Evidence map›Paper›PMID 24966919›Full record

SynthesisInternational journal of clinical and experimental pathology2014

Safety of denosumab in postmenopausal women with osteoporosis or low bone mineral density: a meta-analysis.

Zhenyu Zhou, Chen Chen, Jun Zhang, Xinran Ji, Lifeng Liu, Guichun Zhang, Xuecheng Cao, Pingshan Wang

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in International journal of clinical and experimental pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Denosumab is not associated with risk of malignancy: systematic review and meta-analysis of randomized controlled trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Long-Term Efficacy and Safety of Denosumab: Insights beyond 10 Years of Use.Endocrinology and metabolism (Seoul, Korea) · 2025
    Review
  7. Review
  8. Review
  9. Review
  10. Bone-modifying agents for bone loss in patients with prostate cancer receiving androgen deprivation therapy; insights from a network meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  11. Observational
  12. Article
  13. Should denosumab treatment for osteoporosis be continued indefinitely?Therapeutic advances in endocrinology and metabolism · 2021
    Review
  14. The Role ofJBMR plus · 2020
    Article
  15. The Biological Enhancement of Spinal Fusion for Spinal Degenerative Disease.International journal of molecular sciences · 2018
    Review
  16. Clinical Management of Osteoporotic Fractures.Current osteoporosis reports · 2018
    Review
  17. Osteoporosis: a discussion on the past 5 years.Current reviews in musculoskeletal medicine · 2017
    Review
  18. Increased CD14+ and decreased CD14- populations of monocytes 48 h after zolendronic acid infusion in breast cancer patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  19. Review
  20. 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

8 authors at 2 institutions in 1 country.

Zhenyu ZhouDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Chen ChenDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Jun ZhangDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Xinran JiDepartment of Orthopaedic, PLA General Hospital 28 Fuxing Road, Beijing, 100000, PR China.
Lifeng LiuDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Guichun ZhangDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Xuecheng CaoDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Pingshan WangDepartment of Orthopedic Surgery, Jinan Military General Hospital of PLA Jinan 250031, Shandong Province, China.
Jinan Military General Hospital · CNChinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this meta-analysis was to assess the safety of denosumab in postmenopausal women with osteoporosis or low bone mineral density (BMD).

methodsSafety of denosumab was compared with placebo or bisphosphonates. A systematic literature search without language restriction was conducted up to January, 2014. The RevMan 5.1 software was used for statistical analysis.

resultsA total of 11 English literatures were eventually identified. The pooled data in the overall analysis revealed that there was no significant difference when compared denosumab with placebo or bisphosphonates in any adverse events (AAE) (RR=0.99, 95% CI=0.98-1.01, p=0.29), serious adverse event (SAE) (RR=1.05, 95% CI=0.98-1.13, p=0.18), neoplasm/cancer (RR=1.14, 95% CI=0.95-1.37, p=0.16) and deaths (RR=0.77, 95% CI=0.57-1.04, p=0.09). However, significant differences were found when compared denosumab with placebo or bisphosphonates in SAE related to infection (RR=1.23, 95% CI=1.00-1.52, p=0.05) and non-vertebral fracture (RR=0.86, 95% CI=0.74-1.00, p=0.05). Subgroup analysis was performed by the type of drugs which was used in the control group. The results of subgroup analysis did not demonstrate the differences between denosumab and bisphosphonates in SAE related to infection (RR=1.13, 95% CI=0.63-2.03) and non-vertebral fracture (RR=1.31, 95% CI=0.87-1.98).

conclusionsCompared to placebo, denosumab treatment significantly decreased the risk of non-vertebral fracture but increased the risk of SAE related to infection in the postmenopausal women with osteoporosis or low BMD. However, no difference between the safety of denosumab and bisphosphonates was found.

Indexed as

Age FactorsAntibodies, Monoclonal, HumanizedBone DensityBone Density Conservation AgentsChi-Square DistributionDenosumabFemaleHumansOdds RatioOsteoporosis, PostmenopausalOsteoporotic FracturesRisk AssessmentRisk FactorsSex FactorsTreatment OutcomeAntibodies, Monoclonal, HumanizedBone Density Conservation AgentsDenosumabDenosumabmeta-analysisosteoporosispostmenopausal women

Identifiers

PMID24966919
PMCPMC4069896
OpenAlexW1542690747

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.