Evidence map›Paper›PMID 37606222›Full record

ArticleThe Journal of clinical endocrinology and metabolism2023

Cholecalciferol Use Is Associated With a Decreased Risk of Incident Morphometric Vertebral Fractures in Acromegaly.

Sabrina Chiloiro, Stefano Frara, Irene Gagliardi, Antonio Bianchi, Antonella Giampietro, Margherita Medici, Agnese Allora, Luigi di Filippo, Maria Rosaria Ambrosio, Alfredo Pontecorvi and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.4field-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, 23 citations in OpenAlex.

  1. Acromegaly complications: an update.The Journal of clinical endocrinology and metabolism · 2026
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  16. Acromegaly and Bone: An Update.Endocrinology and metabolism (Seoul, Korea) · 2023
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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

13 authors at 3 institutions in 1 country.

Sabrina ChiloiroDepartment of Endocrinology and Metabolism, Pituitary Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome 00168, Italy.ORCID 0000-0001-9241-2392
Stefano FraraInstitute of Endocrine and Metabolic Sciences, Università Vita-Salute San Raffaele, IRCCS Ospedale San Raffaele, Milan 20132, Italy.ORCID 0000-0002-1308-5598
Irene GagliardiDepartment of Medical Sciences, Section of Endocrinology, Geriatrics & Internal Medicine, University of Ferrara, Ferrara 44121, Italy.ORCID 0000-0003-3280-8592
Antonio BianchiDepartment of Endocrinology and Metabolism, Pituitary Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome 00168, Italy.ORCID 0000-0002-4896-5499
Antonella GiampietroDepartment of Endocrinology and Metabolism, Pituitary Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome 00168, Italy.ORCID 0000-0001-5756-2045
Margherita MediciDepartment of Medical Sciences, Section of Endocrinology, Geriatrics & Internal Medicine, University of Ferrara, Ferrara 44121, Italy.
Agnese AlloraInstitute of Endocrine and Metabolic Sciences, Università Vita-Salute San Raffaele, IRCCS Ospedale San Raffaele, Milan 20132, Italy.
Luigi di FilippoInstitute of Endocrine and Metabolic Sciences, Università Vita-Salute San Raffaele, IRCCS Ospedale San Raffaele, Milan 20132, Italy.
Maria Rosaria AmbrosioDepartment of Medical Sciences, Section of Endocrinology, Geriatrics & Internal Medicine, University of Ferrara, Ferrara 44121, Italy.
Alfredo PontecorviDepartment of Endocrinology and Metabolism, Pituitary Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome 00168, Italy.ORCID 0000-0003-0570-6865
Maria Chiara ZatelliDepartment of Medical Sciences, Section of Endocrinology, Geriatrics & Internal Medicine, University of Ferrara, Ferrara 44121, Italy.ORCID 0000-0001-8408-7796
Laura De MarinisDepartment of Endocrinology and Metabolism, Pituitary Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome 00168, Italy.ORCID 0000-0001-9916-0669
Andrea GiustinaInstitute of Endocrine and Metabolic Sciences, Università Vita-Salute San Raffaele, IRCCS Ospedale San Raffaele, Milan 20132, Italy.ORCID 0000-0001-6783-3398
Università Cattolica del Sacro Cuore · ITUniversity of Ferrara · ITVita-Salute San Raffaele University · IT

Funding

Pfizer 56843615).
6 · The paper itself

Abstract

contextSkeletal fragility is observed in 30% to 60% of acromegaly patients, representing an emerging complication of the disease that increases disability. Despite several studies having investigated the clinical and hormonal prognostic factors for the occurrence of vertebral fractures (VFs) in acromegaly, very few data are available on their prevention/treatment including the effect of vitamin D (VD) supplementation, which has been reported to have a fracture-protective effect in several studies in patients with osteoporosis.

objectiveWe aimed to investigate the role of cholecalciferol (D3) supplementation in the prevention of incident VFs (i-VFs) in acromegaly.

methodsA longitudinal, retrospective and multicenter study was performed on 61 acromegaly patients treated and untreated with D3 supplementation.

resultsTwenty-six patients were treated with D3 supplementation according to clinical guidelines. The median D3 weekly dosage was 8500 IU (interquartile range [IQR]: 3900). The median duration of D3 supplementation was 94 months (IQR: 38). At last follow-up, i-VFs were diagnosed in 14 patients (23%). I-VFs were less prevalent in patients on D3 supplementation (14.3% of cases) compared to patients not treated with D3 (85.7%; P = .02). The final level of serum V25OH-D was significantly lower in patients who developed i-VFs (28.6 ng/mL, IQR: 4.1) compared to patients who did not develop i-VFs (34.2 ng/mL, IQR: 9.6; P = .05). The logistic regression confirmed the protective role of D3 supplementation on the occurrence of i-VFs (odds ratio: 0.16; 95% CI, 0.03-0.79; P = .01).

conclusionIt is likely that D3 supplementation could lead to a reduction in i-VFs in acromegaly.

Indexed as

AcromegalySpinal FracturesBone DensityCholecalciferolHumansRetrospective StudiesCholecalciferolacromegalycholecalciferol‌growth hormoneIGF-Ivertebral fracturesvitamin D

Identifiers

PMID37606222
PMCPMC10735684
OpenAlexW4386046200

What OpenQuestion holds

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LicenceCC BY
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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.