Evidence map›Paper›PMID 30349211›Full record

ArticleClinical interventions in aging2018

High bone turnover status as a risk factor in symptomatic hypocalcemia following denosumab treatment in a male patient with osteoporosis.

Koji Ishikawa, Takashi Nagai, Koki Tsuchiya, Yusuke Oshita, Takuma Kuroda, Hiroshi Ito, Soji Tani, Yusuke Dodo, Tomoaki Toyone, Katsunori Inagaki

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
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  4. Denosumab-induced hypocalcemia in patients with osteoporosis: can you know who will get low?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    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

10 authors at 2 institutions in 1 country.

Koji IshikawaDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Takashi NagaiDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Koki TsuchiyaDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Yusuke OshitaDepartment of Orthopaedic Surgery, Yamanashi Red Cross Hospital, Yamanashi, Japan, koji.ishikawa@med.showa-u.ac.jp.
Takuma KurodaDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Hiroshi ItoDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Soji TaniDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Yusuke DodoDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Tomoaki ToyoneDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Katsunori InagakiDepartment of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan, koji.ishikawa@med.showa-u.ac.jp.
Showa University · JPUniversity of Yamanashi Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Denosumab is a fully human monoclonal antibody against the receptor activator of nuclear factor-κB ligand (RANKL) that is used for the treatment of osteoporosis. Denosumab-induced hypocalcemia is a rare but important adverse event, which is usually asymptomatic in patients with osteoporosis. It is also known that hypocalcemia is common in patients with bone metastases and severe renal impairment. Here we report a case of symptomatic hypocalcemia following administration of 60 mg of denosumab in a patient with high bone turnover and no renal impairment (estimated glomerular filtration rate [eGFR], 71 mL/min), despite prophylactic oral vitamin D administration. This report supports our observation that there is a risk of protracted and marked denosumab-induced hypocalcemia in patients with high bone turnover, irrespective of their degree of renal impairment.

Indexed as

Bone RemodelingAgedBone Density Conservation AgentsDenosumabHumansHypocalcemiaMaleOsteoporosisRisk FactorsVitamin DBone Density Conservation AgentsDenosumabVitamin Ddenosumabhigh bone turnoverno renal impairmentsymptomatic hypocalcemia

Identifiers

PMID30349211
PMCPMC6183698
OpenAlexW2895499755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.