Evidence map›Paper›PMID 17561466›Full record

Trial reportBone2007

Pamidronate preserves bone mass for at least 2 years following acute administration for pediatric burn injury.

Rene Przkora, David N Herndon, Donald J Sherrard, David L Chinkes, Gordon L Klein

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Bone, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02074631 (Prevention of Bone Loss After Pediatric Hematopoietic Cell Transplantation), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02074631 phase2completednot on this mapstarted 2015, after this paper: background citation

Prevention of Bone Loss After Pediatric Hematopoietic Cell Transplantation

TypeinterventionalSponsorMasonic Cancer Center, University of MinnesotaRan2015 to 2022Enrolled63ConditionsOsteopenia, OsteoporosisArmsPamidronate, Calcium and vitamin D
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Bisphosphonate treatment for secondary osteoporosis in children, youth, and young adults: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
  2. Beyond the initial impact: a systematic review of post-traumatic bone loss and its mechanisms.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. The effect of burn on serum concentrations of sclerostin and FGF23.Burns : journal of the International Society for Burn Injuries · 2015
    Trial
  7. Pamidronate attenuates muscle loss after pediatric burn injury.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2014
    Trial
  8. Trial
  9. Review
  10. Review
  11. Article
  12. Bone metabolism in pediatric burned patients: A review.Burns : journal of the International Society for Burn Injuries · 2018
    Review
  13. The Long-Term Impact of Severe Burn Trauma on Musculoskeletal Health.Journal of burn care & research : official publication of the American Burn Association · 2018
    Review
  14. Review
  15. GLUCOCORTICOID EXCESS IN BONE AND MUSCLE.Clinical reviews in bone and mineral metabolism · 2018
    Article
  16. Review
  17. The role of biochemical of bone turnover markers in osteoporosis and metabolic bone disease: a consensus paper of the Belgian Bone Club.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
  18. Optimal Nutrition for Acute Rehabilitation in the PICU.Journal of pediatric intensive care · 2015
    Review
  19. Review
  20. Observational
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

5 authors.

Rene PrzkoraDepartment of Surgery, University of Texas Medical Branch, Galveston, TX 77555-0352, USA.
David N Herndon
Donald J Sherrard
David L Chinkes
Gordon L Klein

Funding

Project 9: The role of androgen/corticosteroid in fat, muscle and glucose metabolism of burn victimsP50GM060338 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SZABO, CSABA · 2000 to 2017
$24.2M
NIGMS NIH HHS 1P50 GM 60338NIGMS NIH HHS P50 GM060338PHS HHS H133 A 020102-05
6 · The paper itself

Abstract

We have previously shown that pamidronate, when given within 10 days of burn injury, preserves lumbar spine bone mineral content from admission to discharge in 6-8 weeks and at 6 months increases both lumbar spine and total body bone mineral content (BMC) over placebo. We followed patients unblinded after 6 months every 3 months up to 2 years post-burn to see if the effects of pamidronate were sustained. Additionally, we assessed bone remodeling at 1 year post-burn by iliac crest bone biopsy. We enrolled 57 subjects who were initially randomized to pamidronate (n=32) and placebo (n=25). After 2 years, 21 subjects (pamidronate=8, placebo=13) remained. Analysis of bone densitometry by dual energy X-ray absorptiometry revealed an effect of both treatment (p<0.012 for total body BMC, p<0.001 for lumbar spine BMC, p<0.014 for lumbar spine bone area and p<0.003 for lumbar spine bone density (BMD)) and time (p<0.0003 on total body BMC, p<0.001 on lumbar spine BMC, p<0.001 on lumbar spine bone area, and no significant difference on lumbar spine BMD). There was no interaction between treatment and time. Results for bone histomorphometry revealed no effect of treatment on either static or dynamic parameters but did show an effect of time on osteoid area (p=0.004, surface p<0.001, and width, p<0.001). We conclude that acute administration of pamidronate resulted in sustained therapeutic effect on bone and that this type of administration may serve as a useful adjunct to other therapies in the preservation and augmentation of bone mass following severe burns.

Indexed as

Bone Density Conservation AgentsDiphosphonatesLumbar VertebraeBone DensityBurnsChildHumansPamidronateBone Density Conservation AgentsDiphosphonatesPamidronate

Identifiers

PMID17561466
PMCPMC1994918

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.