Evidence map›Paper›PMID 34338355›Full record

ReviewJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2021

Racial and Ethnic Disparities in Bone Health and Outcomes in the United States.

Sabrina E Noel, Michelly P Santos, Nicole C Wright

Open access · greenAbstract readReview
In one paragraph

Review in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 3 pooled it
9.6field-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

97 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  8. Management of glucocorticoid-induced osteoporosis in rheumatic diseases.Best practice & research. Clinical rheumatology · 2026
    Review
  9. Article
  10. AI-derived opportunistic screening using chest radiographs identifies age- and sex-associated bone mineral density patterns and supports earlier osteoporosis evaluation.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
  11. Trends and disparities in DXA testing for osteoporosis among Medicare beneficiaries, 2005-2023.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
  12. Article
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  15. Letter to the editor regarding "Romosozumab versus teriparatide and risk of all-cause mortality in patients with osteoporosis: a real-world propensity score-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 · 2026
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  19. Who receives DXA in VHA direct care vs. community care? Insights into bone health care for veterans.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
  20. Article

37 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

3 authors at 2 institutions in 1 country.

Sabrina E NoelDepartment of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, USA.ORCID 0000-0002-7816-3964
Michelly P SantosDepartment of Biomedical and Nutritional Sciences, University of Massachusetts Lowell, Lowell, MA, USA.
Nicole C WrightDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0001-8414-4842
University of Massachusetts Lowell · USUniversity of Alabama at Birmingham · US

Funding

Biology or Management: Understanding Racial Differences in Post Fracture OutcomesK01AR068400 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WRIGHT, NICOLE C · 2017 to 2020
$508k
Diet and Health Behavior Change to Improve Bone HealthK01AR067894 · NIAMS · UNIVERSITY OF MASSACHUSETTS LOWELL · PI NOEL, SABRINA · 2015 to 2019
$504k
NIAMS NIH HHS K01 AR067894NIAMS NIH HHS K01 AR068400NIH HHS K01 AR068400
6 · The paper itself

Abstract

Osteoporosis is a bone disease classified by deterioration of bone microarchitecture and decreased bone strength, thereby increasing subsequent risk of fracture. In the United States, approximately 54 million adults aged 50 years and older have osteoporosis or are at risk due to low bone mass. Osteoporosis has long been viewed as a chronic health condition affecting primarily non-Hispanic white (NHW) women; however, emerging evidence indicates racial and ethnic disparities in bone outcomes and osteoporosis management. The primary objective of this review is to describe disparities in bone mineral density (BMD), prevalence of osteoporosis and fracture, as well as in screening and treatment of osteoporosis among non-Hispanic black (NHB), Hispanic, and Asian adults compared with NHW adults living on the US mainland. The following areas were reviewed: BMD, osteoporosis prevalence, fracture prevalence and incidence, postfracture outcomes, DXA screening, and osteoporosis treatments. Although there are limited studies on bone and fracture outcomes within Asian and Hispanic populations, findings suggest that there are differences in bone outcomes across NHW, NHB, Asian, and Hispanic populations. Further, NHB, Asian, and Hispanic populations may experience suboptimal osteoporosis management and postfracture care, although additional population-based studies are needed. There is also evidence that variation in BMD and osteoporosis exists within major racial and ethnic groups, highlighting the need for research in individual groups by origin or background. Although there is a clear need to prioritize future quantitative and qualitative research in these populations, initial strategies for addressing bone health disparities are discussed. © 2021 American Society for Bone and Mineral Research (ASBMR).

Indexed as

EthnicityOsteoporosisAdultAgedBone DensityFemaleHispanic or LatinoHumansMiddle AgedRacial GroupsUnited StatesAGINGEPIDEMIOLOGYFRACTURE PREVENTIONOSTEOPOROSISSCREENING

Identifiers

PMID34338355
PMCPMC8607440
OpenAlexW3187256682

What OpenQuestion holds

Textmetadata
LicenceTDM
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.