Evidence map›Paper›PMID 19092832›Full record

ArticleNature clinical practice. Rheumatology2009

Is denosumab better than alendronate in the treatment of osteoporosis?

E Michael Lewiecki

Abstract readComment
PubMed Publisher
In one paragraph

Article in Nature clinical practice. Rheumatology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

E Michael LewieckiNew Mexico Clinical Research and Osteoporosis Center, Albuquerque, NM 87106, USA. lewiecki@aol.com
New Mexico Clinical Research & Osteoporosis Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Denosumab is a fully human monoclonal antibody to receptor activator of nuclear factor kappaB ligand (RANKL), the principal mediator of osteoclastic bone resorption. By binding to RANKL, denosumab reduces the differentiation, activity and survival of osteoclasts, and thereby slows the rate of bone resorption. These antiresorptive effects led to the development of this agent as a treatment for osteoporosis. In studies conducted so far, denosumab is an efficacious and well-tolerated treatment for postmenopausal osteoporosis. Oral bisphosphonates are currently favored as first-line therapy for most patients with this condition and, therefore, studies that directly compare the effects of these agents with denosumab are of clinical interest. Here, I discuss a study by Brown et al. that compares the effects of denosumab and alendronate in women who have not previously received antiosteoporosis therapy, and place the findings in the context of other clinically relevant studies of this RANKL inhibitor.

Identifiers

PMID19092832
OpenAlexW2035913641

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.