Evidence map›Paper›PMID 24689066›Full record

ArticleBioMed research international2014

The prevention of postmenopausal osteoporotic fractures: results of the Health Technology Assessment of a new antiosteoporotic drug.

Chiara de Waure, Maria Lucia Specchia, Chiara Cadeddu, Silvio Capizzi, Stefano Capri, Maria Luisa Di Pietro, Maria Assunta Veneziano, Maria Rosaria Gualano, Flavia Kheiraoui, Giuseppe La Torre and 3 more

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Cost-effectiveness analyses of denosumab for osteoporosis: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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

13 authors at 1 institution in 1 country.

Chiara de WaureResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0002-4346-1494
Maria Lucia SpecchiaResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0002-3859-4591
Chiara CadedduResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0003-0149-1078
Silvio CapizziResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Stefano CapriResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0003-4633-4420
Maria Luisa Di PietroResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Maria Assunta VenezianoResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Maria Rosaria GualanoResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0001-7357-2892
Flavia KheiraouiResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0002-5756-0776
Giuseppe La TorreResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Nicola NicolottiResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Antonella SferrazzaResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.
Walter RicciardiResearch Centre for Health Technology Assessment, Department of Public Health, Section of Hygiene, Universitá Cattolica del Sacro Cuore, Largo F. Vito 1, 00168 Rome, Italy.ORCID 0000-0002-5655-688X
Università Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Health Technology Assessment (HTA) approach was applied to denosumab in the prevention of osteoporotic fractures in postmenopausal women.

methodEpidemiological, clinical, technical, economic, organizational, and ethical aspects were considered. Medical electronic databases were accessed to evaluate osteoporosis epidemiology and therapeutical approaches. A budget impact and a cost-effectiveness analyses were performed to assess economic implications. Clinical benefits and patient needs were considered with respect to organizational and ethical evaluation.

resultsIn Italy around four millions women are affected by osteoporosis and have a higher risk for fractures with 70,000 women being hospitalized every year. Bisphosphonates and strontium ranelate are recommended as first line treatment for the prevention of osteoporotic fractures. Denosumab is effective in reducing vertebral, nonvertebral, and hip/femoral fractures with an advantage of being administered subcutaneously every six months. The budget impact analysis estimated a reduction in costs for the National Health Service with the introduction of denosumab. Furthermore, the economic analysis demonstrated that denosumab is cost-effective in comparison to oral bisphosphonates and strontium ranelate. Denosumab can be administered in outpatients by involving General Practitioners in the management. Ethical evaluation is positive because of its efficacy and compliance.

conclusionDenosumab could add value in the prevention of osteoporotic fractures.

Indexed as

PostmenopauseTechnology Assessment, BiomedicalAgedAged, 80 and overAntibodies, Monoclonal, HumanizedBone Density Conservation AgentsBudgetsCost-Benefit AnalysisDenosumabFemaleHospitalizationHumansItalyMarkov ChainsMiddle AgedOsteoporotic FracturesAntibodies, Monoclonal, HumanizedBone Density Conservation AgentsDenosumab

Identifiers

PMID24689066
PMCPMC3932293
OpenAlexW2048277136

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.