Evidence map›Paper›PMID 32656645›Full record

Observational studyJournal of bone and mineral metabolism2020

Zoledronic acid sequential therapy could avoid disadvantages due to the discontinuation of less than 3-year denosumab treatment.

Hideomi Kondo, Nobukazu Okimoto, Toru Yoshioka, Shojiro Akahoshi, Yoshifumi Fuse, Takayuki Ogawa, Yuichi Okazaki, Yuji Katae, Manabu Tsukamoto, Yoshiaki Yamanaka and 2 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of bone and mineral metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Perioperative teriparatide for preventing proximal junctional kyphosis and failure in patients with osteoporosis after adult thoracolumbar spinal deformity surgery: a prospective randomized controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Trial
  2. Loss of lower extremity bone mineral density 1 year after denosumab is discontinued in persons with subacute spinal cord injury.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Trial
  3. Multiple Vertebral Fractures After Denosumab Discontinuation: FREEDOM and FREEDOM Extension Trials Additional Post Hoc Analyses.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Trial
  4. Trial
  5. Non-metastatic breast cancer patients discontinuing aromatase inhibitor on denosumab: what next?Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  6. Article
  7. Article
  8. Denosumab discontinuation in the clinic: implications of rebound bone turnover and emerging strategies to prevent bone loss and fractures.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Observational
  17. Romosozumab and antiresorptive treatment: the importance of treatment sequence.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  18. Discontinuing Denosumab: Can It Be Done Safely? A Review of the Literature.Endocrinology and metabolism (Seoul, Korea) · 2022
    Review
  19. Article
  20. Bone and Mineral Disease in Kidney Transplant Recipients.Clinical journal of the American Society of Nephrology : CJASN · 2022
    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

12 authors at 4 institutions in 1 country.

Hideomi KondoDepartment of Orthopaedic Surgery, Obase Hospital, 1598 Aratsu Kanda-machi, Miyako-gun, 800-0344, Fukuoka, Japan. kondo_osho@yahoo.co.jp.ORCID http://orcid.org/0000-0002-2860-8048
Nobukazu OkimotoOkimoto Clinic, Kure, Japan.
Toru YoshiokaDepartment of Orthopaedic Surgery, Shimura Hospital, Hiroshima, Japan.
Shojiro AkahoshiDepartment of Orthopaedic Surgery, Obase Hospital, 1598 Aratsu Kanda-machi, Miyako-gun, 800-0344, Fukuoka, Japan.
Yoshifumi FuseDepartment of Orthopaedic Surgery, Saka Midorii Hospital, Hiroshima, Japan.
Takayuki OgawaDepartment of Orthopaedic Surgery, Kaisei General Hospital, Sakaide, Japan.
Yuichi OkazakiDepartment of Orthopaedic Surgery, Tobata General Hospital, Kitakyushu, Japan.
Yuji KataeKatae Orthopaedic and Rheumatology Clinic, Kitakyushu, Japan.
Manabu TsukamotoDepartment of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Yoshiaki YamanakaDepartment of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Makoto KawasakiDepartment of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Akinori SakaiDepartment of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
University of Occupational and Environmental Health Japan · JPHiroshima Kyoritsu Hospital · JPKawamura Hospital · JPOno Clinic · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRapid descent in bone mineral density (BMD) and ascent in bone turnover marker (BTM) occur within the short period following denosumab (Dmab) discontinuation. In addition, the incidence of vertebral fracture also rises within the short period. The purpose of this study is to investigate the effects of sequential therapy using zoledronic acid (ZOL) on any adverse events after Dmab discontinuation. MATERIALS AND

methodsThis study was a multicenter retrospective observational study, and the subjects were osteoporosis patients who visited our institutions between 2013 and 2018. We performed sequential therapy using ZOL for 30 patients who had difficulty continuing Dmab, due to physical or social reasons, and investigated the fracture incidence and BMD/BTM changes at 4 time points (at the start of Dmab, the start of ZOL, 6 months after ZOL and 12 months after ZOL).

resultsNo new vertebral/nonvertebral fractures were observed at each time point after switching from Dmab to ZOL in any of the 30 patients. The BMD/BTM changes were evaluated in 18 of the 30 cases, since all data of lumbar/femoral neck BMDs and TRACP-5b at 4 time points was only available in 18 cases. BMDs significantly increased at each time point compared with that at the start of Dmab. Serum TRACP-5b significantly decreased at each time point compared with that at the start of Dmab.

conclusionIt was suggested that sequential therapy using ZOL could suppress the decrease of BMD, and increase of BTM, if the period of Dmab administration was less than 3 years.

Indexed as

Withholding TreatmentAgedAged, 80 and overBiomarkersBone DensityBone Density Conservation AgentsBone RemodelingDenosumabFemaleFractures, BoneHumansMaleMiddle AgedOsteoporosisRetrospective StudiesTartrate-Resistant Acid PhosphataseBiomarkersBone Density Conservation AgentsDenosumabTartrate-Resistant Acid PhosphataseZoledronic AcidBone mineral densityBone turnover markerDenosumabSequential therapyZoledronic acid

Identifiers

PMID32656645
PMCPMC7354744
OpenAlexW3041733543

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.