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

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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.

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Acknowledgements

The authors thank the current and past members of the Own the Bone Steering Committee and the Own the Bone Multidisciplinary Advisory Board for their many contributions to the program. The authors also extend thanks to the participating Own the Bone institutions and principal investigators who together with their teams have made this paper possible.

Funding

Funding for the Own the Bone program was provided by Amgen, Eli Lilly, DePuy Synthes, Orthovita, Merck, Novartis, Radius Health, and Warner Chilcott. The funding sponsors played no part in the design and conduct of the study, collection, management, analysis, and interpretation of the data, or preparation, review, or approval of this manuscript.

Author information

Authors and Affiliations

  1. Mayo Clinic, Rochester, MN, USA

    B. C. Carlson, W. A. Robinson, N. R. Wanderman, A. N. Nassr, P. M. Huddleston III, M. J. Yaszemski, B. L. Currier & B. A. Freedman

  2. Greenville Health System, Greenville, SC, USA

    K. J. Jeray

  3. San Antonio Orthopedic Group, San Antonio, TX, USA

    K. L. Kirk

  4. Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    A. D. Bunta

  5. The American Orthopaedic Association, Rosemont, IL, USA

    S. Murphy & B. Patel

  6. West Virginia University, Morgantown, WV, USA

    C. M. Watkins

  7. The CORE Institute, Phoenix, AZ, USA

    D. L. Sietsema

  8. Central Texas Veteran Healthcare System, Temple, TX, USA

    B. J. Edwards

  9. Children’s National Health System, Washington, DC, USA

    L. L. Tosi

  10. University of Wisconsin, Madison, WI, USA

    P. A. Anderson

Authors
  1. B. C. Carlson
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  2. W. A. Robinson
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  3. N. R. Wanderman
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  4. A. N. Nassr
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  5. P. M. Huddleston III
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  6. M. J. Yaszemski
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  7. B. L. Currier
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  8. K. J. Jeray
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  9. K. L. Kirk
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  10. A. D. Bunta
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  11. S. Murphy
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  12. B. Patel
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  13. C. M. Watkins
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  14. D. L. Sietsema
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  15. B. J. Edwards
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  16. L. L. Tosi
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  17. P. A. Anderson
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  18. B. A. Freedman
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Corresponding author

Correspondence to B. A. Freedman.

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Carlson, B., Robinson, W., Wanderman, N. et al. The American Orthopaedic Association’s Own the Bone® database: a national quality improvement project for the treatment of bone health in fragility fracture patients. Osteoporos Int 29, 2101–2109 (2018). https://doi.org/10.1007/s00198-018-4585-7

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  • DOI: https://doi.org/10.1007/s00198-018-4585-7

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