Evidence map›Paper›PMID 29607978›Full record

ArticleInternal medicine (Tokyo, Japan)2018

The Efficacy of Minodronate in the Treatment of Glucocorticoid-induced Osteoporosis.

Eriko Hasegawa, Satoshi Ito, Chinatsu Takai, Daisuke Kobayashi, Yumi Nomura, Hiroshi Otani, Asami Abe, Hajime Ishikawa, Akira Murasawa, Ichiei Narita and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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.

Eriko HasegawaDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Satoshi ItoDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Chinatsu TakaiDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Daisuke KobayashiDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Yumi NomuraDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Hiroshi OtaniDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Asami AbeDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Hajime IshikawaDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Akira MurasawaDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Ichiei NaritaDivision of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Japan.
Kiyoshi NakazonoDepartment of Rheumatology, Niigata Rheumatic Center, Japan.
Niigata University · JPKagawa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective To investigate the efficacy of minodronate in the treatment of glucocorticoid-induced osteoporosis (GIO). Methods The study population included patients in whom the administration of minodronate (50 mg, once every 4 weeks) had been newly started for the treatment of GIO in Niigata Rheumatic Center from 2012 to 2015. Patients who were bisphosphonate-naïve and those who switched from other bisphosphonates were classified into the naïve and switch groups, respectively. The changes in the bone mineral density (BMD) and bone metabolic markers after one year of minodronate treatment were retrospectively evaluated. We also compared the BMD and bone turnover marker changes of minodronate-naïve patients with those in whom alendronate or risedronate had been prescribed as a first bisphosphonate (control group). Results Minodronate was prescribed to 142 patients, and data were successfully obtained from 120 patients. New vertebral fractures were observed in 5 of the 142 patients; 1 fracture occurred during the cessation of minodronate for dental treatment, and 3 patients already had multiple vertebral fractures before the initiation of minodronate. The patients' tartrate-resistant acid phosphatase 5b (TRACP-5b) (-27.0%, p<0.001) and bone alkaline phosphatase (BAP) (-15.7%, p<0.01) levels were decreased, but no patients showed a decrease to below the normal range. One year of treatment with minodronate significantly increased the lumbar BMD in the naïve (+3.9%, p<0.001) and switch (+2.3%, p<0.001) groups. Although the femoral BMD did not change to a significant extent overall, the patients with a low young adult mean (YAM) (<80%) at baseline showed a significant increase in their femoral BMD (+2.1%, p=0.034) values. Compared with the control group, the minodronate-naïve group showed a significant decrease in the TRACP-5b levels and a significant increase in the lumbar BMD. Conclusion The administration of minodronate appears to be an effective treatment for GIO.

Indexed as

AgedAged, 80 and overAlkaline PhosphataseBiomarkersBone DensityBone Density Conservation AgentsBone RemodelingDiphosphonatesDrug Administration ScheduleFemaleFractures, BoneGlucocorticoidsHumansImidazolesMaleMiddle AgedAlkaline PhosphataseBiomarkersBone Density Conservation AgentsDiphosphonatesGlucocorticoidsImidazolesTartrate-Resistant Acid PhosphataseYM 529bisphosphonatebone mineral densitybone turnover markerglucocorticoid-induced osteoporosisminodronateminodronic acid

Identifiers

PMID29607978
PMCPMC6120818
OpenAlexW2794881487

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.