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Frequency of bone mineral density testing in adult kidney transplant recipients from Ontario, Canada: a population-based cohort study

Overview of attention for article published in Canadian Journal of Kidney Health and Disease, January 2016
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Title
Frequency of bone mineral density testing in adult kidney transplant recipients from Ontario, Canada: a population-based cohort study
Published in
Canadian Journal of Kidney Health and Disease, January 2016
DOI 10.1186/s40697-016-0092-y
Pubmed ID
Authors

Kyla L. Naylor, Guangyong Zou, William D. Leslie, Eric McArthur, Ngan N. Lam, Gregory A. Knoll, S. Joseph Kim, Lisa-Ann Fraser, Jonathan D. Adachi, Anthony B. Hodsman, Amit X. Garg

Abstract

We lack consensus on the clinical value, frequency, and timing of bone mineral density (BMD) testing in kidney transplant recipients. This study sought to determine practice patterns in BMD testing across kidney transplant centres in Ontario, Canada, and to compare the frequency of testing in kidney transplant recipients to non-transplant reference groups. Using healthcare databases from Ontario, Canada we conducted a population-based cohort study of adult kidney transplant recipients who received a transplant from 1994-2009. We used logistic regression to determine if there was a statistically significant difference across transplant centres in the decision to perform at least one BMD test after transplantation, adjusting for covariates that may influence a physician's decision to order a BMD test. We used the McNemar's test to compare the number of recipients who had at least one BMD test to non-transplant reference groups (matching on age, sex, and date of cohort entry). In the first 3 years after transplant, 4821 kidney transplant recipients underwent 4802 BMD tests (median 1 test per recipient, range 0 to 6 tests), costing $600,000 (2014 CAD equivalent dollars). Across the six centres, the proportion of recipients receiving at least one BMD test varied widely (ranging from 15.6 to 92.1 %; P < 0.001). Over half (58 %) of the recipients received at least one BMD test post-transplant, a value higher than two non-transplant reference groups (general population with a previous non-vertebral fracture [hip, forearm, proximal humerus], 13.8 %; general population with no previous non-vertebral fracture, 8.5 %; P value <0.001 for each of the comparisons). There is substantial practice variability in BMD testing after transplant. New high-quality information is needed to inform the utility, optimal timing, and frequency of BMD testing in kidney transplant recipients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 3 18%
Student > Master 3 18%
Student > Postgraduate 2 12%
Professor 1 6%
Professor > Associate Professor 1 6%
Other 1 6%
Unknown 6 35%
Readers by discipline Count As %
Medicine and Dentistry 9 53%
Economics, Econometrics and Finance 1 6%
Psychology 1 6%
Unknown 6 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 February 2016.
All research outputs
#14,536,679
of 25,374,647 outputs
Outputs from Canadian Journal of Kidney Health and Disease
#358
of 620 outputs
Outputs of similar age
#191,613
of 400,140 outputs
Outputs of similar age from Canadian Journal of Kidney Health and Disease
#9
of 14 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 620 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 400,140 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 14 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.