Evidence map›Paper›PMID 32282692›Full record

SynthesisMedicine2020

Comparison between teriparatide and bisphosphonates for improving bone mineral density in postmenopausal osteoporosis patients: A meta-analysis.

Guiyong Fan, Qun Zhao, Pei Lu, Hao Chen, Wei Tan, Weixiao Guo, Chaoqun Liu, Jinlian Liu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Impact of anti-osteoporosis medication on refracture prevention following osteoporotic vertebral fracture: a systematic review and 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 · 2025
    Pooled it
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  3. Review
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  6. Rethinking Osteoporosis Drugs: Can We Simultaneously Address Sarcopenia?International journal of molecular sciences · 2025
    Review
  7. Article
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  10. Review
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  13. Association between NF-Evidence-based complementary and alternative medicine : eCAM · 2022
    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

8 authors at 3 institutions in 1 country.

Guiyong FanDepartment of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.
Qun ZhaoDepartment of Orthopedics, SuZhou WuJiang Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou.
Pei LuThe Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Hao ChenDepartment of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.
Wei TanDepartment of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.
Weixiao GuoDepartment of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.
Chaoqun LiuDepartment of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.
Jinlian LiuDepartment of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.
Suzhou Kowloon Hospital · CNNanjing Medical University · CNSuzhou Traditional Chinese Medicine Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe performed a systematic review and meta-analysis of the efficacy and safety of teriparatide and bisphosphonates in managing postmenopausal osteoporosis.

methodsPubMed, EMBASE, Web of Science, and China National Knowledge Infrastructure were searched for relevant randomized controlled trials that were published before April 2018 and compared teriparatide and bisphosphonates in treating postmenopausal osteoporosis. Stata 12.0 was used for the meta-analysis. The pooled risk ratio (RR) or weighted mean difference and 95% confidence interval (CI) were calculated using a fixed effects or random effects meta-analysis.

resultsA total of 14 randomized controlled trials were included in this meta-analysis. The teriparatide group was associated with a lower total occurrence of vertebral fractures (RR = 0.55, 95% CI: 0.40-0.77; P = .001) and nonvertebral fractures (RR = 0.65, 95% CI: 0.46-0.90; P = .009) than the bisphosphonate group. Moreover, compared with the bisphosphonate group, the teriparatide group had improved bone mineral density at the lumbar spine and femoral neck at the final follow-up (P < .05). There was no significant difference between the teriparatide and bisphosphonate groups in terms of complications (RR = 1.05, 95% CI: 0.90, 1.22, P = .516).

conclusionsTeriparatide significantly reduced the occurrence of vertebral and nonvertebral fractures in osteoporosis patients. More studies should focus on the quality of life of patients using these 2 drugs.

Indexed as

Bone DensityBone Density Conservation AgentsDiphosphonatesFemur NeckHumansLumbar VertebraeOsteoporosis, PostmenopausalSpinal FracturesTeriparatideBone Density Conservation AgentsDiphosphonatesTeriparatide

Identifiers

PMID32282692
PMCPMC7220409
OpenAlexW3015443344

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.