</creator><creator>Harvey, N. C.</creator><creator>Cooper, C.</creator><creator>Davies, J. H.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160201</creationdate><title>Validity of parental recall of children’s fracture: implications for investigation of childhood osteoporosis</title><author>Moon, R. J. ; Lim, A. ; Farmer, M. ; Segaran, A. ; Clarke, N. M. P. ; Harvey, N. C. ; Cooper, C. ; Davies, J. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-da2717a737bafbd60565e9b217bb0157348bc71e3e0a5a34965f9422503e6a483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Endocrinology</topic><topic>England</topic><topic>Female</topic><topic>Fractures</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical History Taking - standards</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Memory</topic><topic>Mental Recall</topic><topic>Orthopedics</topic><topic>Osteoporosis</topic><topic>Osteoporosis - diagnosis</topic><topic>Osteoporotic Fractures - diagnosis</topic><topic>Osteoporotic Fractures - psychology</topic><topic>Parents - psychology</topic><topic>Patient Selection</topic><topic>Pediatrics</topic><topic>Recurrence</topic><topic>Rheumatology</topic><topic>Short Communication</topic><topic>Unnecessary Procedures - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moon, R. J.</creatorcontrib><creatorcontrib>Lim, A.</creatorcontrib><creatorcontrib>Farmer, M.</creatorcontrib><creatorcontrib>Segaran, A.</creatorcontrib><creatorcontrib>Clarke, N. M. P.</creatorcontrib><creatorcontrib>Harvey, N. C.</creatorcontrib><creatorcontrib>Cooper, C.</creatorcontrib><creatorcontrib>Davies, J. H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moon, R. J.</au><au>Lim, A.</au><au>Farmer, M.</au><au>Segaran, A.</au><au>Clarke, N. M. P.</au><au>Harvey, N. C.</au><au>Cooper, C.</au><au>Davies, J. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validity of parental recall of children’s fracture: implications for investigation of childhood osteoporosis</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>27</volume><issue>2</issue><spage>809</spage><epage>813</epage><pages>809-813</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary
Fracture history is an important component of osteoporosis diagnosis in children. One in six parentally reported lifetime fractures in children were not confirmed on review of radiographs. Care should be taken to avoid unnecessary investigations for possible osteoporosis due to parental over-reporting of soft tissue injuries as fractures.
Introduction
The diagnosis of osteoporosis in children requires either a vertebral compression fracture, or a significant fracture history (defined as ≥2 long bone fractures <10 years or ≥3 long bone fractures <19 years, excluding high impact fractures) and low bone mineral density. As children with frequent fractures might benefit from further evaluation, we determined whether parental reports of lifetime fracture were accurate compared to radiological reports and if they appropriately selected children for further consideration of osteoporosis.
Methods
Parents of children (<18 years) with a musculoskeletal injury completed a questionnaire on their child’s fracture history, including age, site and mechanism of previous fracture(s). Radiological reports were reviewed to confirm the fracture.
Results
Six hundred sixty parents completed the questionnaire and reported 276 previous fractures in 207 children. An injury treated at our hospital was recorded in 214 of the 276 parentally reported fractures. Thirty-four of 214 (16 %) were not a confirmed fracture. An injury was recorded for all parentally reported fractures in 150 children, but for 21 % children, there were inaccurate details (no evidence of fracture, incorrect site or forgotten fractures) on parent report. Eighteen of 150 children had a significant fracture history on parental report alone, but following review of radiology reports, 2 of 18 (11 %) did not have clinically significant fracture histories.
Conclusions
Approximately one in six fractures reported by parents to have occurred in their child’s lifetime had not resulted in a fracture. One in nine children with a significant fracture history could have been investigated unnecessarily.</abstract><cop>London</cop><pub>Springer London</pub><pmid>26286627</pmid><doi>10.1007/s00198-015-3287-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | Springer Link |
| subjects | Adolescent Child Child, Preschool Children & youth Endocrinology England Female Fractures Humans Infant Male Medical History Taking - standards Medicine Medicine & Public Health Memory Mental Recall Orthopedics Osteoporosis Osteoporosis - diagnosis Osteoporotic Fractures - diagnosis Osteoporotic Fractures - psychology Parents - psychology Patient Selection Pediatrics Recurrence Rheumatology Short Communication Unnecessary Procedures - statistics & numerical data |
| title | Validity of parental recall of children’s fracture: implications for investigation of childhood osteoporosis |
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