Evidence map›Paper›PMID 34405441›Full record

Observational studyJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2021

The Use of Oral Amino-Bisphosphonates and Coronavirus Disease 2019 (COVID-19) Outcomes.

Luca Degli Esposti, Valentina Perrone, Diego Sangiorgi, Margherita Andretta, Fausto Bartolini, Arturo Cavaliere, Andrea Ciaccia, Stefania Dell'orco, Stefano Grego, Sara Salzano and 7 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Association of prior treatment with nitrogen-containing bisphosphonates on outcomes of COVID-19 positive patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  6. Article
  7. Observational
  8. Review
  9. Review
  10. 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

17 authors at 6 institutions in 1 country.

Luca Degli EspostiCliCon S.r.l. Health, Economics & Outcomes Research, Bologna, Italy.
Valentina PerroneCliCon S.r.l. Health, Economics & Outcomes Research, Bologna, Italy.
Diego SangiorgiCliCon S.r.l. Health, Economics & Outcomes Research, Bologna, Italy.
Margherita AndrettaUOC Assistenza Farmaceutica Territoriale, Azienda ULSS 8 Berica, Vicenza, Italy.
Fausto BartoliniDipartimento Farmaceutico, USL Umbria 2, Perugia, Italy.
Arturo CavaliereUOC Farmacia Aziendale, ASL, Viterbo, Italy.
Andrea CiacciaDipartimento Farmaceutico, ASL, Foggia, Italy.
Stefania Dell'orcoUOC Farmaceutica Territoriale, ASL Roma 6, Rome, Italy.
Stefano GregoDipartimento Tecnico-Amministrativo, ASL 3 Genovese, Genova, Italy.
Sara SalzanoUOC Farmacia Territoriale, ASL Roma 4, Rome, Italy.
Loredana UbertazzoUOC Farmacia Territoriale, ASL Roma 4, Rome, Italy.
Adriano VercelloneDipartimento Farmaceutico, ASL Naples 3 Sud, Naples, Italy.
Davide GattiRheumatology Unit, University of Verona, Verona, Italy.
Angelo FassioRheumatology Unit, University of Verona, Verona, Italy.
Ombretta ViapianaRheumatology Unit, University of Verona, Verona, Italy.
Maurizio RossiniRheumatology Unit, University of Verona, Verona, Italy.ORCID 0000-0001-9692-2293
Giovanni AdamiRheumatology Unit, University of Verona, Verona, Italy.ORCID 0000-0002-8915-0755
University of Verona · ITASL Roma · ITAzienda Mobilità e Trasporti · ITAzienda Sanitaria Locale Viterbo · ITFarmaceutici Damor (Italy) · ITUniversity of Foggia · IT

Funding

Open Access Funding provided by Universita degli Studi di Verona within the CRUI-CARE Agreement. WOA Institution: Universita degli Studi di Verona Blended DEAL: CARE
6 · The paper itself

Abstract

The determinants of the susceptibility to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection and severe coronavirus disease 2019 (COVID-19) manifestations are yet not fully understood. Amino-bisphosphonates (N-BPs) have anti-inflammatory properties and have been shown to reduce the incidence of lower respiratory infections, cardiovascular events, and cancer. We conducted a population-based retrospective observational cohort study with the primary objective of determining if oral N-BPs treatment can play a role in the susceptibility to development of severe COVID-19. Administrative International Classification of Diseases, Ninth Revision, Clinical ModificationI (ICD-9-CM) and anatomical-therapeutic chemical (ATC) code data, representative of Italian population (9% sample of the overall population), were analyzed. Oral N-BPs (mainly alendronate and risedronate) were included in the analysis, zoledronic acid was excluded because of the low number of patients at risk. Incidence of COVID-19 hospitalization was 12.32 (95% confidence interval [CI], 9.61-15.04) and 11.55 (95% CI, 8.91-14.20), of intensive care unit (ICU) utilization because of COVID-19 was 1.25 (95% CI, 0.38-2.11) and 1.42 (95% CI, 0.49-2.36), and of all-cause death was 4.06 (95% CI, 2.50-5.61) and 3.96 (95% CI, 2.41-5.51) for oral N-BPs users and nonusers, respectively. Sensitivity analyses that excluded patients with prevalent vertebral or hip fragility fractures and without concomitant glucocorticoid treatment yielded similar results. In conclusion, we found that the incidence of COVID-19 hospitalization, intensive care unit (ICU) utilization, and COVID-19 potentially related mortality were similar in N-BPs-treated and nontreated subjects. Similar results were found in N-BPs versus other anti-osteoporotic drugs. We provide real-life data on the safety of oral N-BPs in terms of severe COVID-19 risk on a population-based cohort. Our results do not support the hypothesis that oral N-BPs can prevent COVID-19 infection and/or severe COVID-19; however, they do not seem to increase the risk. © 2021 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).

Indexed as

COVID-19DiphosphonatesHumansRetrospective StudiesRisedronic AcidSARS-CoV-2DiphosphonatesRisedronic AcidBISPHOSPHONATESCOVID-19INFECTION RISKOSTEOPOROSISSARS-COV-2

Identifiers

PMID34405441
PMCPMC8420492
OpenAlexW3193735157

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.