Evidence map›Paper›PMID 31666986›Full record

ReviewSpinal cord series and cases2019

Prophylactic treatment of osteoporosis after SCI: promising research, but not yet indicated.

Dustin Anderson, Andrew J Park

Abstract readReview
In one paragraph

Review in Spinal cord series and cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Dustin AndersonDepartment of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO, USA.
Andrew J ParkDepartment of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO, USA. andrew.park@ucdenver.edu.ORCID http://orcid.org/0000-0003-0249-5353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In persons with spinal cord injury (SCI), osteoporosis and associated fragility fractures are a prevalent phenomenon with clinically meaningful morbidity and mortality. Prevention of osteoporosis utilizing both physical modalities and pharmacological therapies is an area of high-clinical importance. In our perspective, the current body of research cannot provide clear guidance on prophylactic interventions to prevent osteoporosis specifically to stratify SCI subjects to their risk for fragility fractures. Without this critical research, clinicians cannot weigh the risk versus benefits of interventions, such as bisphosphonates, which is not a benign treatment. Other treatments such as physical modalities provide little risk and have other therapeutic benefit. This perspective is an argument that the current research does not indicate prophylactic pharmacological intervention to prevent osteoporosis in the SCI population.

Indexed as

Bone Density Conservation AgentsDiphosphonatesHumansOsteoporosisOsteoporotic FracturesSpinal Cord InjuriesBone Density Conservation AgentsDiphosphonatesOsteoporosisSpinal cord diseases

Identifiers

PMID31666986
PMCPMC6461998

What OpenQuestion holds

Textmetadata
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.