Lewiecki EM, Chastek B, Sundquist K, et al. - The intent of this research was to assess fracture trends in US commercial and Medicare Advantage health plan members aged ≥ 50 years between 2007 and 2017. Retrospective analysis of the Optum Research Database from January 1, 2007, to May 31, 2017. Researchers distinguished a total of 1,841,263 individuals with an index fracture and out of these, 930,690 were case-qualifying and included in this analysis. It was reported that overall age- and gender-adjusted fracture rate declined from 14.67/1000 person-years (py) in 2007 to 11.79/1000 py in 2013, followed by a plateau for the next 3 years and then an increase to 12.50/1000 py in mid-2017. The evidence showed that fracture rates declined from 27.49/1000 py in 2007 to 22.08/1000 py in 2013, then increased to 24.92/1000 py in mid-2017 in females aged ≥ 65 years. In the fracture rate, following a consistent decline from 2007 to 2013, trends from 2014 to 2017 show fracture rates are no longer declining and, for some fracture types, rates are rising.