Evidence map›Paper›PMID 31667450›Full record

ArticleJBMR plus2019

Healthcare Policy Changes in Osteoporosis Can Improve Outcomes and Reduce Costs in the United States.

E Michael Lewiecki, Jesse D Ortendahl, Jacqueline Vanderpuye-Orgle, Andreas Grauer, Jorge Arellano, Jeffrey Lemay, Amanda L Harmon, Michael S Broder, Andrea J Singer

Open access · goldAbstract read
In one paragraph

Article in JBMR plus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 9 pooled it
15.2field-weighted citation impact, top 1% of its field
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

128 citing papers in PubMed, 9 syntheses or guidelines pooled it, 216 citations in OpenAlex.

  1. Pooled it
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  3. A cost-saving analysis of pharmacologic management in osteoporotic fracture prevention among postmenopausal women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  17. In vivo mechanical assessment of cortical bone rigidity enhances fracture discrimination beyond DXA in postmenopausal women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
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68 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 1 country.

E Michael LewieckiNew Mexico Clinical Research & Osteoporosis Center Albuquerque NM USA.ORCID https://orcid.org/0000-0003-2026-9587
Jesse D OrtendahlPartnership for Health Analytic Research, LLC Beverly Hills CA USA.
Jacqueline Vanderpuye-OrgleAmgen Inc Thousand Oaks CA USA.
Andreas GrauerAmgen Inc Thousand Oaks CA USA.
Jorge ArellanoAmgen Inc Thousand Oaks CA USA.
Jeffrey LemayAmgen Inc Thousand Oaks CA USA.
Amanda L HarmonPartnership for Health Analytic Research, LLC Beverly Hills CA USA.ORCID https://orcid.org/0000-0002-3779-9528
Michael S BroderPartnership for Health Analytic Research, LLC Beverly Hills CA USA.
Andrea J SingerMedStar Georgetown University Hospital Washington DC USA.
Amgen (United States) · USPartnership for Health Analytic Research · USGeorgetown University · USNew Mexico Clinical Research & Osteoporosis Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the United States, osteoporosis affects over 10 million adults, has high societal costs ($22 billion in 2008), and is currently being underdiagnosed and undertreated. Given an aging population, this burden is expected to rise. We projected the fracture burden in US women by modeling the expected demographic shift as well as potential policy changes. With the anticipated population aging and growth, annual fractures are projected to increase from 1.9 million to 3.2 million (68%), from 2018 to 2040, with related costs rising from $57 billion to over $95 billion. Policy-driven expansion of case finding and treatment of at-risk women could lower this burden, preventing 6.1 million fractures over the next 22 years while reducing payer costs by $29 billion and societal costs by $55 billion. Increasing use of osteoporosis-related interventions can reduce fractures and result in substantial cost-savings, a rare and fortunate combination given the current landscape in healthcare policy. © 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research.

Indexed as

FRACTURE PREVENTIONFRACTURE RISK ASSESSMENTGENERAL POPULATION STUDIESHEALTH ECONOMICSOSTEOPOROSIS

Identifiers

PMID31667450
PMCPMC6808223
OpenAlexW2921611329

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.