Evidence map›Paper›PMID 33165875›Full record

SynthesisCurrent osteoporosis reports2020

Glucose-Lowering Drugs and Fracture Risk-a Systematic Review.

Z Al-Mashhadi, R Viggers, R Fuglsang-Nielsen, F de Vries, J P van den Bergh, T Harsløf, B Langdahl, S Gregersen, Jakob Starup-Linde

Open access · bronzeAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current osteoporosis reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Systemic glucocorticoid use increases fracture risk similarly in individuals with and without type 2 diabetes: a Danish nationwide cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  3. The association between GLP-1 receptor agonists and fractures: a nationwide Danish nested case-control study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Recommendations for Practical Use of Metformin, a Central Pharmacological Therapy in Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2022
    Article
  12. 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

9 authors at 6 institutions in 3 countries.

Z Al-MashhadiSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
R ViggersSteno Diabetes Center North Jutland, Aalborg University Hospital, Aalborg, Denmark.
R Fuglsang-NielsenSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
F de VriesDepartment of Clinical Pharmacy and Toxicology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
J P van den BerghDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, The Netherlands.
T HarsløfDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Palle Juul Jensens Boulevard 99, 8220, Aarhus N, Denmark.
B LangdahlDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
S GregersenSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Jakob Starup-LindeSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark. jakolind@rm.dk.ORCID 0000-0002-4325-8023
Steno Diabetes Centers · DKAalborg University Hospital · DKAarhus University · DKAarhus University Hospital · DKMaastricht University · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewDiabetes mellitus (DM) is associated with increased fracture risk. The aim of this systematic review was to examine the effects of different classes of glucose-lowering drugs on fracture risk in patients with type 2 DM. The heterogeneity of the included studies did not allow formal statistical analyses. RECENT

findingsSixty studies were included in the review. Metformin, dipeptidylpeptidase-IV inhibitors, glucagon-like peptide-1 receptor agonists, and sodium-glucose cotransporter 2-inhibitors do not appear to increase fracture risk. Results for insulin and sulphonylureas were more disparate, although there may be an increased fracture risk related to hypoglycemia and falls with these treatments. Glitazones were consistently associated with increased fracture risk in women, although the evidence was sparser in men. New glucose-lowering drugs are continuously being developed and better understanding of these is leading to changes in prescription patterns. Our findings warrant continued research on the effects of glucose-lowering drugs on fracture risk, elucidating the class-specific effects of these drugs.

Indexed as

Diabetes Mellitus, Type 2Fractures, BoneHumansHypoglycemic AgentsRisk FactorsHypoglycemic AgentsAntidiabeticsFractureGlitazonesGlucose-lowering drugsInsulinSystematic reviewType 2 diabetes

Identifiers

PMID33165875
OpenAlexW3098262176

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.