Evidence map›Paper›PMID 31652944›Full record

ReviewInternational journal of molecular sciences2019

Anticoagulants and Osteoporosis.

Salvatore Santo Signorelli, Salvatore Scuto, Elisa Marino, Michele Giusti, Anastasia Xourafa, Agostino Gaudio

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Clinical outcome of periprosthetic femoral fractures: the influence of fracture pattern and patient specific risk factors.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  8. Drug-Induced Osteoporosis.Journal of clinical medicine · 2026
    Review
  9. Review
  10. Review
  11. Neck-vein thrombosis during spaceflight.British journal of clinical pharmacology · 2026
    Review
  12. Bidirectional Interaction Between the Brain and Bone in Traumatic Brain Injury.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Salvatore Santo SignorelliDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy. ssignore@unict.it.
Salvatore ScutoDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy. salvo.scuto1982@hotmail.it.
Elisa MarinoDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy. marinoelisa@msn.com.
Michele GiustiDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy. michelegiusti88@gmail.com.
Anastasia XourafaDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy. axourafa@gmail.com.
Agostino GaudioDepartment of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy. agostino.gaudio@gmail.com.
University of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anticoagulant agents are widely used in the treatment of thromboembolic events and in stroke prevention. Data about their effects on bone tissue are in some cases limited or inconsistent (oral anti-vitamin K agents), and in others are sufficiently strong (heparins) to suggest caution in their use in subjects at risk of osteoporosis. This review analyses the effects of this group of drugs on bone metabolism, on bone mineral density, and on fragility fractures. A literature search strategy was developed by an experienced team of specialists by consulting the MEDLINE platform, including published papers and reviews updated to March 2019. Literature supports a detrimental effect of heparin on bone, with an increase in fracture rate. Low molecular weight heparins (LMWHs) seem to be safer than heparin. Although anti-vitamin K agents (VKAs) have a significant impact on bone metabolism, and in particular, on osteocalcin, data on bone mineral density (BMD) and fractures are contrasting. To date, the new direct oral anticoagulants (DOACs) are found to safe for bone health.

Indexed as

AnticoagulantsBone and BonesBone DensityFractures, BoneHeparin, Low-Molecular-WeightHumansOsteoporosisVenous ThromboembolismAnticoagulantsHeparin, Low-Molecular-Weightanticoagulant agentsfractureheparinlow molecular weight heparins (LMWHs)osteoporosiswarfarin

Identifiers

PMID31652944
PMCPMC6862478
OpenAlexW2981906305

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.