Evidence map›Paper›PMID 40786344›Full record

ArticleCureus2025

Osteoporosis-Associated Mortality in Postmenopausal Women in the United States From 1999 to 2023: A CDC WONDER-Based Study.

Muhammad Shabir, Muhammad Yasin Khan, Muhammad Younas Khan, Murad Ali, Rahman Syed, Ameer Afzal Khan, Anfal Khan, Fazal Syed, Mohammad Idrees, Muhammad Tariq

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Muhammad ShabirOrthopaedics, Saidu Group of Teaching Hospitals, Swat, PAK.
Muhammad Yasin KhanOrthopaedics, Saidu Group of Teaching Hospitals, Swat, PAK.
Muhammad Younas KhanOrthopaedics, Saidu Group of Teaching Hospitals, Swat, PAK.
Murad AliOrthopaedics, Saidu Group of Teaching Hospitals, Swat, PAK.
Rahman SyedInternal Medicine, Swat Medical College, Swat, PAK.
Ameer Afzal KhanInternal Medicine, Saidu Medical College, Swat, PAK.
Anfal KhanInternal Medicine, Saidu Medical College, Swat, PAK.
Fazal SyedInternal Medicine, Northwest School of Medicine, Peshawar, PAK.
Mohammad IdreesInternal Medicine, Saidu Medical College, Swat, PAK.
Muhammad TariqOrthopaedics, Saidu Group of Teaching Hospitals, Swat, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimOsteoporosis remains a significant contributor to illness and death among postmenopausal women, primarily due to complications from fractures. This study examined national trends and disparities in osteoporosis-related mortality over a 24-year period.

methodsMortality records of postmenopausal women from 1999 to 2023 were analyzed using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to assess osteoporosis-related deaths. Age-adjusted mortality rates (AAMRs) were calculated and examined across time, demographic groups, geographic regions, and fracture involvement. Statistical trend analysis was used to evaluate changes in mortality patterns over time.

resultsA total of 232,877 osteoporosis-related deaths were recorded. The overall AAMR declined from 29.35 in 1999 to 12.00 in 2023 (average annual percent change (AAPC): -3.75%; 95% CI: -4.71 to -2.77; p < 0.000001). Mortality due to osteoporosis with pathological fracture showed a sharper decline (AAPC: -5.14%) compared to osteoporosis without fracture (AAPC: -3.62%). White women had the highest AAMRs throughout, though all racial/ethnic groups experienced significant reductions. Regional analysis revealed the highest mortality rates in the Midwest and West, with Vermont reporting the highest state-level AAMR (74.97). Recent years (2018-2021) showed non-significant increases in mortality across subgroups, which may be associated with healthcare disruptions during COVID-19.

conclusionOsteoporosis-related mortality among postmenopausal women significantly declined over the past 25 years, reflecting advances in diagnosis, treatment, and prevention. However, persistent racial, geographic, and fracture-related disparities underscore the need for targeted public health interventions and equitable access to osteoporosis care.

Indexed as

cdc-wondermortality trendsosteoporosispostmenopausal womenunited states

Identifiers

PMID40786344
PMCPMC12335810

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LicenceCC BY
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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.