Evidence map›Paper›PMID 29858634›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2018

The American Orthopaedic Association's Own the Bone® database: a national quality improvement project for the treatment of bone health in fragility fracture patients.

B C Carlson, W A Robinson, N R Wanderman, A N Nassr, P M Huddleston, M J Yaszemski, B L Currier, K J Jeray, K L Kirk, A D Bunta and 8 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Fracture liaison service evaluation during admission for fragility femur fracture increases rates of bone health intervention and outpatient follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  2. Article
  3. Osteoporosis management and secondary fragility fracture rates in patients with multiple sclerosis: a matched cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  4. Post-fracture care programs for prevention of subsequent fragility fractures: a literature assessment of current trends.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Review
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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

18 authors.

B C CarlsonMayo Clinic, Rochester, MN, USA.
W A RobinsonMayo Clinic, Rochester, MN, USA.
N R WandermanMayo Clinic, Rochester, MN, USA.
A N NassrMayo Clinic, Rochester, MN, USA.
P M HuddlestonMayo Clinic, Rochester, MN, USA.
M J YaszemskiMayo Clinic, Rochester, MN, USA.
B L CurrierMayo Clinic, Rochester, MN, USA.
K J JerayGreenville Health System, Greenville, SC, USA.
K L KirkSan Antonio Orthopedic Group, San Antonio, TX, USA.
A D BuntaNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
S MurphyThe American Orthopaedic Association, Rosemont, IL, USA.
B PatelThe American Orthopaedic Association, Rosemont, IL, USA.
C M WatkinsWest Virginia University, Morgantown, WV, USA.
D L SietsemaThe CORE Institute, Phoenix, AZ, USA.
B J EdwardsCentral Texas Veteran Healthcare System, Temple, TX, USA.
L L TosiChildren's National Health System, Washington, DC, USA.
P A AndersonUniversity of Wisconsin, Madison, WI, USA.
B A FreedmanMayo Clinic, Rochester, MN, USA. freedman.brett@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American Orthopaedic Association initiated the Own the Bone (OTB) quality improvement program in 2009. Herein we show that the data collected through this program is similar to that collected in other large studies. Thus, the OTB registry functions as an externally valid cohort for studying fragility fracture patients.

introductionThe American Orthopedic Association initiated the Own the Bone (OTB) quality improvement program in 2009 to improve secondary prevention of fragility fractures. In this study, we present a summary of the data collected by the OTB program and compare it to data from other large fragility fracture registries with an aim to externally validate the OTB registry.

methodsThe OTB registry contained 35,038 unique cases of fragility fracture as of September, 2016. We report the demographics, presenting fracture characteristics, past fracture history, and bone mineral density (BMD) data and compare these to data from large fragility fracture studies across the world.

resultsSeventy-three percent of the patients in the OTB registry were female, Caucasian, and post-menopausal. In 54.4% of cases, patients had a hip fracture; spine fractures were the second most common fracture type occurring in 11.1% of patients. Thirty-four percent of the patients had a past history of fragility fracture, and the most common sites were the spine and hip. The average femoral neck T-score was - 2.06. When compared to other studies, the OTB database showed similar findings with regard to patient age, gender, race, BMI, BMD profile, prior fracture history, and family history of fragility fractures.

conclusionOTB is the first and largest multi-center voluntary fragility fracture registry in the USA. The data collected through the OTB program is comparable to that collected in international studies. Thus, the OTB registry functions as an externally valid cohort for further studies assessing the clinical characteristics, interventions, and outcomes achieved in patients who present with a fragility fracture in the USA.

Indexed as

Quality ImprovementRegistriesAgedAged, 80 and overAge DistributionBone DensityBone Density Conservation AgentsDatabases, FactualDrug UtilizationFemaleHumansMaleMiddle AgedOsteoporosisOsteoporotic FracturesSecondary PreventionBone Density Conservation AgentsBone mineral densityFragility fractureHip fractureOsteopeniaOsteoporosisSpine fracture

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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.