Evidence map›Paper›PMID 26636271›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2016

Examining the Relationships Between Bone Tissue Composition, Compositional Heterogeneity, and Fragility Fracture: A Matched Case-Controlled FTIRI Study.

Adele L Boskey, Eve Donnelly, Elizabeth Boskey, Lyudmila Spevak, Yan Ma, Wei Zhang, Joan Lappe, Robert R Recker

Abstract readClinical Trial
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

  1. Insights into the bisphosphonate holiday: a preliminary FTIRI study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Trial
  2. Bone organic matrix quality indices associate with fragility fracture occurrence independently of bone mineral density values.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
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  14. Bone architecture, bone material properties, and bone turnover in non-osteoporotic post-menopausal women with fragility fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Adele L BoskeyMusculoskeletal Integrity Program, Hospital for Special Surgery, New York, NY, USA.
Eve DonnellyMusculoskeletal Integrity Program, Hospital for Special Surgery, New York, NY, USA.
Elizabeth BoskeyWomen's and Gender Studies, Boston University, Boston, MA, USA.
Lyudmila SpevakMusculoskeletal Integrity Program, Hospital for Special Surgery, New York, NY, USA.
Yan MaDepartment of Epidemiology and Biostatistics, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.
Wei ZhangDepartment of Epidemiology and Biostatistics, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.
Joan LappeOsteoporosis Research Center, Creighton University, Omaha, NE, USA.
Robert R ReckerOsteoporosis Research Center, Creighton University, Omaha, NE, USA.

Funding

FT-IR MICROSCOPY OF MINERAL STRUCTURE IN OSTEOPOROSISR01AR041325 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI GOLDRING, MARY B · 1993 to 2017
$9.2M
A Study of Reduced Bone Quality as a Cause of FracturesR01AR054496 · NIAMS · CREIGHTON UNIVERSITY · PI RECKER, ROBERT ROY · 2008 to 2012
$4.4M
Nonenzymatic glycation, bone quality, and microdamage in type 2 diabetic boneK01AR064314 · NIAMS · CORNELL UNIVERSITY · PI DONNELLY, EVE · 2013 to 2017
$659k
NIAMS NIH HHS K01 AR064314NIAMS NIH HHS R01 AR041325NIAMS NIH HHS R01 AR054496
6 · The paper itself

Abstract

Fourier transform infrared imaging (FTIRI) provides information on spatial distribution of the chemical composition of thin tissue specimens at ∼7 µm spatial resolution. This study of 120 age- and bone mineral density (BMD)-matched patients was designed to investigate the association of FTIRI variables, measured in iliac crest biopsies, with fragility fractures at any site. An earlier study of 54 women found hip BMD to be a significant explanatory variable of fracture risk for cortical bone but not for cancellous bone. In the current study, where age and BMD were controlled through matching, no such association was observed, validating the pairing scheme. Our first study of unmatched iliac crest biopsies found increases in collagen maturity (cancellous and cortical bone) and mineral crystal size (cortical bone only) to be a significant explanatory variable of fracture when combined with other covariates. The ratio for collagen maturity has been correlated to the amount of enzymatic collagen cross-links. To assess the impact of other FTIRI variables (acid phosphate substitution, carbonate-to-phosphate ratio, and the pixel distribution [heterogeneity] of all relevant FTIRI variables), we examined biopsies from a matched case-controlled study, in which 60 women with fractures were each paired with an age- and BMD-matched female control. With the matched data set of 120 women, conditional logistic regression analyses revealed that significant explanatory variables of fracture were decreased carbonate-to-phosphate ratio in both cancellous (odds ratio [OR] = 0.580, 95% confidence interval [CI] 0.37-0.909, p = 0.0176) and cortical bone (OR = 0.519, 95% CI 0.325-0.829, p = 0.0061), and increased heterogeneity (broadened pixel distribution) of collagen maturity for cancellous bone (OR = 1.549, 95% CI 1.002-2.396, p = 0.0491). The observation that collagen maturity was no longer linked to fracture in age- and BMD-matched samples suggests that age-dependent variation in collagen maturity may be a more important contributory factor to fragility fractures than previously thought. © 2015 American Society for Bone and Mineral Research.

Indexed as

Bone DensityCancellous BoneIliumAgedCase-Control StudiesCollagenFemaleHip FracturesHumansMiddle AgedSpectroscopy, Fourier Transform InfraredCollagenAGINGANALYSIS/QUANTITATION OF BONEFRACTURE RISKFTIR IMAGINGOSTEOPOROSIS

Identifiers

PMID26636271
PMCPMC4862946

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.