Evidence map›Paper›PMID 30088189›Full record

ArticleArchives of osteoporosis2018

Persistence at 24 months with denosumab among postmenopausal women with osteoporosis: results of a prospective cohort study.

Stuart L Silverman, E Siris, D Belazi, C Recknor, A Papaioannou, J P Brown, D T Gold, E M Lewiecki, G Quinn, A Balasubramanian and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Archives of osteoporosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02732210 (Prospective Observational Study to Evaluate Persistence With Prolia®), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 12% 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.

NCT02732210 completednot on this map

Prospective Observational Study to Evaluate Persistence With Prolia® (Denosumab) in Postmenopausal Women With Osteoporosis in Routine Clinical Practice

TypeobservationalSponsorAmgenRan2011 to 2014Enrolled935ConditionsOsteoporosis, Age-Related
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Denosumab-efficacy, safety, persistence and sequential strategies-a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Treatment patterns and long-term persistence with osteoporosis therapies in women with Medicare fee-for-service (FFS) coverage.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  14. Article
  15. Observational
  16. Denosumab utilization among older adults in Ontario: patient characteristics, persistence with therapy, and return to therapy after an extended gap.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  17. Long-term persistence in patients with osteoporosis receiving denosumab in routine practice: 36-month non-interventional, observational study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Observational
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

13 authors at 9 institutions in 2 countries.

Stuart L SilvermanOMC Clinical Research Center, Cedars-Sinai Medical Center and David Geffen School of Medicine UCLA, 8641 Wilshire Blvd, Suite 301, Beverly Hills, CA, 90211, USA. stuarts@BHillsRA.com.
E SirisColumbia University Medical Center, 180 Fort Washington Avenue, HP9-964, New York, NY, USA.
D BelaziAlchemiPharma, 1582 High Grove LN, Malvern, PA, USA.
C RecknorUnited Osteoporosis Centers, 2350 Limestone Parkway, Gainesville, GA, USA.
A PapaioannouJuravinski Research Center, McMaster University, Room 151, 88 Maplewood Avenue, Hamilton, Canada.
J P BrownCHU de Québec (CHUL) Research Center, Laval University, Room TR-83, 2705 Laurier Boulevard, Quebec City, QC, Canada.
D T GoldDuke University Medical Center, Box 3003, Durham, NC, USA.
E M LewieckiNew Mexico Clinical Research and Osteoporosis Center, University of New Mexico School of Medicine, 300 Oak St. NE, Albuquerque, NM, USA.
G QuinnOutlier Statistics Ltd, 25 Blacksmith Close, St Michaels Mead, Bishop's Stortford, UK.
A BalasubramanianAmgen Inc., One Amgen Center Drive, Thousand Oaks, CA, USA.
S YueAmgen Inc., One Amgen Center Drive, Thousand Oaks, CA, USA.
B StolshekAmgen Inc., One Amgen Center Drive, Thousand Oaks, CA, USA.
D L KendlerDepartment of Medicine, University of British Columbia, Prohealth, 150-943 W Broadway, Vancouver, BC, Canada.
Amgen (United States) · USBone Health and Osteoporosis Foundation · USCedars-Sinai Medical Center · USColumbia University Irving Medical Center · USDuke Medical Center · USMcMaster University · CANew Mexico Clinical Research & Osteoporosis Center · USUniversité Laval · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistence with prescribed medications for chronic diseases is important; however, persistence with osteoporosis treatments is historically poor. In this prospective cohort study of postmenopausal women treated for osteoporosis in real-world clinical practice settings in the USA and Canada, 24-month persistence with denosumab was 58%. PURPOSE: Patients who persist with their prescribed osteoporosis treatment have increased bone mineral density (BMD) and reduced risk of fracture. Twelve-month persistence with denosumab in routine clinical practice is as high as 95%, but there are limited data on longer-term persistence with denosumab in this setting.

methodsThis single-arm, prospective, cohort study evaluated 24-month persistence with denosumab administered every 6 months in postmenopausal women receiving treatment for osteoporosis in real-world clinical practice in the USA and Canada. Endpoints and analyses included the percentage of patients who persist with denosumab at 24 months (greater than or equal to four injections with a gap between injections of no more than 6 months plus 8 weeks), the total number of injections received by each patient, changes in BMD in persistent patients, and the incidence of serious adverse events (SAEs) and fractures.

resultsAmong 935 enrolled patients, 24-month persistence was 58% (50% in US patients and 75% in Canadian patients). A majority of patients received at least four injections over the observation period (62% of US patients and 81% of Canadian patients). Among patients who were persistent at 24 months and who had a baseline, 12-month, and 24-month DXA scan, mean BMD increased from baseline to 24 months by 7.8% at the lumbar spine and 2.1% at the femoral neck. SAEs and fractures were reported for 122 (13.0%) patients and 54 (5.8%) patients, respectively.

conclusionsPersistence with denosumab for 24 months yields improvement in BMD among postmenopausal women with osteoporosis treated in routine clinical practice in the USA and Canada.

Indexed as

Drug MonitoringAbsorptiometry, PhotonAgedBone DensityBone Density Conservation AgentsCanadaDenosumabFemaleFemur NeckHumansLumbar VertebraeMiddle AgedOsteoporosis, PostmenopausalOsteoporotic FracturesPostmenopauseProspective StudiesBone Density Conservation AgentsDenosumabBone mineral densityClinical practiceCohort studyDenosumabOsteoporosisPersistence

Identifiers

PMID30088189
PMCPMC6096691
OpenAlexW2886342230

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.