Evidence map›Paper›PMID 39811927›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Trends in Osteoporosis Drug Therapy Receipt Among Commercial and Medicare Advantage Enrollees in the United States, 2011-2022.

Alexander O Everhart, Juan P Brito, Bart L Clarke, Jeph Herrin, Pinar Karaca-Mandic, Kurt A Kennel, Nehu Parimi, Clifford J Rosen, Mark Takagi, Rozalina G McCoy

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Approach to personalizing the treatment of osteoporosis.The Journal of clinical endocrinology and metabolism · 2026
    Review
  2. 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
  3. Article
  4. Article
  5. 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

10 authors.

Alexander O EverhartDivision of General Medicine and Geriatrics, John T. Milliken Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0001-5192-6557
Juan P BritoDivision of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0003-1840-1745
Bart L ClarkeDivision of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Jeph HerrinSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0002-3671-3622
Pinar Karaca-MandicDepartment of Finance, Carlson School of Management, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-6682-1982
Kurt A KennelDivision of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-1507-0832
Nehu ParimiDivision of Endocrinology, Diabetes, & Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Clifford J RosenCenter for Clinical and Translational Research, Maine Health Institute for Research, Scarborough, ME 04074, USA.ORCID 0000-0003-3436-8199
Mark TakagiKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN 55905, USA.
Rozalina G McCoyDivision of Endocrinology, Diabetes, & Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0000-0002-2289-3183

Funding

Comparative Effectiveness and Safety of Osteoporosis Drug TherapiesR01AG079113 · NIA · MAYO CLINIC ROCHESTER · PI Juan P Brito Campana, Rozalina Grubina McCoy · 2022 to 2026
$3.3M
Montgomery County, MarylandNIA NIH HHSNIA NIH HHS R01 AG079113NIH HHS R01AG079113University of MarylandUniversity of Maryland-Institute for Health Computing
6 · The paper itself

Abstract

contextA national assessment of osteoporosis drug therapy (ODT) use can inform the extent of underdiagnosis and undertreatment of osteoporosis.

objectiveThe aim was to describe trends in ODT use by age, sex, fragility fracture, and documented osteoporosis.

methodsThis was a retrospective analysis of patient-quarter observations for adults aged ≥50 years with commercial or Medicare Advantage health insurance in the OptumLabs Data Warehouse between 2011 and 2022. The primary outcome was the proportion of patient-quarter observations with ODT use stratified by age, sex, fragility fracture, and documented osteoporosis. Cuzick tests were performed to assess trends ODT use.

resultsAnalysis of 166 673 420 patient-quarter observations revealed that over 70% of patients with fragility fractures did not have documented osteoporosis. Among women aged ≥65 years with documented osteoporosis, ODT fill rates increased between 2011 and 2022 from 36.3% to 50.1% for women without fragility fractures (P < .001) and from 30.8% to 43.7% for women with fragility fractures (P < .001). However, ODT fill rates declined (9.2% to 7.4% between 2011 and 2022) for women with fragility fractures and no documented osteoporosis (P = .015). Similar trends were observed among women aged 50-64 years and men.

conclusionODT use for patients with documented osteoporosis has increased but remains low. Low rates of ODT use for patients with fragility fractures in the absence of documented osteoporosis suggests that underdiagnosis of osteoporosis contributes to underuse of ODTs.

Indexed as

Bone Density Conservation AgentsMedicare Part COsteoporosisOsteoporotic FracturesAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesUnited StatesBone Density Conservation Agentsbisphosphonatesbone/mineral metabolismosteoporosis

Identifiers

PMID39811927
PMCPMC12342365

What OpenQuestion holds

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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.