Evidence map›Paper›PMID 34948434›Full record

ReviewInternational journal of molecular sciences2021

Management of Osteoporosis in Men: A Narrative Review.

Fabio Vescini, Iacopo Chiodini, Alberto Falchetti, Andrea Palermo, Antonio Stefano Salcuni, Stefania Bonadonna, Vincenzo De Geronimo, Roberto Cesareo, Luca Giovanelli, Martina Brigo and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  16. Approach to the Patient: From Endocrinopathy to the Diagnosis of a Histiocytic Disorder.The Journal of clinical endocrinology and metabolism · 2025
    Review
  17. Article
  18. Denosumab and clinical outcomes among men with osteoporosis: a retrospective 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 · 2025
    Article
  19. Review
  20. 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

13 authors at 9 institutions in 1 country.

Fabio VesciniEndocrinology and Metabolism Unit, University-Hospital S. Maria della Misericordia, 33100 Udine, Italy.ORCID 0000-0003-1892-9785
Iacopo ChiodiniIstituto Auxologico Italiano, IRCCS, 20149 Milan, Italy.ORCID 0000-0001-7594-3300
Alberto FalchettiIstituto Auxologico Italiano, IRCCS, 20149 Milan, Italy.ORCID 0000-0002-6739-4417
Andrea PalermoUnit of Endocrinology and Diabetes, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0002-1143-4926
Antonio Stefano SalcuniEndocrinology and Metabolism Unit, University-Hospital S. Maria della Misericordia, 33100 Udine, Italy.
Stefania BonadonnaIstituto Auxologico Italiano, IRCCS, 20149 Milan, Italy.ORCID 0000-0001-7325-7542
Vincenzo De GeronimoUnit of Endocrinology-Policlinico Morgagni CCD, 95125 Catania, Italy.ORCID 0000-0002-0271-9858
Roberto CesareoCenter of Metabolic Disease, S.M. Goretti Hospital, 04100 Latina, Italy.
Luca GiovanelliDepartment of Medical Biotechnology and Translational Medicine, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-8767-7588
Martina BrigoDepartment of Medicine, University of Verona, 37129 Verona, Italy.
Francesco BertoldoDepartment of Medicine, University of Verona, 37129 Verona, Italy.
Alfredo ScillitaniUnit of Endocrinology, Ospedale "Casa Sollievo della Sofferenza", IRCCS, San Giovanni Rotondo, 71013 Foggia, Italy.
Luigi GennariDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy.
University of Milan · ITOspedale Santa Maria della Misericordia di Udine · ITUniversity of Verona · ITCasa Sollievo della Sofferenza · ITIRCCS Istituto Auxologico Italiano · ITOspedale Santa Maria Goretti · ITPoliclinico Universitario di Catania · ITUniversità Campus Bio-Medico · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Male osteoporosis is a still largely underdiagnosed pathological condition. As a consequence, bone fragility in men remains undertreated mainly due to the low screening frequency and to controversies in the bone mineral density (BMD) testing standards. Up to the 40% of overall osteoporotic fractures affect men, in spite of the fact that women have a significant higher prevalence of osteoporosis. In addition, in males, hip fractures are associated with increased morbidity and mortality as compared to women. Importantly, male fractures occur about 10 years later in life than women, and, therefore, due to the advanced age, men may have more comorbidities and, consequently, their mortality is about twice the rate in women. Gender differences, which begin during puberty, lead to wider bones in males as compared with females. In men, follicle-stimulating hormones, testosterone, estrogens, and sex hormone-binding levels, together with genetic factors, interact in determining the peak of bone mass, BMD maintenance, and lifetime decrease. As compared with women, men are more frequently affected by secondary osteoporosis. Therefore, in all osteoporotic men, a complete clinical history should be collected and a careful physical examination should be done, in order to find clues of a possible underlying diseases and, ultimately, to guide laboratory testing. Currently, the pharmacological therapy of male osteoporosis includes aminobisphosphonates, denosumab, and teriparatide. Hypogonadal patients may be treated with testosterone replacement therapy. Given that the fractures related to mortality are higher in men than in women, treating male subjects with osteoporosis is of the utmost importance in clinical practice, as it may impact on mortality even more than in women.

Indexed as

Disease ManagementHormone Replacement TherapyHumansMaleOsteoporosisOsteoporotic FracturesTestosteroneTestosteroneBMDbone fragilityDXAfracturesmaleosteoporosis

Identifiers

PMID34948434
PMCPMC8705761
OpenAlexW4200485959

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.