Evidence map›Paper›PMID 25861000›Full record

Observational studyPloS one2015

Use of oral bisphosphonates in primary prevention of fractures in postmenopausal women: a population-based cohort study.

Jordi Real, Gisela Galindo, Leonardo Galván, María Antonia Lafarga, María Dolors Rodrigo, Marta Ortega

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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 1 country.

Jordi RealInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Lleida, Spain; School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Valles, Spain.
Gisela GalindoInstitut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Lleida, Spain; Primer de Maig Center, Institut Català de la Salut, Lleida, Spain.
Leonardo GalvánCatalan Health Departament, Lleida, Spain.
María Antonia LafargaBordeta-Magraners Center, Institut Català de la Salut, Lleida, Spain.
María Dolors RodrigoBordeta-Magraners Center, Institut Català de la Salut, Lleida, Spain.
Marta OrtegaCappont Center, Institut Català de la Salut, Lleida, Spain.
Institut Català de la Salut · ESUniversitat de Lleida · ESUniversitat Internacional de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare incidence of first osteoporotic fracture in two cohorts of postmenopausal women, one treated with bisphosphonates and the other only with calcium and vitamin D.

designRetrospective population cohort study with paired matching based on data from electronic health records.

settingWomen aged 60 years and older in 2005, from 21 primary care centers in a healthcare region of Spain.

participantsTwo groups of women aged 60 years and older (n = 1208), prescribed either calcium and vitamin D (CalVitD) or bisphosphonates (BIPHOS) with or without calcium and vitamin D, were compared for the end point of first recorded osteoporotic-related fracture, with 5-years follow-up.

main outcome measureIncidence of first fracture: Vertebral fracture, osteoporosis with pathological fracture, fracture of the upper humeral epiphysis, fracture of the lower radial epiphysis, or femur fracture.

resultsEstimated 10-year risk of fracture was 11.4% (95% confidence interval: 9.6 to 13.2), 11.8% (9.2 to 14.3) in the BIPHOS group and 11.1% (8.6 to 13.6) in the CalVitD group. No significant differences were found between groups in total fractures (Hazard ratio = 0.934 (0.67 to 1.31)) or location (vertebral, femoral, radial or humeral).

conclusionsIn postmenopausal women, bisphosphonates have not been shown to better decrease risk of first fracture compared with calcium and vitamin D therapy alone.

Indexed as

Administration, OralAgedAged, 80 and overBone Density Conservation AgentsCalcium, DietaryCohort StudiesDiphosphonatesFemaleHumansIncidenceMiddle AgedOsteoporosis, PostmenopausalOsteoporotic FracturesOutcome Assessment, Health CarePrimary PreventionRetrospective StudiesBone Density Conservation AgentsCalcium, DietaryDiphosphonatesVitamin D

Identifiers

PMID25861000
PMCPMC4393307
OpenAlexW2062654665

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.