Evidence map›Paper›PMID 30394355›Full record

ArticleBone2019

Bone collagen network integrity and transverse fracture toughness of human cortical bone.

Thomas L Willett, Daniel Y Dapaah, Sasidhar Uppuganti, Mathilde Granke, Jeffry S Nyman

Abstract read
In one paragraph

Article in Bone, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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
  4. Article
  5. Differences and similarities in cortical bone of the femur between donors with and without type 2 diabetes.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Article
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  8. Review
  9. Article
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  16. Article
  17. Sex-specific effects ofJBMR plus · 2024
    Article
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  19. Article
  20. Review
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

5 authors.

Thomas L WillettBiomedical Engineering Program, Systems Design Engineering, University of Waterloo, Waterloo, Ontario, Canada.
Daniel Y DapaahBiomedical Engineering Program, Systems Design Engineering, University of Waterloo, Waterloo, Ontario, Canada.
Sasidhar UppugantiVanderbilt University Medical Center, Nashville, TN, United States of America.
Mathilde GrankeVanderbilt University Medical Center, Nashville, TN, United States of America.
Jeffry S NymanVanderbilt University Medical Center, Nashville, TN, United States of America. Electronic address: jeffry.s.nyman@Vanderbilt.Edu.

Funding

The Roles of Collagen and Water in the Fracture Resistance of BoneR01AR063157 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI NYMAN, JEFFRY STEPHEN · 2012 to 2025
$3.9M
Aging and Diabetes-Related Factors Compromising Bone Fracture ResistanceI01BX001018 · VA · VETERANS HEALTH ADMINISTRATION · PI NYMAN, JEFFRY STEPHEN · 2011 to 2014
–
BLRD VA I01 BX001018BLRD VA I01 BX004297CIHR 115089NIAMS NIH HHS R01 AR063157
6 · The paper itself

Abstract

Greater understanding of the determinants of skeletal fragility is highly sought due to the great burden that bone affecting diseases and fractures have on economies, societies and health care systems. Being a complex, hierarchical composite of collagen type-I and non-stoichiometric substituted hydroxyapatite, bone derives toughness from its organic phase. In this study, we tested whether early observations that a strong correlation between bone collagen integrity measured by thermomechanical methods and work to fracture exist in a more general and heterogeneous sampling of the population. Neighboring uniform specimens from an established, highly characterized and previously published collection of human cortical bone samples (femur mid-shaft) were decalcified in EDTA. Fifty-four of the original 62 donors were included (26 male and 28 females; ages 21-101 years; aging, osteoporosis, diabetes and cancer). Following decalcification, bone collagen was tested using hydrothermal isometric tension (HIT) testing in order to measure the collagen's thermal stability (denaturation temperature, T

Indexed as

AdultAgedAged, 80 and overBone and BonesCollagenCortical BoneFemaleFractures, BoneHumansLinear ModelsMaleMiddle AgedYoung AdultCollagenAgeBone collagen connectivityBone qualityCortical boneFracture toughnessPentosidine

Identifiers

PMID30394355
PMCPMC6360115

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.