Evidence map›Paper›PMID 25265508›Full record

SynthesisPloS one2014

Clinical efficacy and safety of pamidronate therapy on bone mass density in early post-renal transplant period: a meta-analysis of randomized controlled trials.

Zijie Wang, Zhijian Han, Jun Tao, Pei Lu, Xuzhong Liu, Jun Wang, Bian Wu, Zhengkai Huang, Changjun Yin, Ruoyun Tan and 1 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Bisphosphonates for prevention of osteopenia in kidney-transplant recipients: a systematic review 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 · 2016
    Pooled it
  3. Article
  4. Article
  5. Role of B and T Lymphocyte Attenuator in Renal Transplant Recipients with Biopsy-Proven Acute Rejection.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Association betweenOncotarget · 2017
    Article
  10. Review
  11. 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

11 authors at 2 institutions in 1 country.

Zijie WangDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Zhijian HanDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Jun TaoDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Pei LuDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Xuzhong LiuDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Jun WangDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Bian WuDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Zhengkai HuangDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Changjun YinDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Ruoyun TanDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Min GuDepartment of urology, the first affiliated hospital of Nanjing Medical University, Nanjing, China.
Jiangsu Province Hospital · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe overall effect of pamidronate on bone mass density (BMD) in the early renal transplant period varies considerably among studies. The effects of pamidronate on graft function have not been determined. MATERIALS AND

methodsA comprehensive search was conducted in PubMed, the Cochrane Central Register of Controlled Trials (CENTRAL) and Embase independently by two authors. Randomized controlled trials of pamidronate evaluating bone loss in the first year of renal transplantation were included. Methods reported in the "Cochrane Handbook for Systematic Reviews of Interventions 5.0.2" were used to evaluate changes of lumbar spine and femoral neck BMD, and serum creatinine, calcium and intact parathyroid hormone (iPTH) levels. Fixed or random effect models were used as appropriate.

resultsSix randomized trials evaluating 281 patients were identified. One hundred forty-four were treated with pamidronate and 137 were control patients. Administration of pamidronate was associated with significant reduction of bone loss in the lumbar spine, compared to the control group (standardized mean difference (SMD)  = 24.62 [16.25, 32.99]). There was no difference between the pamidronate treated and control femoral neck BMD (SMD  = 3.53 [-1.84, 8.90]). A significant increase in the serum creatinine level of the intervention group was seen, compared to the control group. The serum calcium and iPTH of the pamidronate and control groups were not different after 1 year (serum creatinine: SMD  = -3.101 [-5.33, -0.89]; serum calcium: SMD  = 2.18 [-0.8, 5.16]; serum iPTH: SMD  = 0.06 [-0.19, 0.31]). Heterogeneity was low for serum calcium and iPTH and high for serum creatinine.

conclusionsThis meta-analysis demonstrated the beneficial clinical efficacy of pamidronate on BMD with no association with any alteration in graft function during the first year of renal transplantation. Significant heterogeneity precludes the conclusion of the relationship between serum creatinine and pamidronate.

Indexed as

Kidney TransplantationRandomized Controlled Trials as TopicAbsorptiometry, PhotonBone DensityBone Density Conservation AgentsDiphosphonatesHumansImmunosuppressive AgentsPamidronateSpinal FracturesTreatment OutcomeBone Density Conservation AgentsDiphosphonatesImmunosuppressive AgentsPamidronate

Identifiers

PMID25265508
PMCPMC4180498
OpenAlexW1993401592

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.