{ "schema_version": "chamgap-public-evidence-check-1.0", "public_id": "v3006-s1", "verdict_number": "3006", "title": "Stand-Alone Single-Leg Standing × Hip Fracture — Key Trial 1 Versus 1; Prevention Unproven · Evidence and Gaps Sheet", "view_version": "1.0", "view_created_date": "2026-10-19", "criteria_version": "1.0", "criteria_date": "2026-10-06", "review_date": null, "legacy_evidence_date": "2026-09-07", "review_scope": { "materials_read": "Existing review summaries and stored records of methodological application", "clinical_papers_directly_read": false, "new_clinical_search": false, "limitation": "Existing stored summary and preserved methodology application records. External papers, errata, abstracts, registration, protocols, SAPs, original result tables and support disclosures are unread, and review of existing content remains incomplete.", "date_meaning": "This is the date the stored materials were checked, not the date of a new search of the clinical literature." }, "claim_context": { "population": "The key trial concerned high-risk adults with a mean age of 81.6 years. Original figures of 553 randomized, 527 analyzed, 315 in exercise, 212 in control and 26 withdrawals described in the narrative are not automatically used as final fracture denominators. The later trial concerns balance-impaired adults aged at least 75. The separate postmenopausal BMD population addresses a different question. Exact fracture-specific eligibility, baseline risk and arm-specific flows are unverified.", "intervention": "The selection concerns hip-fracture prevention with stand-alone single-leg standing. The original eyes-open program and permission for unstable participants to use a support bar provide preserved context. Multicomponent balance-and-strength exercise or findings from other verdicts are not transferred as fracture effects of the same intervention. Actual supervision, participation, concurrent treatment and exposure are unverified; no new exercise, prevention or treatment methods are provided.", "dose": "Standing for 1 minute per leg, 3 times daily, describes research exposure conditions preserved in the original account. Actual participation, adherence, supervision, support-bar use and exposure for fracture outcomes are unverified. Original conditions are not converted into individual exercise prescriptions, fracture-prevention methods, optimal exercise amounts or safe practice methods.", "comparator": "The original research narrative records a no-exercise control, while a separate classification field records usual care. Both descriptions are retained without newly certifying equivalent conditions. Trial-specific controls, common care, concurrent exercise, medication, support, contact and fracture follow-up details are unverified.", "endpoint": "The selection is hip-fracture prevention, retaining original subclaim D and absent separate score, status and axes. Original null and unproven-prevention wording for key fractures of 1 versus 1 is retained. Equal event counts do not establish an exact absence of effect or equivalence. Fracture-specific denominators, direct effects and CIs are unverified. The falls signal of 118 versus 121 after excluding 1 recurrent faller, female-faller findings and BMD findings are separate.", "duration": "Observation in the key 2006 trial was 6 months. Exact observation duration, sites, outcome denominators and erratum effects for later 2013 fracture findings are unverified. Findings are not extended to long-term or post-discontinuation prevention or other fracture sites. Research-performance conditions and fracture observation periods are distinguished.", "excluded_extensions": [ "Equal fracture event counts are not converted into proof of an exact absence of effect, precise equivalence or noninferiority.", "Participant exclusions, populations, events and between-group significance in fall analyses are not transferred as fracture denominators, effects or tests.", "Unverified fracture sites, periods and denominators in later null fracture findings are not filled in as hip-fracture results.", "Female-faller findings, null overall BMD and a small age subgroup are not converted into hip-fracture prevention effects.", "An erratum is not counted as a new trial, participants, verified corrected events or effects.", "Shared reports, trials and participants are not summed, and unique counts, independent funding or replication are not certified.", "Null fractures, parent caution wording and permission to use support do not establish exercise-related harms or long-term safety.", "The stand-alone research program is not converted into multicomponent exercise, individual practice instructions, fracture prevention or treatment-change guidance." ] }, "requirements": [ { "item_id": "N01", "question_type": "Evidence condition", "question": "Which fracture question and original verdict are being transferred?", "needed": "Original hip-fracture prevention claim, grade and explanation", "role": "Required", "role_reason": "This condition connects Original hip-fracture prevention claim, grade and explanation with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Original hip-fracture prevention claim, grade and explanation must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Fracture definitions, arm-specific events, denominators, observation periods, direct effects and CIs are unverified. This transfers an existing question without creating a new independent claim or clinical certification. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The selection is prevention of hip fracture, with original subclaim grade D. The original explanation of null findings with 1 versus 1 events in the key trial is retained. This differs from falls counts and bone density.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Fracture definitions, arm-specific events, denominators, observation periods, direct effects and CIs are unverified. This transfers an existing question without creating a new independent claim or clinical certification.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Fracture definitions, arm-specific events, denominators, observation periods, direct effects and CIs are unverified. This transfers an existing question without creating a new independent claim or clinical certification." }, { "item_id": "N02", "question_type": "Evidence condition", "question": "What was the key hip-fracture result?", "needed": "Original fracture events and outcome-specific denominators, observation and estimates", "role": "Required", "role_reason": "This condition connects Original fracture events and outcome-specific denominators, observation and estimates with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Original fracture events and outcome-specific denominators, observation and estimates must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Fracture ascertainment, events versus affected participants, outcome-specific denominators by arm, observation windows, estimates, CIs and original analyses are needed. No new effects or CIs are calculated from event counts. This records needed materials; no new research was executed.", "current_reports": [ "R01" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The parent account specifies hip fractures, and the evidence summary preserves 1 versus 1 fractures. Event counts differ from direct risk ratios, risk differences, proportions and CIs; equal event counts do not demonstrate precise equivalence.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Fracture ascertainment, events versus affected participants, outcome-specific denominators by arm, observation windows, estimates, CIs and original analyses are needed. No new effects or CIs are calculated from event counts.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Fracture ascertainment, events versus affected participants, outcome-specific denominators by arm, observation windows, estimates, CIs and original analyses are needed. No new effects or CIs are calculated from event counts." }, { "item_id": "N03", "question_type": "Evidence condition", "question": "Do equal event counts establish an exact absence of effect?", "needed": "Sparse events, null findings, precision and clinical importance", "role": "Required", "role_reason": "This condition connects Sparse events, null findings, precision and clinical importance with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Sparse events, null findings, precision and clinical importance must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Arm-specific denominators, tests, direct effects, CIs, clinical-importance boundaries, prespecified sample planning and power are unverified. No new event risks, CIs or sample sizes are calculated. This records needed materials; no new research was executed.", "current_reports": [ "R01" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The original explanation leaves the fracture result of 1 event per arm as null and prevention unproven. This does not newly exclude small or important effects or establish noninferiority or equivalence.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Arm-specific denominators, tests, direct effects, CIs, clinical-importance boundaries, prespecified sample planning and power are unverified. No new event risks, CIs or sample sizes are calculated.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Arm-specific denominators, tests, direct effects, CIs, clinical-importance boundaries, prespecified sample planning and power are unverified. No new event risks, CIs or sample sizes are calculated." }, { "item_id": "N04", "question_type": "Evidence condition", "question": "Are allocation and analysis populations the fracture observation denominators?", "needed": "Recruitment, allocation, withdrawals, analysis and fracture-outcome denominators", "role": "Required", "role_reason": "This condition connects Recruitment, allocation, withdrawals, analysis and fracture-outcome denominators with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Recruitment, allocation, withdrawals, analysis and fracture-outcome denominators must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Original participant flows linking arm-specific allocation, completion, follow-up, fracture ascertainment, analysis populations, withdrawals and reasons for missingness are needed. Withdrawal counts are original statements, not new calculations. This records needed materials; no new research was executed.", "current_reports": [ "R01" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The preserved figures are 553 randomized, 527 analyzed, 315 in exercise and 212 in control, with 26 withdrawals described in the narrative. These populations are not automatically used as all-allocated fracture-analysis or follow-up denominators.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Original participant flows linking arm-specific allocation, completion, follow-up, fracture ascertainment, analysis populations, withdrawals and reasons for missingness are needed. Withdrawal counts are original statements, not new calculations.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Original participant flows linking arm-specific allocation, completion, follow-up, fracture ascertainment, analysis populations, withdrawals and reasons for missingness are needed. Withdrawal counts are original statements, not new calculations." }, { "item_id": "N05", "question_type": "Evidence condition", "question": "Did recurrent-faller exclusion also apply to fracture analyses?", "needed": "Separate fall-event exclusions from fracture analyses", "role": "Required", "role_reason": "This condition connects Separate fall-event exclusions from fracture analyses with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Separate fall-event exclusions from fracture analyses must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Exclusion reasons, prespecification, outcome-specific denominators and fractures before and after exclusion, sensitivity analyses and original ITT tables are needed. The same exclusion is not assumed, and pre-exclusion results are not reconstructed by calculation. This records needed materials; no new research was executed.", "current_reports": [ "R01" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Exclusion of 1 recurrent faller from exercise concerns cumulative falls of 118 versus 121. The original material also preserves fractures of 1 versus 1 but does not link precisely how that exclusion applied to fracture analyses or denominators.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Exclusion reasons, prespecification, outcome-specific denominators and fractures before and after exclusion, sensitivity analyses and original ITT tables are needed. The same exclusion is not assumed, and pre-exclusion results are not reconstructed by calculation.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Exclusion reasons, prespecification, outcome-specific denominators and fractures before and after exclusion, sensitivity analyses and original ITT tables are needed. The same exclusion is not assumed, and pre-exclusion results are not reconstructed by calculation." }, { "item_id": "N06", "question_type": "Evidence condition", "question": "Is a fall-event signal an effect on fracture prevention?", "needed": "Separate cumulative fall events, faller risk and fractures", "role": "Required", "role_reason": "This condition connects Separate cumulative fall events, faller risk and fractures with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Separate cumulative fall events, faller risk and fractures must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Outcome-specific definitions, fall events versus people, fracture ascertainment, denominators, observation exposure and original effects, CIs and P values are needed. No new event risks or incidence rates are calculated. This records needed materials; no new research was executed.", "current_reports": [ "R01" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The 118 versus 121 figures are cumulative fall events after unequal analysis populations and recurrent-faller exclusion. They are not proportions of fallers. Original reported between-group significance concerns falls and is not transferred as the effect or P value for fractures of 1 versus 1.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Outcome-specific definitions, fall events versus people, fracture ascertainment, denominators, observation exposure and original effects, CIs and P values are needed. No new event risks or incidence rates are calculated.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Outcome-specific definitions, fall events versus people, fracture ascertainment, denominators, observation exposure and original effects, CIs and P values are needed. No new event risks or incidence rates are calculated." }, { "item_id": "N07", "question_type": "Evidence condition", "question": "What is the scope of null fractures in the later trial?", "needed": "Fracture sites, denominators and duration in the later older balance-impaired population", "role": "Required", "role_reason": "This condition connects Fracture sites, denominators and duration in the later older balance-impaired population with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Fracture sites, denominators and duration in the later older balance-impaired population must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Original later-trial methods, fracture sites and ascertainment, arm-specific events, denominators, timing, effects, CIs and materials before and after the erratum are needed. Fractures with unverified sites are not filled in as hip-fracture events. This records needed materials; no new research was executed.", "current_reports": [ "R02" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The 2013 later trial analyzed 865 balance-impaired adults aged at least 75, with 410 versus 455. It assessed fallers and fractures and is summarized as having null fracture findings. Exact fracture sites, event counts, denominators, follow-up duration and CIs are unverified in this summary.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Original later-trial methods, fracture sites and ascertainment, arm-specific events, denominators, timing, effects, CIs and materials before and after the erratum are needed. Fractures with unverified sites are not filled in as hip-fracture events.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Original later-trial methods, fracture sites and ascertainment, arm-specific events, denominators, timing, effects, CIs and materials before and after the erratum are needed. Fractures with unverified sites are not filled in as hip-fracture events." }, { "item_id": "N08", "question_type": "Evidence condition", "question": "Is the female-faller subgroup signal a reduction in fractures?", "needed": "Sex subgroups, fallers and fracture effects of interest", "role": "Required", "role_reason": "This condition connects Sex subgroups, fallers and fracture effects of interest with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Sex subgroups, fallers and fracture effects of interest must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Prespecification, sex-subgroup denominators, original faller and fracture values, interactions, multiplicity, effects and CIs are needed. No sex-specific participant totals or new effects are created. This records needed materials; no new research was executed.", "current_reports": [ "R02" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The 2013 results retain both a positive female-faller subgroup analysis and null fractures. Faller subgroups, cumulative events and fracture prevention are distinguished without newly converting the signal into a female fracture effect.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Prespecification, sex-subgroup denominators, original faller and fracture values, interactions, multiplicity, effects and CIs are needed. No sex-specific participant totals or new effects are created.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Prespecification, sex-subgroup denominators, original faller and fracture values, interactions, multiplicity, effects and CIs are needed. No sex-specific participant totals or new effects are created." }, { "item_id": "N09", "question_type": "Evidence condition", "question": "Can a later trial by the same investigators count as independent confirmation?", "needed": "Investigator groups, recruitment, report overlap and independence", "role": "Required", "role_reason": "This condition connects Investigator groups, recruitment, report overlap and independence with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Investigator groups, recruitment, report overlap and independence must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Institutions, recruitment periods, registration, support, participant and report overlap, and original results for the same fracture question are needed. Unique trial and participant totals remain unverified. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The original 2013 support summary records the same investigator group as the key trial. The parent account retains insufficient independent confirmation. Different years or samples alone do not create new independence certification or replication counts.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Institutions, recruitment periods, registration, support, participant and report overlap, and original results for the same fracture question are needed. Unique trial and participant totals remain unverified.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Institutions, recruitment periods, registration, support, participant and report overlap, and original results for the same fracture question are needed. Unique trial and participant totals remain unverified." }, { "item_id": "N10", "question_type": "Evidence condition", "question": "What did the erratum change?", "needed": "Erratum existence, target report and correction details", "role": "Required", "role_reason": "This condition connects Erratum existence, target report and correction details with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Erratum existence, target report and correction details must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: The complete erratum, original and corrected tables, affected outcomes, denominators and reasons for changes are needed. The external erratum was not read and the original verdict was not modified in this work. This records needed materials; no new research was executed.", "current_reports": [ "R02", "R03" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The bibliography of the 2014 erratum to the 2013 later trial is preserved. Its original qualifier leaves erratum details unverified. The erratum is not counted as a new trial, and no claim that fracture values changed is created.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "The complete erratum, original and corrected tables, affected outcomes, denominators and reasons for changes are needed. The external erratum was not read and the original verdict was not modified in this work.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "The complete erratum, original and corrected tables, affected outcomes, denominators and reasons for changes are needed. The external erratum was not read and the original verdict was not modified in this work." }, { "item_id": "N11", "question_type": "Evidence condition", "question": "Are the key high-risk population and later balance-impaired population the same?", "needed": "Trial-specific eligibility, baseline fracture risk and outcome denominators", "role": "Required", "role_reason": "This condition connects Trial-specific eligibility, baseline fracture risk and outcome denominators with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Trial-specific eligibility, baseline fracture risk and outcome denominators must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Trial-specific high-risk definitions, baseline falls and fractures, medications, bone disorders, comorbidities, institutions, recruitment, exclusions and outcome denominators are unverified. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The 2006 parent narrative describes high-risk adults with a mean age of 81.6 years; the 2013 trial concerns balance-impaired adults aged at least 75. The later citation's single-leg standing for ≤15 seconds describes eligibility, not a new exercise test or practice instructions.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Trial-specific high-risk definitions, baseline falls and fractures, medications, bone disorders, comorbidities, institutions, recruitment, exclusions and outcome denominators are unverified.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Trial-specific high-risk definitions, baseline falls and fractures, medications, bone disorders, comorbidities, institutions, recruitment, exclusions and outcome denominators are unverified." }, { "item_id": "N12", "question_type": "Evidence condition", "question": "Were comparators, support and concurrent treatment distinguished?", "needed": "Original controls, common care, actual participation and exposure", "role": "Required", "role_reason": "This condition connects Original controls, common care, actual participation and exposure with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Original controls, common care, actual participation and exposure must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Materials linking arm-specific controls, common care, support, supervision, actual participation, concurrent treatment, original results and denominators are needed. No new exercise-performance or prevention methods are provided. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The original research narrative records a no-exercise control and permission for unstable participants to use a support bar, while a separate classification field records usual care. Arm-specific medication, assistance, concurrent exercise, adherence and detailed exposure are unverified.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Materials linking arm-specific controls, common care, support, supervision, actual participation, concurrent treatment, original results and denominators are needed. No new exercise-performance or prevention methods are provided.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Materials linking arm-specific controls, common care, support, supervision, actual participation, concurrent treatment, original results and denominators are needed. No new exercise-performance or prevention methods are provided." }, { "item_id": "N13", "question_type": "Evidence condition", "question": "Can observation be extended to long-term prevention or other fracture sites?", "needed": "Key observation period, other fracture sites and post-discontinuation persistence", "role": "Required", "role_reason": "This condition connects Key observation period, other fracture sites and post-discontinuation persistence with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Key observation period, other fracture sites and post-discontinuation persistence must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Fractures by site and period, observation exposure, follow-up, maintenance exercise, arm-specific denominators, direct effects and CIs are needed. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Observation in the key event trial was 6 months, while the exact later-trial duration is unverified. Fractures of 1 versus 1 are not extended into established prevention at other sites, over the long term or after discontinuation.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Fractures by site and period, observation exposure, follow-up, maintenance exercise, arm-specific denominators, direct effects and CIs are needed.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Fractures by site and period, observation exposure, follow-up, maintenance exercise, arm-specific denominators, direct effects and CIs are needed." }, { "item_id": "N14", "question_type": "Evidence condition", "question": "Are overall BMD findings a substitute for fracture events?", "needed": "Separate postmenopausal BMD trial and fracture outcomes", "role": "Required", "role_reason": "This condition connects Separate postmenopausal BMD trial and fracture outcomes with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Separate postmenopausal BMD trial and fracture outcomes must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Separate original populations, denominators, BMD, sites, subgroup analyses and materials directly assessing fractures are needed. BMD findings are not converted into hip-fracture prevention. This records needed materials; no new research was executed.", "current_reports": [ "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Sakai's 2010 trial randomized 94 postmenopausal women, 49 versus 45, for 6-month hip BMD. Null overall findings and site-specific signals in a small subgroup aged at least 70 are retained. BMD values are not direct fracture events or prevention effects.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Separate original populations, denominators, BMD, sites, subgroup analyses and materials directly assessing fractures are needed. BMD findings are not converted into hip-fracture prevention.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Separate original populations, denominators, BMD, sites, subgroup analyses and materials directly assessing fractures are needed. BMD findings are not converted into hip-fracture prevention." }, { "item_id": "N15", "question_type": "Evidence condition", "question": "Can other balance exercises provide fracture evidence for stand-alone single-leg standing?", "needed": "Boundaries between a stand-alone intervention and broader balance-and-strength programs", "role": "Required", "role_reason": "This condition connects Boundaries between a stand-alone intervention and broader balance-and-strength programs with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Boundaries between a stand-alone intervention and broader balance-and-strength programs must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Direct materials concerning the same stand-alone intervention, population, comparator, prespecified fracture outcome and period are needed. No new exercise or treatment guidance is created. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The parent account does not transfer multicomponent balance-and-strength programs to stand-alone single-leg standing and distinguishes existing verdict 1557. Other-verdict materials are not newly read or added as the same effect in this work.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Direct materials concerning the same stand-alone intervention, population, comparator, prespecified fracture outcome and period are needed. No new exercise or treatment guidance is created.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Direct materials concerning the same stand-alone intervention, population, comparator, prespecified fracture outcome and period are needed. No new exercise or treatment guidance is created." }, { "item_id": "N16", "question_type": "Evidence condition", "question": "Are fracture ascertainment, blinding and selective reporting verified?", "needed": "Event collection, assessors, prespecified outcomes and missingness", "role": "Required", "role_reason": "This condition connects Event collection, assessors, prespecified outcomes and missingness with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Event collection, assessors, prespecified outcomes and missingness must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Original prespecification, allocation, concealment, fracture diagnosis, independent adjudication, event collection, missingness and outcome or analysis changes are needed. No new official bias-tool assessment or verdict is performed. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The original design was randomized, but fracture ascertainment, assessor blinding, prespecified hierarchy, missing events and detailed exposure are unverified. Recurrent-faller exclusion, subgroup analyses and erratum context are retained.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Original prespecification, allocation, concealment, fracture diagnosis, independent adjudication, event collection, missingness and outcome or analysis changes are needed. No new official bias-tool assessment or verdict is performed.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Original prespecification, allocation, concealment, fracture diagnosis, independent adjudication, event collection, missingness and outcome or analysis changes are needed. No new official bias-tool assessment or verdict is performed." }, { "item_id": "N17", "question_type": "Evidence condition", "question": "Are original research conditions being converted into exercise or prevention methods?", "needed": "Boundary between evidence records and practice instructions", "role": "Supplementary", "role_reason": "This condition connects Boundary between evidence records and practice instructions with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Boundary between evidence records and practice instructions must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Actual exercise and treatment decisions are a separate scope. Material verifying original methods, populations, comparators, exposure and adherence is needed. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The parent account records original research conditions for eyes-open single-leg standing. This sheet preserves those conditions and scope without creating new performance steps, exercise, fracture-prevention or treatment methods.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Actual exercise and treatment decisions are a separate scope. Material verifying original methods, populations, comparators, exposure and adherence is needed.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Actual exercise and treatment decisions are a separate scope. Material verifying original methods, populations, comparators, exposure and adherence is needed." }, { "item_id": "N18", "question_type": "Evidence condition", "question": "Were funding, products, authors and design or analysis roles distinguished?", "needed": "Report-specific funding, material support, affiliations and research roles", "role": "Required", "role_reason": "This condition connects Report-specific funding, material support, affiliations and research roles with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Report-specific funding, material support, affiliations and research roles must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Documents separately identifying financial, product and equipment support, company and author affiliations, design, analysis and publication roles, and support sources are needed. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The 2006 summary retains non-U.S. government-support indexing with unverified specific funding and COI; the 2013 report retains unverified information and the same-investigator context. Funding and COI for the 2010 BMD trial are also unverified. Government-support labels or different authors do not certify absent company involvement.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Documents separately identifying financial, product and equipment support, company and author affiliations, design, analysis and publication roles, and support sources are needed.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Documents separately identifying financial, product and equipment support, company and author affiliations, design, analysis and publication roles, and support sources are needed." }, { "item_id": "N19", "question_type": "Evidence condition", "question": "Can reports, errata and participants be added as independent trials?", "needed": "Relationships between papers, errata, trials and participants", "role": "Required", "role_reason": "This condition connects Relationships between papers, errata, trials and participants with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Relationships between papers, errata, trials and participants must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Links between reports, trials, erratum versions, registration, institutions, recruitment and participants are needed. Unique trial and participant totals remain unverified. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The original material has 3 evidence entries and 4 citations, including an erratum to the later trial. The 4 reports are not counted as 4 independent trials, and 553, 527, 865 and 94 participants are not added as unique participants.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Links between reports, trials, erratum versions, registration, institutions, recruitment and participants are needed. Unique trial and participant totals remain unverified.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Links between reports, trials, erratum versions, registration, institutions, recruitment and participants are needed. Unique trial and participant totals remain unverified." }, { "item_id": "N20", "question_type": "Evidence condition", "question": "Were registration and prespecified plans actually read?", "needed": "Verification scope for original registration, protocols, SAPs, changes and denominators", "role": "Required", "role_reason": "This condition connects Verification scope for original registration, protocols, SAPs, changes and denominators with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Verification scope for original registration, protocols, SAPs, changes and denominators must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Original registration, protocols, SAPs, changes, exclusions, subgroups, outcomes, denominators and analysis plans are needed. No external lookup or external-link testing was performed in this work. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Registration information in all 3 preserved evidence entries is 'could not verify'. Original registration, outcome hierarchy and exclusion or subgroup plans were unread in this work. Missing identifiers or materials are not converted into confirmation that a study was unregistered.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Original registration, protocols, SAPs, changes, exclusions, subgroups, outcomes, denominators and analysis plans are needed. No external lookup or external-link testing was performed in this work.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Original registration, protocols, SAPs, changes, exclusions, subgroups, outcomes, denominators and analysis plans are needed. No external lookup or external-link testing was performed in this work." }, { "item_id": "N21", "question_type": "Evidence condition", "question": "What is known about exercise-related harms, vulnerable populations and exposure denominators?", "needed": "Falls or injuries during exercise, support, supervision and harm collection", "role": "Supplementary", "role_reason": "This condition connects Falls or injuries during exercise, support, supervision and harm collection with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Falls or injuries during exercise, support, supervision and harm collection must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Active harm collection, timing, severity, falls and injuries, discontinuation, concurrent treatment, arm-specific denominators and exposure, support, supervision, vulnerable populations and long-term material are needed. No new exercise or treatment recommendations are created. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Parent safety wording and permission to use a support bar are preserved. Harm events during exercise, affected participants, exposure time, collection methods, denominators and vulnerable-population details are unverified in the summary. Null fractures are not used to establish safety.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Active harm collection, timing, severity, falls and injuries, discontinuation, concurrent treatment, arm-specific denominators and exposure, support, supervision, vulnerable populations and long-term material are needed. No new exercise or treatment recommendations are created.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Active harm collection, timing, severity, falls and injuries, discontinuation, concurrent treatment, arm-specific denominators and exposure, support, supervision, vulnerable populations and long-term material are needed. No new exercise or treatment recommendations are created." }, { "item_id": "N22", "question_type": "Evidence condition", "question": "How do subclaim D and the parent score and axes differ?", "needed": "Subclaim grade and absent separate score, status and axes", "role": "Required", "role_reason": "This condition connects Subclaim grade and absent separate score, status and axes with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Subclaim grade and absent separate score, status and axes must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Parent and subclaim application boundaries are distinguished. Empty fields are not replaced with defaults, and no new grades, scores or independence certification are created. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The selected fracture subclaim is D, and the other BMD subclaim is also preserved as D. Neither has a separate score, status or assessment axes. Parent C50, Caution, axes and null precision concern falls and are not filled in as fracture or BMD scores or axes.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Parent and subclaim application boundaries are distinguished. Empty fields are not replaced with defaults, and no new grades, scores or independence certification are created.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Parent and subclaim application boundaries are distinguished. Empty fields are not replaced with defaults, and no new grades, scores or independence certification are created." }, { "item_id": "N23", "question_type": "Evidence condition", "question": "How does reading a stored summary differ from reading external originals or an erratum?", "needed": "Reading scope for JSON, abstracts, full texts, registration, plans and errata", "role": "Required", "role_reason": "This condition connects Reading scope for JSON, abstracts, full texts, registration, plans and errata with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Reading scope for JSON, abstracts, full texts, registration, plans and errata must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Actual external-material acquisition, reading and content review require separate records. A URL is not labeled as current reading, successful access or completed content review. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The complete preserved parent JSON content was used to prepare this sheet. Historical bibliographic verification, disclosure of an erratum and cross-checks are records of their time. External abstracts, full texts, errata, registration, protocols and SAPs were unread in this work.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Actual external-material acquisition, reading and content review require separate records. A URL is not labeled as current reading, successful access or completed content review.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Actual external-material acquisition, reading and content review require separate records. A URL is not labeled as current reading, successful access or completed content review." }, { "item_id": "N24", "question_type": "Evidence condition", "question": "Can representative populations and periods be copied to other reports' results?", "needed": "Bilingual originals, representative classifications and report-specific populations, denominators and timing", "role": "Required", "role_reason": "This condition connects Bilingual originals, representative classifications and report-specific populations, denominators and timing with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Bilingual originals, representative classifications and report-specific populations, denominators and timing must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Materials comparing each original report's populations, interventions, comparators, denominators, outcomes, timing and English wording are needed. External English-text comparison and erratum content review were not performed in this work. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The complete Korean and English originals and representative classifications are preserved. Representative populations of 553 and 527, the 6-month observation and cumulative-falls and fracture context are not copied as outcome denominators or timing for Sakai's 94-participant BMD trial or the 2013 later trial.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Materials comparing each original report's populations, interventions, comparators, denominators, outcomes, timing and English wording are needed. External English-text comparison and erratum content review were not performed in this work.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Materials comparing each original report's populations, interventions, comparators, denominators, outcomes, timing and English wording are needed. External English-text comparison and erratum content review were not performed in this work." }, { "item_id": "N25", "question_type": "Evidence condition", "question": "Do the original evidence date, empty correction history and production date differ?", "needed": "Preserve evidence date, corrections, deliberation and original URLs", "role": "Required", "role_reason": "This condition connects Preserve evidence date, corrections, deliberation and original URLs with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Preserve evidence date, corrections, deliberation and original URLs must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: After preserving complete originals, added materials, condition revisions, observation application and verdict changes must be linked as separate events, versions and reasons. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "The original evidence date is 2026-09-07, and the account's correction list and deliberation string are empty. Production time is not converted into a new evidence-verification date, and external erratum details are not invented to fill gaps.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "After preserving complete originals, added materials, condition revisions, observation application and verdict changes must be linked as separate events, versions and reasons.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "After preserving complete originals, added materials, condition revisions, observation application and verdict changes must be linked as separate events, versions and reasons." }, { "item_id": "N26", "question_type": "Evidence condition", "question": "Are material-slot counts external acquisition or quality scores?", "needed": "Report links, local and external slots and unique clinical units", "role": "Required", "role_reason": "This condition connects Report links, local and external slots and unique clinical units with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Report links, local and external slots and unique clinical units must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Actual original-material acquisition and reading and links between trials, reports and cohorts are needed. Unread external materials, incomplete content review and unverified empty fields are retained. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Report links and material slots describe the production structure. They are not externally acquired papers, unique trials, participants, independent replications or quality scores; the same parent reports are shared.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Actual original-material acquisition and reading and links between trials, reports and cohorts are needed. Unread external materials, incomplete content review and unverified empty fields are retained.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Actual original-material acquisition and reading and links between trials, reports and cohorts are needed. Unread external materials, incomplete content review and unverified empty fields are retained." }, { "item_id": "N27", "question_type": "Evidence condition", "question": "How are new materials or changes to the question updated?", "needed": "Separate condition revision, evidence updates and original-verdict changes", "role": "Required", "role_reason": "This condition connects Separate condition revision, evidence updates and original-verdict changes with populations, comparators, exposure, fracture definitions, events versus affected participants, denominators, timing, prespecification, precision, reports and errata or harms for the selected hip-fracture question.", "application_exception": "Retain original subclaim D and absent score, status and axes without inheriting parent C50 or axes. Equal fracture counts are not established as an exact absence of effect or equivalence; falls, female subgroups and BMD are not reassigned as hip-fracture effects. The erratum is not a new trial and correction details are unverified. No new effects, CIs, P values, denominators, independent totals, safety certification or exercise, prevention or treatment methods are created.", "criterion": "Corresponding original material and analysis scope for Separate condition revision, evidence updates and original-verdict changes must be linked to fracture populations, comparators, sites, denominators, outcomes and timing, distinguishing stored summaries from unverified details and other results.", "basis": "Preserved application conditions concerning questions, comparisons, reports versus trials, outcomes, denominators, errata and harms were referenced.", "condition_origin": "These are in-house application conditions preserved for the existing subclaim. They do not establish clinical preregistration, official-tool certification or completed content review.", "proposed_research": "Material needed: Complete originals, events, versions and reasons for changes must be recorded. No new clinical calculations, effects, CIs, independence certification or exercise, prevention or treatment guidance are created. This records needed materials; no new research was executed.", "current_reports": [ "R01", "R02", "R03", "R04" ], "existence": "Stored-summary and bibliographic statements were used; identity, exact content, acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external abstracts, full texts, errata, registration, protocols and analysis plans unread", "observation": "Original material and current production conditions and observations are preserved. New materials or errata, when acquired, are linked to the relevant question, original report, denominator, outcome, timing and subclaim scope. No new lookup or reassessment was performed in this work.", "condition_status": "Partly verified", "status_reason": "Information was transferred from the stored summary while distinguishing the existing selected question from parent material. Detailed originals are unverified and review of existing content remains incomplete. This does not establish clinical certification or a passed content review.", "missingness": "Complete originals, events, versions and reasons for changes must be recorded. No new clinical calculations, effects, CIs, independence certification or exercise, prevention or treatment guidance are created.", "uncertainty": "External originals and errata are unread and review of existing content remains incomplete. Original subclaim D, its explanation and gaps in fracture-specific denominators and precision are retained. Historical verdicts, verification and independence narratives are not used as new clinical verdicts, current reading or safety certification.", "review_date": null, "reading_status": "Full text not read · Stored summary read", "additional_material": "Complete originals, events, versions and reasons for changes must be recorded. No new clinical calculations, effects, CIs, independence certification or exercise, prevention or treatment guidance are created." } ], "reports": [ { "report_id": "R01", "title": "Sakamoto K, et al. Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci. 2006;11:467-472. PMID: 17013734. DOI: 10.1007/s00776-006-1057-2.", "url": "https://pubmed.ncbi.nlm.nih.gov/17013734/", "report_type": "Six-month randomized controlled trial", "existence": "The stored summary contains a bibliography; acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external materials unread", "study_family": "Preserved report group shared by the parent and other subclaims; unique counts and independence unverified", "independent_replication": "The parent and other subclaims share the same preserved reports. Key fracture findings are distinguished from later fracture and female-faller findings by the same investigators, with the erratum linked to the later report. Separate BMD findings do not substitute for fracture events. Unique trial, participant, event and independent-replication totals are unverified and are not summed.", "observed_result": "Falls 118 versus 121 after excluding 1 recurrent faller from exercise; fractures 1 versus 1", "result_level": "Hip fractures in the key 6-month event trial are preserved as 1 versus 1. Original populations of 553 randomized, 527 analyzed, 315 versus 212 and 26 withdrawals are not automatically used as final fracture denominators. How exclusion of 1 recurrent faller before falls of 118 versus 121 applied to fracture analyses, and direct fracture effects and CIs, are unverified.", "source_evidence_date": "2026-09-07", "materials": [ { "material_type": "Stored existing review summary", "public_status": "Preserved copy of the complete parent-verdict stored summary", "access_status": "Stored summary", "acquired": true, "actually_read": "Summary read", "as_of": "2026-09-07", "qualification": "Preserve original PMID 17013734, DOI 10.1007/s00776-006-1057-2 and unverified registration. Non-U.S. government-support indexing does not verify specific funding, support, COI, roles or independence. Equal fracture event counts are not converted into precise equivalence or safety." }, { "material_type": "External abstract", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 17013734, DOI 10.1007/s00776-006-1057-2 and unverified registration. Non-U.S. government-support indexing does not verify specific funding, support, COI, roles or independence. Equal fracture event counts are not converted into precise equivalence or safety." }, { "material_type": "External full text", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 17013734, DOI 10.1007/s00776-006-1057-2 and unverified registration. Non-U.S. government-support indexing does not verify specific funding, support, COI, roles or independence. Equal fracture event counts are not converted into precise equivalence or safety." }, { "material_type": "Registration material", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 17013734, DOI 10.1007/s00776-006-1057-2 and unverified registration. Non-U.S. government-support indexing does not verify specific funding, support, COI, roles or independence. Equal fracture event counts are not converted into precise equivalence or safety." }, { "material_type": "Protocol and analysis plan", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 17013734, DOI 10.1007/s00776-006-1057-2 and unverified registration. Non-U.S. government-support indexing does not verify specific funding, support, COI, roles or independence. Equal fracture event counts are not converted into precise equivalence or safety." } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/17013734/" } ] }, { "report_id": "R02", "title": "Sakamoto K, et al. Why not use your own body weight to prevent falls? A randomized, controlled trial of balance therapy to prevent falls and fractures for elderly people who can stand on one leg for <=15 s. J Orthop Sci. 2013;18:110-120. PMID: 23138409. DOI: 10.1007/s00776-012-0328-3.", "url": "https://pubmed.ncbi.nlm.nih.gov/23138409/", "report_type": "Randomized trial in balance-impaired adults aged at least 75", "existence": "The stored summary contains a bibliography; acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external materials unread", "study_family": "Preserved report group shared by the parent and other subclaims; unique counts and independence unverified", "independent_replication": "The parent and other subclaims share the same preserved reports. Key fracture findings are distinguished from later fracture and female-faller findings by the same investigators, with the erratum linked to the later report. Separate BMD findings do not substitute for fracture events. Unique trial, participant, event and independent-replication totals are unverified and are not summed.", "observed_result": "Positive female faller subgroup; fractures null", "result_level": "The 2013 later trial analyzed 865 balance-impaired adults aged at least 75, with 410 versus 455. Both a female-faller subgroup signal and null fractures are retained. Exact fracture sites, events, denominators and periods are unverified and are not newly filled in as hip-fracture results or independent confirmation.", "source_evidence_date": "2026-09-07", "materials": [ { "material_type": "Stored existing review summary", "public_status": "Preserved copy of the complete parent-verdict stored summary", "access_status": "Stored summary", "acquired": true, "actually_read": "Summary read", "as_of": "2026-09-07", "qualification": "Preserve original PMID 23138409, DOI 10.1007/s00776-012-0328-3 and unverified registration. The same investigators, female fallers, existence of an erratum and null fractures are distinguished. Exact hip-fracture findings, periods, denominators, funding and COI are unverified." }, { "material_type": "External abstract", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 23138409, DOI 10.1007/s00776-012-0328-3 and unverified registration. The same investigators, female fallers, existence of an erratum and null fractures are distinguished. Exact hip-fracture findings, periods, denominators, funding and COI are unverified." }, { "material_type": "External full text", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 23138409, DOI 10.1007/s00776-012-0328-3 and unverified registration. The same investigators, female fallers, existence of an erratum and null fractures are distinguished. Exact hip-fracture findings, periods, denominators, funding and COI are unverified." }, { "material_type": "Registration material", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 23138409, DOI 10.1007/s00776-012-0328-3 and unverified registration. The same investigators, female fallers, existence of an erratum and null fractures are distinguished. Exact hip-fracture findings, periods, denominators, funding and COI are unverified." }, { "material_type": "Protocol and analysis plan", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 23138409, DOI 10.1007/s00776-012-0328-3 and unverified registration. The same investigators, female fallers, existence of an erratum and null fractures are distinguished. Exact hip-fracture findings, periods, denominators, funding and COI are unverified." } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/23138409/" } ] }, { "report_id": "R03", "title": "Sakamoto K, et al. Erratum to: Why not use your own body weight to prevent falls? J Orthop Sci. 2014;19:373-374. PMID: 30321915. DOI: 10.1007/s00776-014-0531-5.", "url": "https://pubmed.ncbi.nlm.nih.gov/30321915/", "report_type": "Erratum; not a separate original trial", "existence": "The stored summary contains a bibliography; acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external materials unread", "study_family": "Preserved report group shared by the parent and other subclaims; unique counts and independence unverified", "independent_replication": "The parent and other subclaims share the same preserved reports. Key fracture findings are distinguished from later fracture and female-faller findings by the same investigators, with the erratum linked to the later report. Separate BMD findings do not substitute for fracture events. Unique trial, participant, event and independent-replication totals are unverified and are not summed.", "observed_result": "The preserved bibliography discloses an erratum to the 2013 trial.", "result_level": "Only the bibliography of the 2014 erratum to the 2013 later report is preserved. No separate original evidence entry exists; corrected items and effects on fracture results and denominators are unread. It is linked to the later report without becoming a new trial, participants or verified corrected fracture values.", "source_evidence_date": "2026-09-07", "materials": [ { "material_type": "Stored existing review summary", "public_status": "Preserved copy of the complete parent-verdict stored summary", "access_status": "Stored summary", "acquired": true, "actually_read": "Summary read", "as_of": "2026-09-07", "qualification": "Preserve original PMID 30321915 and DOI 10.1007/s00776-014-0531-5. The erratum bibliography is distinguished from needed registration and plan materials for the linked original trial. This is not a separate trial or verified corrected fracture values; erratum details, effects on denominators, support and COI are unverified." }, { "material_type": "Erratum bibliography", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 30321915 and DOI 10.1007/s00776-014-0531-5. The erratum bibliography is distinguished from needed registration and plan materials for the linked original trial. This is not a separate trial or verified corrected fracture values; erratum details, effects on denominators, support and COI are unverified." }, { "material_type": "Erratum full text", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 30321915 and DOI 10.1007/s00776-014-0531-5. The erratum bibliography is distinguished from needed registration and plan materials for the linked original trial. This is not a separate trial or verified corrected fracture values; erratum details, effects on denominators, support and COI are unverified." }, { "material_type": "Linked original-trial registration material", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 30321915 and DOI 10.1007/s00776-014-0531-5. The erratum bibliography is distinguished from needed registration and plan materials for the linked original trial. This is not a separate trial or verified corrected fracture values; erratum details, effects on denominators, support and COI are unverified." }, { "material_type": "Linked original-trial protocol and analysis plan", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 30321915 and DOI 10.1007/s00776-014-0531-5. The erratum bibliography is distinguished from needed registration and plan materials for the linked original trial. This is not a separate trial or verified corrected fracture values; erratum details, effects on denominators, support and COI are unverified." } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/30321915/" } ] }, { "report_id": "R04", "title": "Sakai A, et al. Unipedal standing exercise and hip bone mineral density in postmenopausal women: a randomized controlled trial. J Bone Miner Metab. 2010;28:42-48. PMID: 19521657. DOI: 10.1007/s00774-009-0100-8.", "url": "https://pubmed.ncbi.nlm.nih.gov/19521657/", "report_type": "Randomized controlled trial in postmenopausal women", "existence": "The stored summary contains a bibliography; acquisition and reading of external originals are unverified.", "acquired_read": "Stored summary read; external materials unread", "study_family": "Preserved report group shared by the parent and other subclaims; unique counts and independence unverified", "independent_replication": "The parent and other subclaims share the same preserved reports. Key fracture findings are distinguished from later fracture and female-faller findings by the same investigators, with the erratum linked to the later report. Separate BMD findings do not substitute for fracture events. Unique trial, participant, event and independent-replication totals are unverified and are not summed.", "observed_result": "Overall hip BMD null; site-specific signals in a small aged 70 or older subgroup", "result_level": "The 2010 trial examined 6-month hip BMD in postmenopausal women. It retains 94 randomized, 49 versus 45, null overall BMD and site-specific signals in a small subgroup aged at least 70. BMD and its subgroup are not direct fracture events or hip-fracture prevention effects.", "source_evidence_date": "2026-09-07", "materials": [ { "material_type": "Stored existing review summary", "public_status": "Preserved copy of the complete parent-verdict stored summary", "access_status": "Stored summary", "acquired": true, "actually_read": "Summary read", "as_of": "2026-09-07", "qualification": "Preserve original PMID 19521657, DOI 10.1007/s00774-009-0100-8 and unverified registration. Null overall BMD and the age subgroup concern other outcomes; specific funding, support and COI are unverified. The parent description of a separate trial is not converted into verified independent funding or fracture confirmation." }, { "material_type": "External abstract", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 19521657, DOI 10.1007/s00774-009-0100-8 and unverified registration. Null overall BMD and the age subgroup concern other outcomes; specific funding, support and COI are unverified. The parent description of a separate trial is not converted into verified independent funding or fracture confirmation." }, { "material_type": "External full text", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 19521657, DOI 10.1007/s00774-009-0100-8 and unverified registration. Null overall BMD and the age subgroup concern other outcomes; specific funding, support and COI are unverified. The parent description of a separate trial is not converted into verified independent funding or fracture confirmation." }, { "material_type": "Registration material", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 19521657, DOI 10.1007/s00774-009-0100-8 and unverified registration. Null overall BMD and the age subgroup concern other outcomes; specific funding, support and COI are unverified. The parent description of a separate trial is not converted into verified independent funding or fracture confirmation." }, { "material_type": "Protocol and analysis plan", "public_status": "Original bibliographic link or needed material; external public availability/access status unverified", "access_status": "Unread; access not attempted", "acquired": false, "actually_read": "Not read", "as_of": null, "qualification": "Preserve original PMID 19521657, DOI 10.1007/s00774-009-0100-8 and unverified registration. Null overall BMD and the age subgroup concern other outcomes; specific funding, support and COI are unverified. The parent description of a separate trial is not converted into verified independent funding or fracture confirmation." } ], "links": [ { "label": "PubMed", "url": "https://pubmed.ncbi.nlm.nih.gov/19521657/" } ] } ], "method_sources": [ { "id": "M03", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03", "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13", "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.", "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed." }, { "id": "M04", "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04", "section": "§4.5, §4.6.1–4.6.3, MECIR C42", "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.", "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed." }, { "id": "M08", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08", "section": "§8.1–8.2.3, Table 8.2.a", "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.", "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed." }, { "id": "M15", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15", "section": "§15.2.4, §15.3.1–15.3.3", "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.", "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed." }, { "id": "M19", "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10", "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19", "section": "§19.1.2, §19.2.1–19.2.4", "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.", "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed." } ], "status_dictionary": { "Partly verified": "Partial information from the stored summary is linked; detailed originals and content review remain incomplete.", "Unverified": "Required details cannot be established within the preserved scope. This does not establish absence of effects or studies, or safety.", "Review incomplete": "Review of existing content remains incomplete.", "Met": "This state is used only within the relevant conditions after material verification and content review. It was not automatically assigned in this work.", "Not reported": "Unreported within material actually read. Unread external material is not relabeled as unreported.", "Inaccessible": "This means actual access failure. External access was not attempted in this work, so this state was not assigned.", "Not applicable": "Used only with an application exception and reason based on the question scope.", "Conflicting data": "This requires actual comparison of materials; no new conflict judgment was made in this work.", "Insufficient evidence for the conditions": "This indicates gaps in additional material for the selected conditions. Unread material as a whole is not converted into an efficacy grade." }, "study_overlap": { "state": "Unverified", "unique_trial_count": null, "unique_participant_count": null, "reason": "The parent and other subclaims share the same preserved reports. Key fracture findings are distinguished from later fracture and female-faller findings by the same investigators, with the erratum linked to the later report. Separate BMD findings do not substitute for fracture events. Unique trial, participant, event and independent-replication totals are unverified and are not summed." }, "history": [ { "date": "2026-10-19", "kind": "Separation of public-facing pages and materials", "view_version": "1.0", "change": "Public-facing views and materials were prepared from the existing 27 items. No new clinical search, verification-status change or scoring was performed." } ], "language": "en", "translation_date": "2026-10-19" }