Evidence map›Paper›PMID 31038646›Full record

SynthesisClinics (Sao Paulo, Brazil)2019

The effectiveness and safety of parathyroid hormone in fracture healing: A meta-analysis.

Hao Hong, Ting Song, Yang Liu, Jun Li, Qilong Jiang, Qizhi Song, Zhongliang Deng

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Clinics (Sao Paulo, Brazil), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
1.7field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Effectiveness of parathyroid hormone (PTH) analogues on fracture healing: a meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Advances in Parathyroid Hormone-based medicines.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Timing of osteoporosis therapies following fracture: the current status.Therapeutic advances in endocrinology and metabolism · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
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

7 authors at 1 institution in 1 country.

Hao HongDepartment of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-7990-996X
Ting SongInstitute of Forensic Science, Chongqing Public Security Bureau, Chongqing, China.ORCID 0000-0002-8571-0997
Yang LiuDepartment of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jun LiDepartment of Orthopaedics, General Hospital of Chongqing Steel Company, Chongqing, China.ORCID 0000-0003-2637-3254
Qilong JiangDepartment of Orthopaedics, General Hospital of Chongqing Steel Company, Chongqing, China.ORCID 0000-0003-3152-7203
Qizhi SongDepartment of Orthopaedics, General Hospital of Chongqing Steel Company, Chongqing, China.
Zhongliang DengDepartment of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0001-5330-3062
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The very large economic and social burdens of fracture-related complications make rapid fracture healing a major public health goal. The role of parathyroid hormone (PTH) in treating osteoporosis is generally accepted, but the effect of PTH on fracture healing is controversial. This meta-analysis was designed to investigate the efficacy and safety of PTH in fracture healing. The EMBASE, PubMed, and Cochrane Library databases were systematically searched from the inception dates to April 26, 2018. The primary randomized clinical trials comparing PTH treatment for fracture healing with placebo or no treatment were identified. We did not gain additional information by contacting the authors of the primary studies. Two reviewers independently extracted the data and evaluated study quality. This meta-analysis was executed to determine the odds ratio, mean difference, standardized mean difference, and 95% confidence intervals with random-effects models. In total, 8 randomized trials including 524 patients met the inclusion criteria. There were significant differences in fracture healing time, pain relief and function improvement. There were no significant differences in the fracture healing rate or adverse events, including light-headedness, hypercalcemia, nausea, sweating and headache, except for slight bruising at the injection site. We determined that the effectiveness and safety of PTH in fracture healing is reasonably well established and credible.

Indexed as

Calcium-Regulating Hormones and AgentsFracture HealingHumansPain MeasurementParathyroid HormonePlacebosPublication BiasRandomized Controlled Trials as TopicReproducibility of ResultsTime FactorsTreatment OutcomeCalcium-Regulating Hormones and AgentsParathyroid HormonePlacebos

Identifiers

PMID31038646
PMCPMC6467172
OpenAlexW2944052094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.