Evidence map›Paper›PMID 38690538›Full record

ReviewOsteoporosis and sarcopenia2024

Asia-Pacific consensus on long-term and sequential therapy for osteoporosis.

Ta-Wei Tai, Hsuan-Yu Chen, Chien-An Shih, Chun-Feng Huang, Eugene McCloskey, Joon-Kiong Lee, Swan Sim Yeap, Ching-Lung Cheung, Natthinee Charatcharoenwitthaya, Unnop Jaisamrarn and 37 more

Open access · diamondAbstract readReview
In one paragraph

Review in Osteoporosis and sarcopenia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Personalizing denosumab therapy in postmenopausal Indian women with osteoporosis: predictive role of bone turnover markers and body mass index in determining dosing interval.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Observational
  7. Review
  8. Article
  9. Asia-Pacific consensus for the management of osteoporosis in men.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
  10. Article
  11. 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

47 authors at 20 institutions in 19 countries.

Ta-Wei TaiDepartment of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Hsuan-Yu ChenDepartment of Orthopedic Surgery, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.
Chien-An ShihDepartment of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chun-Feng HuangDivision of Family Medicine, En Chu Kong Hospital, New Taipei City, Taiwan.
Eugene McCloskeyDivision of Clinical Medicine, School of Medicine and Population Health, Mellanby Centre for Musculoskeletal Research, MRC Versus Arthritis Centre for Integrated Research in Musculoskeletal Ageing (CIMA), University of Sheffield, Sheffield, UK.
Joon-Kiong LeeDepartment of Orthopaedics, Beacon Hospital, Petaling Jaya, Selangor, Malaysia.
Swan Sim YeapDepartment of Medicine, Subang Jaya Medical Centre, Subang Jaya, Selangor, Malaysia.
Ching-Lung CheungDepartment of Pharmacology and Pharmacy, Centre for Genomic Sciences, The University of Hong Kong, Pokfulam, Hong Kong.
Natthinee CharatcharoenwitthayaDivision of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine, Thammasat University, Thailand.
Unnop JaisamrarnCenter of Excellence in Menopause and Aging Women Health, Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Vilai KuptniratsaikulDepartment of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Rong-Sen YangDepartment of Orthopedic Surgery, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.
Sung-Yen LinDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Akira TaguchiDepartment of Oral and Maxillofacial Radiology, School of Dentistry, Matsumoto Dental University, Nagano, Japan.
Satoshi MoriBone and Joint Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan.
Julie Li-YuDepartment of Medicine, Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines.
Seng Bin AngMenopause Unit and Family Medicine Service, KK Women's and Children's Hospital, Singapore.
Ding-Cheng ChanDepartment of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan.
Wai Sin ChanDepartment of Internal Medicine Orthopaedics, Centro Hospitalar Conde de Sao Januario, Macao, China.
Hou NgDepartment of Internal Medicine, Centro Hospitalar Conde de Sao Januario, Macau, China.
Jung-Fu ChenDivision of Metabolism and Endocrinology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Shih-Te TuDivision of Endocrinology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Hai-Hua ChuangDepartment of Family Medicine, Taipei and Linkou Main Branches, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Yin-Fan ChangDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Fang-Ping ChenDepartment of Obstetrics and Gynecology, Osteoporosis Prevention and Treatment Center, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Keh-Sung TsaiDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Peter R EbelingDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
Fernando MarinDepartment of Endocrinology, Hospital Universitario Quironsalud, Madrid, Spain.
Francisco Javier Nistal RodríguezDepartment Orthopaedic Surgery and Traumatology, Hospital Universitario Rio Hortega, Valladolod, Spain.
Huipeng ShiNational Center for Orthopedics, Department of Orthooedics, Shanghai 6th People's Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Kyu Ri HwangDepartment of Obstetrics & Gynecology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
Kwang-Kyoun KimDepartment of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Republic of Korea.
Yoon-Sok ChungDepartment of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Republic of Korea.
Ian R ReidDepartment of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Manju ChandranOsteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, Singapore.
Serge FerrariService of Bone Diseases, Department of Medicine, Geneva University Hospital and Faculty of Medicine, Geneva, Switzerland.
E Michael LewieckiNew Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA.
Fen Lee HewDepartment of Medicine, Subang Jaya Medical Centre, Subang Jaya, Selangor, Malaysia.
Lan T Ho-PhamBioMedical Research Center, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam.
Tuan Van NguyenTâm Anh Research Institute, Ho Chi Minh City, Viet Nam.
Van Hy NguyenOrthopaedic Center, Hue Central Hospital, Hue City, Viet Nam.
Sarath LekamwasamDepartment of Medicine, Faculty of Medicine, University of Ruhuna, Sri Lanka.
Dipendra PandeyKoshi Hospital, Biratnagar, Nepal.
Sanjay BhadadaDepartment of Endocrinology, PGIMER, Chandigarh, India.
Chung-Hwan ChenDepartment of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Jawl-Shan HwangDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.
Chih-Hsing WuDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
National Cheng Kung University Hospital · TWChang Gung University · TWNational Taiwan University Hospital · TWHospital Conde S. Januário · CNSiriraj Hospital · THSubang Jaya Medical Centre · MYAjou University · KRArthritis UK · GBBiratnagar Eye Hospital · NPChanghua Christian Hospital · TWChaoyang University of Technology · TWChulalongkorn University · THHospital Universitario Quirónsalud Madrid · ESHospital Universitario Río Hortega · ESHue Central Hospital · VNKaohsiung Medical University · TWKK Women's and Children's Hospital · SGKonyang University · KRMatsumoto Dental University · JPMonash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to present the Asia-Pacific consensus on long-term and sequential therapy for osteoporosis, offering evidence-based recommendations for the effective management of this chronic condition. The primary focus is on achieving optimal fracture prevention through a comprehensive, individualized approach. Methods: A panel of experts convened to develop consensus statements by synthesizing the current literature and leveraging clinical expertise. The review encompassed long-term anti-osteoporosis medication goals, first-line treatments for individuals at very high fracture risk, and the strategic integration of anabolic and antiresorptive agents in sequential therapy approaches. Results: The panelists reached a consensus on 12 statements. Key recommendations included advocating for anabolic agents as the first-line treatment for individuals at very high fracture risk and transitioning to antiresorptive agents following the completion of anabolic therapy. Anabolic therapy remains an option for individuals experiencing new fractures or persistent high fracture risk despite antiresorptive treatment. In cases of inadequate response, the consensus recommended considering a switch to more potent medications. The consensus also addressed the management of medication-related complications, proposing alternatives instead of discontinuation of treatment. Conclusions: This consensus provides a comprehensive, cost-effective strategy for fracture prevention with an emphasis on shared decision-making and the incorporation of country-specific case management systems, such as fracture liaison services. It serves as a valuable guide for healthcare professionals in the Asia-Pacific region, contributing to the ongoing evolution of osteoporosis management.

Indexed as

Anti-osteoporosis medicationAsia–PacificConsensusFracture preventionSequential therapy

Identifiers

PMID38690538
PMCPMC11056428
OpenAlexW4392888892

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.