Evidence map›Paper›PMID 34402949›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

No association of anti-osteoporosis drugs with COVID-19-related outcomes in women: a nationwide cohort study.

A Atmaca, I Demirci, C Haymana, I Tasci, I Sahin, E Cakal, N Ata, S Dagdelen, S Salman, R Emral and 8 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Bone diseases and the COVID-19 pandemic.Archives of endocrinology and metabolism · 2022
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  4. Review
  5. Observational
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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

18 authors at 9 institutions in 1 country.

A AtmacaDepartment of Endocrinology and Metabolism, School of Medicine, Samsun Ondokuz Mayis University, Samsun, Turkey. atmaca_aysegul@yahoo.com.ORCID http://orcid.org/0000-0001-6326-6365
I DemirciDepartment of Endocrinology and Metabolism, Gulhane Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
C HaymanaDepartment of Endocrinology and Metabolism, Gulhane Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
I TasciDepartment of Internal Medicine Gulhane School of Medicine and Gulhane Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
I SahinDepartment of Endocrinology and Metabolism, School of Medicine, Malatya Inonu University, Malatya, Turkey.
E CakalDepartment of Endocrinology and Metabolism, School of Medicine, Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
N AtaDepartment of Strategy Development, Ministry of Health, Republic of Turkey, Ankara, Turkey.
S DagdelenDepartment of Endocrinology and Metabolism, School of Medicine, Hacettepe University, Ankara, Turkey.
S SalmanDepartment of Endocrinology and Metabolism, Medica Clinic, Istanbul, Turkey.
R EmralDepartment of Endocrinology and Metabolism, School of Medicine, Ankara University, Ankara, Turkey.
M SahinDepartment of Endocrinology and Metabolism, School of Medicine, Ankara University, Ankara, Turkey.
O CelikPublic Hospitals General Directorate, Ministry of Health, Republic of Turkey, Ankara, Turkey.
T DemirDepartment of Endocrinology and Metabolism, School of Medicine, Dokuz Eylul University, Izmir, Turkey.
D ErtugrulDepartment of Endocrinology and Metabolism, Kecioren Training and Research Hospital, School of Medicine, University of Health Sciences Turkey, Ankara, Turkey.
U UnluturkDepartment of Endocrinology and Metabolism, School of Medicine, Hacettepe University, Ankara, Turkey.
M CaglayanAnkara Provincial Health Directorate, Ankara, Turkey.
I SatmanDepartment of Endocrinology and Metabolism, School of Medicine, Istanbul University, Istanbul, Turkey.
A SonmezDepartment of Endocrinology and Metabolism, Gulhane School of Medicine and Gulhane Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
Ministry of Health · TRAnkara University · TRGülhane Askerî Tıp Akademisi · TRHacettepe University · TRDokuz Eylül University · TRInonu University · TRIstanbul University · TROndokuz Mayıs University · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study was performed to evaluate whether the use of drugs in the treatment of osteoporosis in women is associated with COVID-19 outcomes. The results showed that the risk of hospitalization, intensive care unit admission, and mortality was not altered in individuals taking anti-osteoporosis drugs, suggesting no safety issues during a COVID-19 infection.

introductionWhether patients with COVID-19 receiving anti-osteoporosis drugs have lower risk of worse outcomes has not been reported yet. The aim of this study was to evaluate the association of anti-osteoporosis drug use with COVID-19 outcomes in women.

methodsData obtained from a nationwide, multicenter, retrospective cohort of patients diagnosed with COVID-19 from March 11th to May 30th, 2020 was retrieved from the Turkish Ministry of Health Database. Women 50 years or older with confirmed COVID-19 who were receiving anti-osteoporosis drugs were compared with a 1:1 propensity score-matched COVID-19 positive women who were not receiving these drugs. The primary outcomes were hospitalization, ICU (intensive care unit) admission, and mortality.

resultsA total of 1997 women on anti-osteoporosis drugs and 1997 control patients were analyzed. In the treatment group, 1787 (89.5%) women were receiving bisphosphonates, 197 (9.9%) denosumab, and 17 (0.9%) teriparatide for the last 12 months. Hospitalization and mortality rates were similar between the treatment and control groups. ICU admission rate was lower in the treatment group (23.0% vs 27.0%, p = 0.013). However, multivariate analysis showed that anti-osteoporosis drug use was not an independent associate of any outcome. Hospitalization, ICU admission, and mortality rates were similar among bisphosphonate, denosumab, or teriparatide users.

conclusionResults of this nationwide study showed that preexisting use of anti-osteoporosis drugs in women did not alter the COVID-19-related risk of hospitalization, ICU admission, and mortality. These results do not suggest discontinuation of these drugs during a COVID-19 infection.

Indexed as

COVID-19OsteoporosisPharmaceutical PreparationsCohort StudiesFemaleHumansRetrospective StudiesSARS-CoV-2Pharmaceutical PreparationsBisphosphonatesCOVID-19DenosumabMortalityOsteoporosisTeriparatide

Identifiers

PMID34402949
PMCPMC8369875
OpenAlexW3193313732

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.