Evidence map›Paper›PMID 29914510›Full record

ArticlePediatric rheumatology online journal2018

Early use of alendronate as a protective factor against the development of glucocorticoid-induced bone loss in childhood-onset rheumatic diseases: a cross-sectional study.

Yuzaburo Inoue, Kanako Mitsunaga, Takeshi Yamamoto, Koki Chiba, Fumiya Yamaide, Taiji Nakano, Yoshinori Morita, Akiko Yamaide, Shuichi Suzuki, Takayasu Arima and 4 more

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

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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

14 authors at 8 institutions in 1 country.

Yuzaburo InoueDepartment of Pediatrics, Eastern Chiba Medical Center, 3-6-2 Okayamadai, Togane, Chiba, 283-8686, Japan. yuzaburo@chiba-u.jp.ORCID http://orcid.org/0000-0001-5904-687X
Kanako MitsunagaDepartment of Pediatrics, Chiba Kaihin Municipal Hospital, Chiba, Chiba, Japan.
Takeshi YamamotoDepartment of Allergy and Rheumatology, Chiba Children's Hospital, Chiba, Chiba, Japan.
Koki ChibaDepartment of Traditional Medicine, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.
Fumiya YamaideDepartment of Pediatrics, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
Taiji NakanoDepartment of Pediatrics, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
Yoshinori MoritaDepartment of Pediatrics, IMS Memorial Hospital, Itabashi-ku, Tokyo, Japan.
Akiko YamaideDepartment of Allergy and Rheumatology, Chiba Children's Hospital, Chiba, Chiba, Japan.
Shuichi SuzukiDepartment of Pediatrics, Shimoshizu National Hospital, Yotsukaido, Chiba, Japan.
Takayasu ArimaDepartment of Pediatrics, Kimitsu Chuo Hospital, Kisarazu, Chiba, Japan.
Ken-Ichi YamaguchiImmuno-Rheumatology Center, St.Luke's Internationl Hospital, Chuou-ku, Tokyo, Japan.
Minako TomiitaDepartment of Allergy and Rheumatology, Chiba Children's Hospital, Chiba, Chiba, Japan.
Naoki ShimojoDepartment of Pediatrics, Graduate School of Medicine, Chiba University, Chiba, Chiba, Japan.
Yoichi KohnoChiba Rosai Hospital, Ichihara, Chiba, Japan.
Chiba University · JPChiba Hospital · JPChiba Kaihin Municipal Hospital · JPChiba Rosai Hospital · JPKisarazu Hospital · JPShizuoka City Shimizu Hospital · JPSt. Luke's International Hospital · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBisphosphonates are recommended for use as first-line therapy for the prevention and treatment of glucocorticoid-induced osteoporosis in adults. However, the appropriate usage of bisphosphonates for the prevention or treatment of glucocorticoid-induced osteoporosis in children remains unclear.

methodsWe performed a cross-sectional study to clarify the factors associated with the development of glucocorticoid-induced bone loss and osteoporosis in patients with childhood-onset rheumatic disease and to investigate the impact of the early use of alendronate. We recruited 39 patients with childhood-onset rheumatic disease who were evaluated to detect bone loss or osteoporosis at 3 months to 1.5 years after the initiation of treatment. The primary outcome of the study was the presence of bone loss or osteoporosis at the initial evaluation of the bone mineral density after at least 3 months of glucocorticoid therapy.

resultsBone loss and a history of fracture were found in 56 and 18% of the participants, respectively. Weekly oral alendronate therapy (median, 25.4 mg/m

conclusionsThe early use of alendronate may have a preventive effect against the development of bone loss in glucocorticoid-treated patients with childhood-onset rheumatic disease.

Indexed as

AdolescentAdultAlendronateBone DensityBone Density Conservation AgentsChildCross-Sectional StudiesFemaleGlucocorticoidsHumansJapanMaleOsteoporosisRheumatic DiseasesRisk FactorsYoung AdultAlendronateBone Density Conservation AgentsGlucocorticoidsAlendronateBone lossChildhood-onset rheumatic diseaseGlucocorticoidOsteoporosis

Identifiers

PMID29914510
PMCPMC6006935
OpenAlexW2808918705

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Registered trials

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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.