Evidence map›Paper›PMID 38564085›Full record

SynthesisEndocrine2024

Role of bisphosphonates in hypertrophic osteoarthropathy: a systematic review.

Rajan Palui, Kalyani Sridharan, Jayaprakash Sahoo, Varun Suryadevara, Sadishkumar Kamalanathan, Dukhabandhu Naik, Dhanapathi Halanaik, Harsh Durgia, Henith Raj

Abstract readCase ReportsSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [Rare cause of massive joint effusions].Zeitschrift fur Rheumatologie · 2025
    Article
  5. Pachydermoperiostosis Due to a NovelJCEM case reports · 2024
    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

9 authors at 4 institutions in 1 country.

Rajan PaluiConsultant Endocrinologist, The Mission Hospital, Durgapur, West Bengal, India.ORCID 0000-0002-2429-3595
Kalyani SridharanDepartment of Endocrinology, All India Institute of Medical Sciences (AIIMS), Rishikesh, India. sridharan.kalyani22@gmail.com.ORCID 0000-0002-5867-5073
Jayaprakash SahooDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Varun SuryadevaraAssociate Consultant Endocrinologist, Apollo Hospitals, Bangalore, Karnataka, India.
Sadishkumar KamalanathanDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Dukhabandhu NaikDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Dhanapathi HalanaikDepartment of Nuclear Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Harsh DurgiaConsultant Endocrinologist, Dr Harsh's Endocrine and Diabetes Center, Rajkot, Gujarat, India.
Henith RajConsultant Endocrinologist, Dr Jayaharan Memorial Hospital, Nagercoil, Tamilnadu, India.
Jawaharlal Institute of Post Graduate Medical Education and Research · INAll India Institute of Medical Sciences Rishikesh · INApollo Hospitals · INMission Hospital Durgapur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of bisphosphonates (BP) in hypertrophic osteoarthropathy (HPOA) is unclear. We presented a case of primary HPOA and performed a systematic review of literature on the effect of BP on treatment response in primary and secondary HPOA.

methodsThe study was prospectively registered in PROSPERO (CRD42022343786). We performed a PubMed literature search that restricted to the English language. We included patients diagnosed with primary or secondary HPOA who received BP. The primary endpoint assessed was the effectiveness of BP on response to pain or arthritis. Secondary outcomes included timing, degree, and duration of response, comparison to other HPOA therapies, impact of BP on radiology, bone scan, bone turnover markers, and adverse effects of BP.

resultsLiterature search retrieved only case reports. Forty-five patients (21 primary, 24 secondary HPOA) had received BP. Majority(88.3%) experienced improvement in pain or arthritis. Response was gradual for primary HPOA and within a median of 3 to 7 days for secondary HPOA after treatment with BP. Most patients had reduced bone scan uptake after BP. When other HPOA therapies were tried, half responded to BP after not having previously responded to other therapies, while a third received the treatments concurrently, making it difficult to attribute treatment response to a drug. Reporting of other secondary outcomes was very heterogenous and qualitative to draw conclusions. No major adverse effects have been reported for BP in HPOA.

conclusionBisphosphonates provide an effective and safe treatment option for primary and secondary HPOA. However, there is a lack of randomized controlled trials.

Indexed as

Bone Density Conservation AgentsDiphosphonatesHumansOsteoarthropathy, Primary HypertrophicOsteoarthropathy, Secondary HypertrophicTreatment OutcomeBone Density Conservation AgentsDiphosphonatesBisphosphonatesHypertrophic osteoarthropathyPachydermoperiostosis

Identifiers

PMID38564085
OpenAlexW4393397056

What OpenQuestion holds

Textmetadata
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.