Evidence map›Paper›PMID 30032480›Full record

ArticleIrish journal of medical science2019

Treatment of osteoporosis with recombinant parathyroid hormone, utilisation of total body DXA to observe treatment effects on total body composition and factors determining response to therapy.

Najia Siddique, Nessa Fallon, Georgina Steen, James B Walsh, Miriam C Casey

Abstract read
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Article in Irish journal of medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 2 countries.

Najia SiddiqueBone Health Unit, Mercers Institute for Successful Aging, St. James's Hospital, Dublin, Ireland. najiach@yahoo.com.ORCID http://orcid.org/0000-0003-4103-0858
Nessa FallonBone Health Unit, Mercers Institute for Successful Aging, St. James's Hospital, Dublin, Ireland.
Georgina SteenBone Health Unit, Mercers Institute for Successful Aging, St. James's Hospital, Dublin, Ireland.
James B WalshBone Health Unit, Mercers Institute for Successful Aging, St. James's Hospital, Dublin, Ireland.
Miriam C CaseyBone Health Unit, Mercers Institute for Successful Aging, St. James's Hospital, Dublin, Ireland.
Mercer (Czechia) · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecombinant parathyroid hormone (rPTH) increases bone mineral density (BMD). However, certain other potential effects of rPTH remain to be studied. The aim of this study is to identify whether bone turnover markers, relevant biochemical parameters or total body fat and muscle composition affect the response to rPTH and to establish if these parameters in particular change during treatment.

methodsOne hundred seventy-two participants were treated with rPTH, and 128 subjects who fully complied with the therapy and completed their investigations including biochemical bone markers and total body composition at baseline, 6 months and 1 year of the treatment were divided into responder and non-responder groups. A total body dual-energy X-ray absorptiometry (DXA) scanner was used to assess the body muscle, fat and bone composition.

resultsrPTH significantly increased BMD spine at 1 year (p = 0.000). Twenty-four-hour urinary calcium was significantly increased at 6 months in the responder group (p = 0.00). There was a trend to an increase in the fat and muscle mass (p = 0.52 and 0.45, respectively), and it was not negatively affected by rPTH. Bone turnover markers (P1NP and OC) did not show statistically significant difference over time between responders and non-responders (p = 0.74 and p = 0.19, respectively).

conclusionsHypercalciuria which is a frequent feature in osteoporotic population may predict non-responders at 6 months of rPTH, and it may help to optimise individual patient's treatment. Unlike endogenous PTH in pathological conditions, rPTH is anabolic to bone and has no detrimental effects on the body fat and muscle composition.

Indexed as

Absorptiometry, PhotonAdultAgedBody CompositionCalcium-Regulating Hormones and AgentsFemaleHumansMaleMiddle AgedOsteoporosisParathyroid HormoneCalcium-Regulating Hormones and AgentsParathyroid HormoneBone mineral density (BMD)DXAOsteoporosisRecombinant parathyroid hormone (rPTH)Total body compositionTreatment non-responseTreatment response

Identifiers

PMID30032480
OpenAlexW2884395646

What OpenQuestion holds

Textmetadata
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.