Evidence map›Paper›PMID 10770818›Full record

Trial reportThorax2000

Effect of one year treatment with inhaled fluticasone propionate or beclomethasone dipropionate on bone density and bone metabolism: a randomised parallel group study in adult asthmatic subjects.

T C Medici, E Grebski, M Häcki, P Rüegsegger, C Maden, J Efthimiou

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Thorax, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 5% of its field
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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Patient-reported outcomes in clinical trials of inhaled asthma medications: systematic review and research needs.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2011
    Pooled it
  2. Fluticasone at different doses for chronic asthma in adults and children.The Cochrane database of systematic reviews · 2008
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Abnormal microarchitecture and stiffness in postmenopausal women using chronic inhaled glucocorticoids.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  9. The Skeletal Effects of Inhaled Glucocorticoids.Current osteoporosis reports · 2016
    Review
  10. Article
  11. Safety of inhaled corticosteroids in the treatment of persistent asthma.Journal of the National Medical Association · 2006
    Review
  12. Review
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

6 authors at 1 institution in 1 country.

T C MediciDepartment für Innere Medizin, Pneumologie Universitätsspital, Rämistrasse 100, CH-8091 Zürich, Switzerland.
E Grebski
M Häcki
P Rüegsegger
C Maden
J Efthimiou
University of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is some concern that prolonged treatment with high doses of inhaled corticosteroids may have a detrimental effect on bone mass. The aim of this one year study was to investigate the effects of low and high doses of fluticasone propionate (FP) (400 microg/day and 750 microg/day) and beclomethasone dipropionate (BDP) (800 microg/day and 1500 microg/day) on bone mass and metabolism.

methodsThis was a multicentre, double blind, parallel group study involving 69 mild to moderate asthmatic subjects who were randomised to treatment as follows: 22 to FP400, 21 to BDP800, 13 to FP750, and 13 to BDP1500. Their mean age was 39 years, 67% were men, and all the women were premenopausal.

resultsThe results of peripheral quantitative computed tomographic (pQCT) measurements (primary variable) showed that, compared with baseline values, there was no loss of trabecular or integral (cortical and trabecular) bone in the distal radius or tibia in any of the patients over the 12 month study period. No consistent pattern emerged from the analysis of changes from baseline in markers of bone formation and resorption after six and 12 months of treatment.

conclusionThe results of this study provide reassuring prospective one year data showing that inhaled corticosteroids, in the range of doses used, had no adverse effects on bone mass and metabolism in this group of asthmatic patients.

Indexed as

Administration, InhalationAdministration, TopicalAdultAndrostadienesAnti-Asthmatic AgentsAnti-Inflammatory AgentsAsthmaBeclomethasoneBiomarkersBone and BonesBone DensityDouble-Blind MethodFemaleFluticasoneGlucocorticoidsHumansAndrostadienesAnti-Asthmatic AgentsAnti-Inflammatory AgentsBeclomethasoneBiomarkersFluticasoneGlucocorticoids

Identifiers

PMID10770818
PMCPMC1745755
OpenAlexW2016224286

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.