Evidence map›Paper›PMID 35627940›Full record

ReviewHealthcare (Basel, Switzerland)2022

Antidepressants and Vertebral and Hip Risk Fracture: An Updated Systematic Review and Meta-Analysis.

Renato de Filippis, Michele Mercurio, Giovanna Spina, Pasquale De Fazio, Cristina Segura-Garcia, Filippo Familiari, Giorgio Gasparini, Olimpio Galasso

Open access · goldAbstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 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

8 authors at 1 institution in 1 country.

Renato de FilippisPsychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0001-6928-1224
Michele MercurioDepartment of Orthopaedic and Trauma Surgery, "Mater Domini" University Hospital, V.le Europa (loc. Germaneto), "Magna Græcia" University, 88100 Catanzaro, Italy.ORCID 0000-0002-8742-5612
Giovanna SpinaDepartment of Orthopaedic and Trauma Surgery, "Mater Domini" University Hospital, V.le Europa (loc. Germaneto), "Magna Græcia" University, 88100 Catanzaro, Italy.
Pasquale De FazioPsychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0001-5375-3565
Cristina Segura-GarciaPsychiatry Unit, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0002-5756-3045
Filippo FamiliariDepartment of Orthopaedic and Trauma Surgery, "Mater Domini" University Hospital, V.le Europa (loc. Germaneto), "Magna Græcia" University, 88100 Catanzaro, Italy.ORCID 0000-0002-3453-2043
Giorgio GaspariniDepartment of Orthopaedic and Trauma Surgery, "Mater Domini" University Hospital, V.le Europa (loc. Germaneto), "Magna Græcia" University, 88100 Catanzaro, Italy.ORCID 0000-0002-8256-7697
Olimpio GalassoDepartment of Orthopaedic and Trauma Surgery, "Mater Domini" University Hospital, V.le Europa (loc. Germaneto), "Magna Græcia" University, 88100 Catanzaro, Italy.ORCID 0000-0002-4915-046X
Magna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although antidepressant drugs appear to play an active role in increasing fracture risk, their weight is still unclear. We conducted a PRISMA compliant systematic review and meta-analysis through PubMed/Scopus/Cochrane libraries and registered with PROSPERO (registration number CRD42021254006) to investigate the relationship between antidepressant drugs categories, including SSRIs, SNRIs, and TCAs, and the risk of hip and vertebral fractures. After screening 3122 items, we finally found 26 papers for qualitative analysis and 11 for quantitative synthesis. A total of 15,209,542 adult and elderly patients were identified, with a mean follow-up of 51 months and a major prevalence of women. We identified results largely for SSRIs, with only a small amount of data for SNRIs, TCAs, and NaSSA. No data were found among the most recent categories of antidepressants, such as vortioxetine and esketamine. All included studies reported hip fractures, while three of them also included vertebral fractures. Overall, we observed a significant effect of SSRIs on fracture risk with a mean effect of 0.98 (95% CI = 0.75-1.20). This meta-analysis reveals that the use of SSRIs increases the risk of fractures. Clinicians' awareness in antidepressant prescription should optimize their potential while reducing this risk.

Indexed as

adverse drug reactionantidepressantbone mineral densityfallsfracturehipmajor depressive disorder (MDD)pharmacovigilanceselective serotonin reuptake inhibitors (SSRI)vertebrae

Identifiers

PMID35627940
PMCPMC9140335
OpenAlexW4225014200

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.