Evidence map›Paper›PMID 27524671›Full record

Observational studyActa orthopaedica et traumatologica turcica2016

Influence of patient training on persistence, compliance, and tolerability of different dosing frequency regimens of bisphosphonate therapy: An observational study in Turkish patients with postmenopausal osteoporosis.

Ülkü Akarırmak, Hikmet Koçyiğit, Nurten Eskiyurt, Sina Esmaeilzadeh, Ömer Kuru, Ebru Yılmaz Yalçinkaya, Özlen Peker, Ayşe Aydemir Ekim, Neşe Özgirgin, Mustafa Çalış and 6 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Acta orthopaedica et traumatologica turcica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 42% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. 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

16 authors at 13 institutions in 2 countries.

Ülkü Akarırmakİstanbul University, Cerrahpaşa School of Medicine, İstanbul, Turkey. Electronic address: akarmak@istanbul.edu.tr.
Hikmet Koçyiğitİzmir Atatürk Training and Research Hospital, İzmir, Turkey.
Nurten Eskiyurtİstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey.
Sina Esmaeilzadehİstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey.
Ömer KuruOndokuz Mayıs University, Faculty of Medicine, Samsun, Turkey.
Ebru Yılmaz Yalçinkayaİstanbul Physical Therapy and Rehabilitation Training and Research Hospital, İstanbul, Turkey.
Özlen PekerDokuz Eylül University, Faculty of Medicine, İzmir, Turkey.
Ayşe Aydemir EkimEskişehir Training and Research Hospital, Eskişehir, Turkey.
Neşe ÖzgirginAnkara Physical Therapy and Rehabilitation Hospital, Ankara, Turkey.
Mustafa ÇalışErciyes University, School of Medicine, Kayseri, Turkey.
Aylin RezvaniBezm-i Alem University, Faculty of Medicine, İstanbul, Turkey.
Alev ÇevikolDışkapı Yıldırım Beyazit Training and Research Hospital, Ankara, Turkey.
Sibel EyigörEge University, Faculty of Medicine, İzmir, Turkey.
Ömer Faruk ŞendurAdnan Menderes University, School of Medicine, Aydın, Turkey.
Jale İrdeselUludağ University, School of Medicine, Bursa, Turkey.
INSTRUCT Study Group
Istanbul University · TRAmerican Physical Therapy Association · USBezmiâlem Vakıf Üniversitesi · TRBursa Uludağ Üni̇versi̇tesi̇ · TRDışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi · TRDokuz Eylül University · TREge University · TRErciyes University · TREskişehir City Hospital · TRIstanbul University-Cerrahpaşa · TRIzmir Atatürk Eğitim ve Araştırma Hastanesi · TRMemorial Ankara Hospital · TROndokuz Mayıs University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn our study, we aimed to evaluate the influence of training on compliance and persistence with bisphosphonate treatment given on a weekly vs. monthly basis in postmenopausal osteoporosis patients.

methodsA total of 979 patients with postmenopausal osteoporosis (mean age: 63.2 ± 7.2 years) were included in this national, multicenter, prospective non-interventional observational cohort registry study. Patients were randomized into training (n = 492, 50.3%, mean age: 63.4 ± 7.2 years) and control (n = 487, 49.7%, mean age: 63.0 ± 7.1 years) groups. Patients in each intervention group were given weekly (44.9% and 44.6% for training and control subjects, respectively) or monthly (55.1% and 55.4%, respectively) bisphosphonate regimens. After the initial visit, patients were followed up at three-month intervals throughout 12 months of treatment for evaluation of persistence, compliance and adverse events.

resultsOn average, 79.4% of the patients were persistent with the treatment with a mean of 350.4 days of duration during the 12-month follow-up period. The mean compliance in the compliant and fully compliant group remained at an average of 86.6%. No significant difference was detected between the training and control groups in terms of compliance and persistence. Significantly longer persistence (360.0 ± 89.0 vs. 345.0 ± 108.0 days; p = 0.035), higher percentage of persistent patients (83.4% vs. 74.2%; p = 0.012) and higher compliance rates (88.8% vs. 83.3%; p = 0.002) were noted in monthly regimen patients in comparison to those given weekly regimen.

conclusionOur findings revealed remarkably high rates for persistence and compliance with bisphosphonate treatment in postmenopausal osteoporosis, with no impact of training on compliance and persistence rates. Longer persistence and better compliance rates were achieved with the monthly bisphosphonate regimen when compared to the weekly regimen.

Indexed as

Bone Density Conservation AgentsDiphosphonatesDrug MonitoringOsteoporosis, PostmenopausalPatient Education as TopicAgedDrug Administration ScheduleFemaleHumansMiddle AgedProspective StudiesTurkeyBone Density Conservation AgentsDiphosphonatesBisphosphonateComplianceDosing regimenOsteoporosisPersistenceTraining

Identifiers

PMID27524671
PMCPMC6197458
OpenAlexW2343802287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.