Evidence map›Paper›PMID 42807301›Full record

ArticleFrontiers in medicine2026

Trends in mortality with osteoporosis recorded as the underlying cause of death among adults aged 65 years and older in the United States, 1999-2024.

Chengzhuan Luo, Qian Zhou

Abstract read
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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Chengzhuan LuoDepartment of Hand Surgery, Linping Hospital, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Qian ZhouDepartment of Emergency, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Osteoporosis coded as the underlying cause of death increases mortality risk in older adults. This study aimed to examine temporal trends and demographic disparities in mortality with osteoporosis as the underlying cause of death among U.S. adults aged 65 years and older from 1999 to 2024, and to identify recent mortality plateauing patterns. Methods: A population-based retrospective ecological analysis was performed using the CDC WONDER national mortality database. All eligible decedents were restricted to adults ≥65 years with ICD-10 M80/M81 recorded as the underlying cause of death. Mortality counts, age-adjusted mortality rates (AAMR), crude mortality rates (CMR for age subgroups), and average annual percent change (AAPC) with 95% confidence intervals (CIs) were stratified by sex, census region, race/ethnicity, urbanization (limited to 1999-2020), and age group. Annual cells with death counts <10 were suppressed and excluded from continuous trend plotting. Joinpoint regression with pairwise AAPC Results: Total deaths with osteoporosis as the underlying cause decreased from 1,622 in 1999 to 484 in 2024 (-70.16%). The overall AAMR declined from 4.78 (95% CI: 4.54-5.01) to 0.92 (95% CI: 0.84-1.00), with an overall AAPC of -6.26 (95% CI: -7.37--5.14; Conclusions: Mortality with osteoporosis documented as the underlying cause of death presented a significant overall downward trend among U.S. adults aged 65 and older over 1999-2024, yet most subgroups exhibited plateauing mortality in recent calendar years. Continuous annual trend visualization for Hispanic populations is unfeasible due to CDC WONDER privacy suppression rules that hide records with fewer than 10 annual deaths, while complete aggregate summary statistics for Hispanic participants are reported. Females, the oldest-old population, and rural residents carried persistent excess mortality burden. These stratified nationwide epidemiological findings support targeted bone health public interventions for high-risk elderly subgroups.

Indexed as

age-adjusted mortality rateCDC WONDERmortalityosteoporosistrendUnited States

Identifiers

PMID42807301
PMCPMC13616793

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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.