Evidence map›Paper›PMID 39073912›Full record

ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2024

Goal-directed osteoporosis treatment: ASBMR/BHOF task force position statement 2024.

Felicia Cosman, E Michael Lewiecki, Richard Eastell, Peter R Ebeling, Suzanne Jan De Beur, Bente Langdahl, Yumie Rhee, Ghada El-Hajj Fuleihan, Douglas P Kiel, John T Schousboe and 8 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Romosozumab for the treatment of osteoporosis - a systematic review.Journal of endocrinological investigation · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Effectiveness of treatment initiation for secondary fracture prevention in the older population: Japanese Bone-fracture Osteoporosis in Late-stage population Database study (J-BOLD) - emulation of a randomized target trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Trial
  5. Probability of achieving bone mineral density treatment targets with abaloparatide and teriparatide.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Trial
  6. Probability of achieving bone mineral density treatment goals with denosumab treatment in postmenopausal women with osteoporosis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Trial
  7. Real-world comparison of abaloparatide and romosozumab: effects on bone mineral density and three-dimensional hip structure.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  8. Review
  9. Article
  10. Approach to personalizing the treatment of osteoporosis.The Journal of clinical endocrinology and metabolism · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. WTAP Transcriptional Suppression by KLF9 Drives Osteoclastogenesis via MAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  15. Review
  16. Review
  17. Review
  18. The cost-effectiveness of biosimilar denosumab in postmenopausal osteoporosis: implications of baseline fracture risk and drug price.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  19. Article
  20. Article

16 more citing papers are in PubMed but not listed here.

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

18 authors.

Felicia CosmanDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, NY 10032, United States.ORCID 0000-0003-4554-6616
E Michael LewieckiNew Mexico Clinical Research & Osteoporosis Center, Division of Metabolic Bone Diseases, Albuquerque, NM 87106, United States.
Richard EastellDivision of Clinical Medicine, University of Sheffield, Sheffield S10 2RX, United Kingdom.ORCID 0000-0002-0323-3366
Peter R EbelingDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC 3168, Australia.
Suzanne Jan De BeurDivision of Endocrinology and Metabolism, University of Virginia, Charlottesville, VA 22908, United States.
Bente LangdahlDepartment of Endocrinology, Aarhus University Hospital, Aarhus N 8200, Denmark.
Yumie RheeDepartment of Internal Medicine, Severance Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul 03722, South Korea.ORCID 0000-0003-4227-5638
Ghada El-Hajj FuleihanCalcium Metabolism and Osteoporosis Program, WHO Collaborating Center for Metabolic Bone Disorders, American University of Beirut, Beirut 1107, Lebanon.
Douglas P KielMarcus Institute for Aging Research, Hebrew Senior Life, Boston, MA 02131, United States.ORCID 0000-0001-8474-0310
John T SchousboeDivision of Research and Evaluation, HealthPartners Institute, Bloomington MN 55425, United States.
Joao Lindolfo BorgesBrazil Clinical Research Center, Brasilia 71625-175, Brazil.
Angela M CheungDepartment of Medicine and Joint Department of Medical Imaging, University Health Network, Toronto, ON M5G 2C4, Canada.
Adolfo Diez-PerezDepartment of Medicine, Institute Hospital del Mar of Medical Investigation, Barcelona 08003, Spain.
Peyman HadjiDepartment of Obstetrics and Gynecology, Frankfurt Center of Bone Health and Phillipps-University of Marburg, Frankfurt 60313, Germany.
Sakae TanakaDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.ORCID 0000-0001-9210-9414
Friederike ThomasiusDepartment of Clinical Osteology, Frankfurt Center of Bone Health and Endocrinology, Frankfurt 60313, Germany.
Weibo XiaDepartment of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Steven R CummingsSan Francisco Coordinating Center, CPMC Research Institute, Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94158, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The overarching goal of osteoporosis management is to prevent fractures. A goal-directed approach to long-term management of fracture risk helps ensure that the most appropriate initial treatment and treatment sequence is selected for individual patients. Goal-directed treatment decisions require assessment of clinical fracture history, vertebral fracture identification (using vertebral imaging as appropriate), measurement of bone mineral density (BMD), and consideration of other major clinical risk factors. Treatment targets should be tailored to each patient's individual risk profile and based on the specific indication for beginning treatment, including recency, site, number and severity of prior fractures, and BMD levels at the total hip, femoral neck, and lumbar spine. Instead of first-line bisphosphonate treatment for all patients, selection of initial treatment should focus on reducing fracture risk rapidly for patients at very high and imminent risk, such as in those with recent fractures. Initial treatment selection should also consider the probability that a BMD treatment target can be attained within a reasonable period of time and the differential magnitude of fracture risk reduction and BMD impact with osteoanabolic versus antiresorptive therapy. This position statement of the ASBMR/BHOF Task Force on Goal-Directed Osteoporosis Treatment provides an overall summary of the major clinical recommendations about treatment targets and strategies to achieve those targets based on the best evidence available, derived primarily from studies in older postmenopausal women of European ancestry.

Indexed as

Bone DensityOsteoporosisAdvisory CommitteesBone Density Conservation AgentsFemaleGoalsHumansOsteoporotic FracturesRisk FactorsBone Density Conservation Agentsanabolics, therapeuticsantiresorptives, therapeuticsDXA, analysis/quantitation of boneosteoporosis, diseases and disorders of/related to bonepractice/policy-related issues

Identifiers

PMID39073912
PMCPMC11425703

What OpenQuestion holds

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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.