The American Orthopaedic Association’s Own the Bone® database: a national quality improvement project for the treatment of bone health in fragility fracture patients

B. C. Carlson, W. A. Robinson, N. R. Wanderman, A. N. Nassr, P. M. Huddleston, M. J. Yaszemski, B. L. Currier, K. J. Jeray, K. L. Kirk, Andrew D Bunta, S. Murphy, B. Patel, C. M. Watkins, D. L. Sietsema, B. J. Edwards, L. L. Tosi, P. A. Anderson, B. A. Freedman*

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Summary: The American Orthopaedic Association initiated the Own the Bone (OTB) quality improvement program in 2009. Herein we show that the data collected through this program is similar to that collected in other large studies. Thus, the OTB registry functions as an externally valid cohort for studying fragility fracture patients. Introduction: The American Orthopedic Association initiated the Own the Bone (OTB) quality improvement program in 2009 to improve secondary prevention of fragility fractures. In this study, we present a summary of the data collected by the OTB program and compare it to data from other large fragility fracture registries with an aim to externally validate the OTB registry. Methods: The OTB registry contained 35,038 unique cases of fragility fracture as of September, 2016. We report the demographics, presenting fracture characteristics, past fracture history, and bone mineral density (BMD) data and compare these to data from large fragility fracture studies across the world. Results: Seventy-three percent of the patients in the OTB registry were female, Caucasian, and post-menopausal. In 54.4% of cases, patients had a hip fracture; spine fractures were the second most common fracture type occurring in 11.1% of patients. Thirty-four percent of the patients had a past history of fragility fracture, and the most common sites were the spine and hip. The average femoral neck T-score was − 2.06. When compared to other studies, the OTB database showed similar findings with regard to patient age, gender, race, BMI, BMD profile, prior fracture history, and family history of fragility fractures. Conclusion: OTB is the first and largest multi-center voluntary fragility fracture registry in the USA. The data collected through the OTB program is comparable to that collected in international studies. Thus, the OTB registry functions as an externally valid cohort for further studies assessing the clinical characteristics, interventions, and outcomes achieved in patients who present with a fragility fracture in the USA.

Original languageEnglish (US)
Pages (from-to)2101-2109
Number of pages9
JournalOsteoporosis International
Volume29
Issue number9
DOIs
StatePublished - Sep 1 2018

Fingerprint

Quality Improvement
Orthopedics
Databases
Bone and Bones
Registries
Health
Therapeutics
Bone Density
Spine
Femur Neck
Hip Fractures
Secondary Prevention
Hip
Cohort Studies
Demography

Keywords

  • Bone mineral density
  • Fragility fracture
  • Hip fracture
  • Osteopenia
  • Osteoporosis
  • Spine fracture

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Carlson, B. C. ; Robinson, W. A. ; Wanderman, N. R. ; Nassr, A. N. ; Huddleston, P. M. ; Yaszemski, M. J. ; Currier, B. L. ; Jeray, K. J. ; Kirk, K. L. ; Bunta, Andrew D ; Murphy, S. ; Patel, B. ; Watkins, C. M. ; Sietsema, D. L. ; Edwards, B. J. ; Tosi, L. L. ; Anderson, P. A. ; Freedman, B. A. / The American Orthopaedic Association’s Own the Bone® database : a national quality improvement project for the treatment of bone health in fragility fracture patients. In: Osteoporosis International. 2018 ; Vol. 29, No. 9. pp. 2101-2109.
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abstract = "Summary: The American Orthopaedic Association initiated the Own the Bone (OTB) quality improvement program in 2009. Herein we show that the data collected through this program is similar to that collected in other large studies. Thus, the OTB registry functions as an externally valid cohort for studying fragility fracture patients. Introduction: The American Orthopedic Association initiated the Own the Bone (OTB) quality improvement program in 2009 to improve secondary prevention of fragility fractures. In this study, we present a summary of the data collected by the OTB program and compare it to data from other large fragility fracture registries with an aim to externally validate the OTB registry. Methods: The OTB registry contained 35,038 unique cases of fragility fracture as of September, 2016. We report the demographics, presenting fracture characteristics, past fracture history, and bone mineral density (BMD) data and compare these to data from large fragility fracture studies across the world. Results: Seventy-three percent of the patients in the OTB registry were female, Caucasian, and post-menopausal. In 54.4{\%} of cases, patients had a hip fracture; spine fractures were the second most common fracture type occurring in 11.1{\%} of patients. Thirty-four percent of the patients had a past history of fragility fracture, and the most common sites were the spine and hip. The average femoral neck T-score was − 2.06. When compared to other studies, the OTB database showed similar findings with regard to patient age, gender, race, BMI, BMD profile, prior fracture history, and family history of fragility fractures. Conclusion: OTB is the first and largest multi-center voluntary fragility fracture registry in the USA. The data collected through the OTB program is comparable to that collected in international studies. Thus, the OTB registry functions as an externally valid cohort for further studies assessing the clinical characteristics, interventions, and outcomes achieved in patients who present with a fragility fracture in the USA.",
keywords = "Bone mineral density, Fragility fracture, Hip fracture, Osteopenia, Osteoporosis, Spine fracture",
author = "Carlson, {B. C.} and Robinson, {W. A.} and Wanderman, {N. R.} and Nassr, {A. N.} and Huddleston, {P. M.} and Yaszemski, {M. J.} and Currier, {B. L.} and Jeray, {K. J.} and Kirk, {K. L.} and Bunta, {Andrew D} and S. Murphy and B. Patel and Watkins, {C. M.} and Sietsema, {D. L.} and Edwards, {B. J.} and Tosi, {L. L.} and Anderson, {P. A.} and Freedman, {B. A.}",
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Carlson, BC, Robinson, WA, Wanderman, NR, Nassr, AN, Huddleston, PM, Yaszemski, MJ, Currier, BL, Jeray, KJ, Kirk, KL, Bunta, AD, Murphy, S, Patel, B, Watkins, CM, Sietsema, DL, Edwards, BJ, Tosi, LL, Anderson, PA & Freedman, BA 2018, 'The American Orthopaedic Association’s Own the Bone® database: a national quality improvement project for the treatment of bone health in fragility fracture patients', Osteoporosis International, vol. 29, no. 9, pp. 2101-2109. https://doi.org/10.1007/s00198-018-4585-7

The American Orthopaedic Association’s Own the Bone® database : a national quality improvement project for the treatment of bone health in fragility fracture patients. / Carlson, B. C.; Robinson, W. A.; Wanderman, N. R.; Nassr, A. N.; Huddleston, P. M.; Yaszemski, M. J.; Currier, B. L.; Jeray, K. J.; Kirk, K. L.; Bunta, Andrew D; Murphy, S.; Patel, B.; Watkins, C. M.; Sietsema, D. L.; Edwards, B. J.; Tosi, L. L.; Anderson, P. A.; Freedman, B. A.

In: Osteoporosis International, Vol. 29, No. 9, 01.09.2018, p. 2101-2109.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The American Orthopaedic Association’s Own the Bone® database

T2 - a national quality improvement project for the treatment of bone health in fragility fracture patients

AU - Carlson, B. C.

AU - Robinson, W. A.

AU - Wanderman, N. R.

AU - Nassr, A. N.

AU - Huddleston, P. M.

AU - Yaszemski, M. J.

AU - Currier, B. L.

AU - Jeray, K. J.

AU - Kirk, K. L.

AU - Bunta, Andrew D

AU - Murphy, S.

AU - Patel, B.

AU - Watkins, C. M.

AU - Sietsema, D. L.

AU - Edwards, B. J.

AU - Tosi, L. L.

AU - Anderson, P. A.

AU - Freedman, B. A.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Summary: The American Orthopaedic Association initiated the Own the Bone (OTB) quality improvement program in 2009. Herein we show that the data collected through this program is similar to that collected in other large studies. Thus, the OTB registry functions as an externally valid cohort for studying fragility fracture patients. Introduction: The American Orthopedic Association initiated the Own the Bone (OTB) quality improvement program in 2009 to improve secondary prevention of fragility fractures. In this study, we present a summary of the data collected by the OTB program and compare it to data from other large fragility fracture registries with an aim to externally validate the OTB registry. Methods: The OTB registry contained 35,038 unique cases of fragility fracture as of September, 2016. We report the demographics, presenting fracture characteristics, past fracture history, and bone mineral density (BMD) data and compare these to data from large fragility fracture studies across the world. Results: Seventy-three percent of the patients in the OTB registry were female, Caucasian, and post-menopausal. In 54.4% of cases, patients had a hip fracture; spine fractures were the second most common fracture type occurring in 11.1% of patients. Thirty-four percent of the patients had a past history of fragility fracture, and the most common sites were the spine and hip. The average femoral neck T-score was − 2.06. When compared to other studies, the OTB database showed similar findings with regard to patient age, gender, race, BMI, BMD profile, prior fracture history, and family history of fragility fractures. Conclusion: OTB is the first and largest multi-center voluntary fragility fracture registry in the USA. The data collected through the OTB program is comparable to that collected in international studies. Thus, the OTB registry functions as an externally valid cohort for further studies assessing the clinical characteristics, interventions, and outcomes achieved in patients who present with a fragility fracture in the USA.

AB - Summary: The American Orthopaedic Association initiated the Own the Bone (OTB) quality improvement program in 2009. Herein we show that the data collected through this program is similar to that collected in other large studies. Thus, the OTB registry functions as an externally valid cohort for studying fragility fracture patients. Introduction: The American Orthopedic Association initiated the Own the Bone (OTB) quality improvement program in 2009 to improve secondary prevention of fragility fractures. In this study, we present a summary of the data collected by the OTB program and compare it to data from other large fragility fracture registries with an aim to externally validate the OTB registry. Methods: The OTB registry contained 35,038 unique cases of fragility fracture as of September, 2016. We report the demographics, presenting fracture characteristics, past fracture history, and bone mineral density (BMD) data and compare these to data from large fragility fracture studies across the world. Results: Seventy-three percent of the patients in the OTB registry were female, Caucasian, and post-menopausal. In 54.4% of cases, patients had a hip fracture; spine fractures were the second most common fracture type occurring in 11.1% of patients. Thirty-four percent of the patients had a past history of fragility fracture, and the most common sites were the spine and hip. The average femoral neck T-score was − 2.06. When compared to other studies, the OTB database showed similar findings with regard to patient age, gender, race, BMI, BMD profile, prior fracture history, and family history of fragility fractures. Conclusion: OTB is the first and largest multi-center voluntary fragility fracture registry in the USA. The data collected through the OTB program is comparable to that collected in international studies. Thus, the OTB registry functions as an externally valid cohort for further studies assessing the clinical characteristics, interventions, and outcomes achieved in patients who present with a fragility fracture in the USA.

KW - Bone mineral density

KW - Fragility fracture

KW - Hip fracture

KW - Osteopenia

KW - Osteoporosis

KW - Spine fracture

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