Evidence map›Paper›PMID 30086700›Full record

ArticleTumori2018

Denosumab in patients with aneurysmal bone cysts: A case series with preliminary results.

Emanuela Palmerini, Pietro Ruggieri, Andrea Angelini, Stefano Boriani, Domenico Campanacci, Giuseppe M Milano, Marilena Cesari, Anna Paioli, Alessandra Longhi, Massimo E Abate and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Tumori, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Aneurysmal Bone Cyst of the Distal Ulna in an Elderly Lady.Journal of orthopaedic case reports · 2024
    Article
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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

18 authors at 6 institutions in 1 country.

Emanuela Palmerini1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Pietro Ruggieri2 Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy.
Andrea Angelini2 Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy.
Stefano Boriani3 IRCCS Galeazzi Orthopedic Institute, Milan, Italy.
Domenico Campanacci4 Department of Orthopedic Oncology, Florence University, Florence, Italy.
Giuseppe M Milano5 Bambino Gesù Children's Hospital, Rome, Italy.
Marilena Cesari1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Anna Paioli1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Alessandra Longhi1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Massimo E Abate1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Guido Scoccianti4 Department of Orthopedic Oncology, Florence University, Florence, Italy.
Silvia Terzi6 Department of Oncological Spine Surgery, Istituto Ortopedico Rizzoli, Bologna, Italy.
Giulia Trovarelli2 Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy.
Alessandro Franchi7 Pisa University, Pisa, Italy.
Piero Picci1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Stefano Ferrari1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Martina Piccinni Leopardi1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Michela Pierini1 Chemotherapy Unit, IRCCS, Istituto Ortopedico Rizzoli, Bologna, Italy.
Istituto Ortopedico Rizzoli · ITUniversity of Padua · ITUniversity of Florence · ITBambino Gesù Children's Hospital · ITIstituto Ortopedico Galeazzi · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose: Aneurysmal bone cyst (ABC) is a rare skeletal tumor usually treated with surgery/embolization. We hypothesized that owing to similarities with giant cell tumor of bone (GCTB), denosumab was active also in ABC.

methods: In this observational study, a retrospective analysis of ABC patients treated with denosumab was performed. Patients underwent radiologic disease assessment every 3 months. Symptoms and adverse events were noted.

results: Nine patients were identified (6 male, 3 female), with a median age of 17 years (range 14-42 years). Primary sites were 6 spine-pelvis, 1 ulna, 1 tibia, and 1 humerus. Patients were followed for a median time of 23 months (range 3-55 months). Patients received a median of 8 denosumab administrations (range 3-61). All symptomatic patients had pain relief and 1 had paresthesia improvement. Signs of denosumab activity were observed after 3 to 6 months of administration: bone formation by computed tomography scan was demonstrated in all patients and magnetic resonance imaging gadolinium contrast media decrease was observed in 7/9 patients. Adverse events were negligible. At last follow-up, all patients were progression-free: 5 still on denosumab treatment, 2 off denosumab were disease-free 11 and 17 months after surgery, and the last 2 patients reported no progression 12 and 24 months after denosumab interruption and no surgery.

conclusions: Denosumab has substantial activity in ABCs, with favorable toxicity profile. We strongly support the use of surgery and/or embolization for the treatment of ABC, but denosumab could have a role as a therapeutic option in patients with uncontrollable, locally destructive, or recurrent disease.

Indexed as

AdolescentAdultBone Cysts, AneurysmalBone Density Conservation AgentsDenosumabFemaleFollow-Up StudiesHumansMaleRetrospective StudiesTreatment OutcomeYoung AdultBone Density Conservation AgentsDenosumabAneurysmal bone cystbone tumordenosumabreceptor activator of nuclear factor-kappa B ligand

Identifiers

PMID30086700
PMCPMC6247581
OpenAlexW2886089823

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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.