Evidence map›Paper›PMID 25395843›Full record

SynthesisClinical interventions in aging2014

Systematic review of raloxifene in postmenopausal Japanese women with osteoporosis or low bone mass (osteopenia).

Saeko Fujiwara, Etsuro Hamaya, Masayo Sato, Peita Graham-Clarke, Jennifer A Flynn, Russel Burge

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Osteogenic effects ofBiomedical reports · 2019
    Article
  7. Article
  8. Review
  9. Article
  10. Review
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

6 authors at 3 institutions in 2 countries.

Saeko FujiwaraHiroshima Atomic Bomb Casualty Council, Hiroshima, Japan.
Etsuro HamayaLilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, Japan.
Masayo SatoLilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, Japan.
Peita Graham-ClarkeGlobal Health Outcomes, Eli Lilly Australia, Sydney, NSW, Australia.
Jennifer A FlynnLilly Research Laboratories Japan, Eli Lilly Japan K.K., Kobe, Japan.
Russel BurgeGlobal Health Outcomes, Eli Lilly and Company, Indianapolis, IN, USA.
Eli Lilly (Japan) · JPEli Lilly (United States) · USHiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo systematically review the literature describing the efficacy, effectiveness, and safety of raloxifene for postmenopausal Japanese women with osteoporosis or low bone mass (osteopenia). MATERIALS AND

methodsMedline via PubMed and Embase was systematically searched using prespecified terms. Retrieved publications were screened and included if they described randomized controlled trials or observational studies of postmenopausal Japanese women with osteoporosis or osteopenia treated with raloxifene and reported one or more outcome measures (change in bone mineral density [BMD]; fracture incidence; change in bone-turnover markers, hip structural geometry, or blood-lipid profile; occurrence of adverse events; and change in quality of life or pain). Excluded publications were case studies, editorials, letters to the editor, narrative reviews, or publications from non-peer-reviewed journals; multidrug, multicountry, or multidisease studies with no drug-, country-, or disease-level analysis; or studies of participants on dialysis.

resultsOf the 292 publications retrieved, 15 publications (seven randomized controlled trials, eight observational studies) were included for review. Overall findings were statistically significant increases in BMD of the lumbar spine (nine publications), but not the hip region (eight publications), a low incidence of vertebral fracture (three publications), decreases in markers of bone turnover (eleven publications), improved hip structural geometry (two publications), improved blood-lipid profiles (five publications), a low incidence of hot flushes, leg cramps, venous thromboembolism, and stroke (12 publications), and improved quality of life and pain relief (one publication).

conclusionFindings support raloxifene for reducing vertebral fracture risk by improving BMD and reducing bone turnover in postmenopausal Japanese women with osteoporosis or osteopenia. Careful consideration of fracture risk and the risk-benefit profile of antiosteoporosis medications is required when managing patients with osteoporosis.

Indexed as

AgedAged, 80 and overBiomarkersBone DensityBone Density Conservation AgentsBone Diseases, MetabolicFemaleFractures, BoneHip JointHumansLipidsLumbar VertebraeMiddle AgedOsteoporosis, PostmenopausalQuality of LifeRaloxifene HydrochlorideBiomarkersBone Density Conservation AgentsLipidsRaloxifene Hydrochloridebone densityfracturesJapanosteoporosisosteoporoticraloxifene

Identifiers

PMID25395843
PMCPMC4226459
OpenAlexW1988925037

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.