Evidence map›Paper›PMID 38238593›Full record

ArticleArchives of osteoporosis2024

Bone loss and new vertebral fractures during treatment with romosozumab: a case-report.

Anneke F Marsman, Renate T de Jongh, Bernd P Teunissen, Willem F Lems

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Archives of osteoporosis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 18% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

4 authors at 3 institutions in 1 country.

Anneke F MarsmanDepartment of Rheumatology, Amsterdam University Medical Center, VUmc, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands. Anneke.marsman@gmail.com.ORCID http://orcid.org/0000-0003-1731-835X
Renate T de JonghDepartment of Endocrinology and Metabolism, Amsterdam University Medical Center, VUmc, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-8414-3938
Bernd P TeunissenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Center, VUmc, Amsterdam, the Netherlands.
Willem F LemsDepartment of Rheumatology, Amsterdam University Medical Center, VUmc, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-6885-3953
Amsterdam University Medical Centers · NLAmsterdam University of Applied Sciences · NLReade · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to illustrate the possibility of an unfavorable response to treatment with the anabolic agent romosozumab for patients with severe osteoporosis and to discuss explanations for treatment failure.

methodsDual-energy x-ray absorptiometry (DXA) including vertebral fracture assessment (VFA) and X-rays of the thoracolumbar spine was used to assess bone mineral density (BMD) and the presence of vertebral fractures before and after treatment with romosozumab.

resultsOur patient developed a decrease in the BMD of the hip, two incident new vertebral fractures, and worsening of one prevalent vertebral fracture during 1 year treatment with romosozumab. We have not detected non-adherence, there was no pretreatment with anti-resorptives, and we observed no signs of secondary osteoporosis and/or comorbidities.

conclusionAs the number of patients treated with romosozumab is rising, it becomes more likely that more patients will be found with new fractures and/or an unfavorable BMD response. Probably, the unfavorable response is a (bad) chance finding, but we think it is crucial for clinicians and patients to exclude nonadherence, new comorbidities and pretreatment with anti-resorptives as explanation in these patients.

Indexed as

Antibodies, MonoclonalBone Diseases, MetabolicFractures, BoneOsteoporosisSpinal FracturesAbsorptiometry, PhotonBone DensityHumansAntibodies, MonoclonalromosozumabOsteoporosisRomosozumabVertebral fractures

Identifiers

PMID38238593
PMCPMC10796617
OpenAlexW4391006351

What OpenQuestion holds

Textmetadata
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.