Evidence map›Paper›PMID 18334527›Full record

ArticleBMJ (Clinical research ed.)2008

Use of bisphosphonates among women and risk of atrial fibrillation and flutter: population based case-control study.

Henrik Toft Sørensen, Steffen Christensen, Frank Mehnert, Lars Pedersen, Roland D Chapurlat, Steven R Cummings, John A Baron

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in BMJ (Clinical research ed.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 6 pooled it
22.0field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 6 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Alendronate and atrial fibrillation: a meta-analysis of randomized placebo-controlled clinical trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Potential mediators of the mortality reduction with zoledronic acid after hip fracture.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2010
    Trial
  8. Article
  9. Article
  10. Article
  11. Review
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  13. Review
  14. Observational
  15. Article
  16. Article
  17. Risk of atrial fibrillation among bisphosphonate users: a multicenter, population-based, Italian study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015
    Observational
  18. Article
  19. Screening, diagnosis and treatment of osteoporosis: a brief review.Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases · 2014
    Review
  20. Review

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, 8000 Aarhus C, Denmark. hts@dce.au.dk
Steffen Christensen
Frank Mehnert
Lars Pedersen
Roland D Chapurlat
Steven R Cummings
John A Baron
Aarhus University · DKAarhus University Hospital · DKDartmouth College · USThe Coordinating Center · USUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the association between atrial fibrillation and flutter and use of bisphosphonates for osteoporosis among women.

designPopulation based case-control study, using medical databases from Denmark.

settingNorthern Denmark.

participants13 586 patients with atrial fibrillation and flutter and 68 054 population controls, all with complete hospital and prescription history.

main outcome measureAdjusted relative risk of atrial fibrillation and flutter.

results435 cases (3.2%) and 1958 population controls (2.9%) were current users of bisphosphonates for osteoporosis. Etidronate and alendronate were used with almost the same frequency among cases and controls. The adjusted relative risk of current use of bisphosphonates compared with non-use was 0.95 (95% confidence interval 0.84 to 1.07). New users had a relative risk of 0.75 (95% confidence interval 0.49 to 1.16), broadly similar to the estimate for continuing users (relative risk 0.96, 95% confidence interval 0.85 to 1.09). The relative risk estimates were independent of number of prescriptions and the position of the atrial fibrillation and flutter diagnosis in the discharge record, and were similar for inpatients and outpatients.

conclusionNo evidence was found that use of bisphosphonates increases the risk of atrial fibrillation and flutter.

Indexed as

AdultAgedAtrial FibrillationAtrial FlutterBone Density Conservation AgentsCase-Control StudiesDiphosphonatesFemaleFractures, BoneHumansMiddle AgedOsteoporosisRisk FactorsBone Density Conservation AgentsDiphosphonates

Identifiers

PMID18334527
PMCPMC2292333
OpenAlexW1976900035

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.