Evidence map›Paper›PMID 32911582›Full record

ArticleJournal of bone metabolism2020

Use of Bisphosphonates, Calcium and Vitamin D for Bone Demineralization in Patients with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome: A Systematic Review and Meta-Analysis of Clinical Trials.

Vinícius Magno da Rocha, Mariana Balardino Bogado Faria, Francisco de Assis Dos Reis Júnior, Carla Ormundo Gonçalves Ximenes Lima, Rossano Kepler Alvim Fiorelli, Keila Mara Cassiano

Open access · bronzeAbstract read
In one paragraph

Article in Journal of bone metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

Vinícius Magno da RochaDepartment of General and Specialized Surgery, Medical School, Federal University of the State of Rio de Janeiro, RJ, Brazil.
Mariana Balardino Bogado FariaDepartment of Orthopedics and Traumatology, Gaffrée and Guinle University Hospital, RJ, Brazil.
Francisco de Assis Dos Reis JúniorDertment of Orthopedics and Traumatology, Central Brazilian Army Hospital, RJ, Brazil.
Carla Ormundo Gonçalves Ximenes LimaDepartment of Clinical Pathology, National Institute of Traumatology and Orthopedics, RJ, Brazil.
Rossano Kepler Alvim FiorelliDepartment of General and Specialized Surgery, Medical School, Federal University of the State of Rio de Janeiro, RJ, Brazil.
Keila Mara CassianoDepartment of Statistics, Institute of Mathematics, Federal Fluminense University, RJ, Brazil.
Hospital Universitário Gaffrée e Guinle · BRHospital Central da Polícia Militar · BRInstituto Nacional de Traumatologia e Ortopedia · BRUniversidade Federal do Estado do Rio de Janeiro · BRUniversidade Federal Fluminense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present study performed a systematic review and meta-analysis of clinical trials using bisphosphonates for bone demineralization in human immunodeficiency virus (HIV) patients.

methodsA comprehensive literature search was performed from January 2004 to January 2020 considering the bone mineral density (BMD) of the lumbar spine (LS) as the main outcome. Out of 214 titles that met criteria, 9 studies fulfilled the selection criteria.

resultsA total of 394 patients were identified, and they were allocated into 2 groups: the intervention group (200 patients), to whom a combination of alendronate or zoledronate with calcium and vitamin D was administered; and control group (194 patients), to whom only calcium and vitamin D was administered. Clinical profile and indicators of bone metabolism of the participants were evaluated regarding effect size, homogeneity, and consistency. No substantial heterogeneity between the groups was found for the baseline variables, and there was high consistency to the main outcome. The meta-analysis shows a significant difference in post-treatment BMD, favoring the intervention over the control treatment. The intervention improved LS density up to 0.227 g/cm², raising the average to the levels of general population. Adverse effects related to intervention were fever immediately after zoledronate administration and gastrointestinal complaints during alendronate usage. Other adverse effects were barely reported and poorly connected to intervention by studies' authors, despite all of them have been successfully resolved.

conclusionsThis study provides evidence that BMD post-treatment is better in HIV patients who used bisphosphonates combined with calcium and vitamin D.

Indexed as

Antiretroviral therapyBone demineralizationDiphosphonateshighly activeHIVOsteoporosispathologic

Identifiers

PMID32911582
PMCPMC7571242
OpenAlexW3083209661

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Registered trials

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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.