Evidence map›Paper›PMID 39127916›Full record

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

The relationship between treatment-related changes in total hip BMD measured after 12, 18, and 24 mo and fracture risk reduction in osteoporosis clinical trials: the FNIH-ASBMR-SABRE project.

Tatiane Vilaca, Marian Schini, Li-Yung Lui, Susan K Ewing, Austin R Thompson, Eric Vittinghoff, Douglas C Bauer, Richard Eastell, Dennis M Black, Mary L Bouxsein

Abstract read
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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Clarifying the romosozumab "Super-Responder" phenotype: response to methodological concerns.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
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. New insights into bone mineral density for predicting hip fracture.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  13. Cross-sectional and longitudinal associations between statin use and bone density: the Manitoba BMD registry.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  14. Review
  15. Review
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

10 authors.

Tatiane VilacaDivision of Clinical Medicine, University of Sheffield, Sheffield S5 7AU, United Kingdom.ORCID 0000-0002-9227-6076
Marian SchiniDivision of Clinical Medicine, University of Sheffield, Sheffield S5 7AU, United Kingdom.
Li-Yung LuiResearch Institute, California Pacific Medical Center, San Francisco, CA 94158, United States.
Susan K EwingDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, United States.
Austin R ThompsonDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, United States.ORCID 0000-0003-3194-6184
Eric VittinghoffDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, United States.
Douglas C BauerDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, United States.
Richard EastellDivision of Clinical Medicine, University of Sheffield, Sheffield S5 7AU, United Kingdom.ORCID 0000-0002-0323-3366
Dennis M BlackDepartment of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA 94158, United States.
Mary L BouxseinCenter for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center and Department of Orthopedic Surgery, Harvard Medical School, Boston, MA 02215, United States.

Funding

Skeletal Biology and Biomechanics (SBB) CoreP30AR075055 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EDWARD C HSIAO · 2019 to 2026
$7.1M
DDTBMQ000054: Regulatory qualification for DXA bone mineral density as a surrogate endpoint for fracture risk in osteoporosis trialsU01FD007772 · FDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BLACK, DENNIS M · 2022 to 2022
$226k
American Society for Bone Mineral Research # 1U01FD007772-01FDA HHS U01 FD007772NIAMS NIH HHS P30 AR075055
6 · The paper itself

Abstract

There is a strong association between total hip bone mineral density (THBMD) changes after 24 mo of treatment and reduced fracture risk. We examined whether changes in THBMD after 12 and 18 mo of treatment are also associated with fracture risk reduction. We used individual patient data (n = 122 235 participants) from 22 randomized, placebo-controlled, double-blind trials of osteoporosis medications. We calculated the difference in mean percent change in THBMD (active-placebo) at 12, 18, and 24 mo using data available for each trial. We determined the treatment-related fracture reductions for the entire follow-up period, using logistic regression for radiologic vertebral fractures and Cox regression for hip, non-vertebral, "all" (combination of non-vertebral, clinical vertebral, and radiologic vertebral) fractures and all clinical fractures (combination of non-vertebral and clinical vertebral). We performed meta-regression to estimate the study-level association (r2 and 95% confidence interval) between treatment-related differences in THBMD changes for each BMD measurement interval and fracture risk reduction. The meta-regression revealed that for vertebral fractures, the r2 (95% confidence interval) was 0.59 (0.19, 0.75), 0.69 (0.32, 0.82), and 0.73 (0.33, 0.84) for 12, 18, and 24 mo, respectively. Similar patterns were observed for hip: r2 = 0.27 (0.00, 0.54), 0.39 (0.02, 0.63), and 0.41 (0.02, 0.65); non-vertebral: r2 = 0.27 (0.01, 0.52), 0.49 (0.10, 0.69), and 0.53 (0.11, 0.72); all fractures: r2 = 0.44 (0.10, 0.64), 0.63 (0.24, 0.77), and 0.66 (0.25, 0.80); and all clinical fractures: r2 = 0.46 (0.11, 0.65), 0.64 (0.26, 0.78), and 0.71 (0.32, 0.83), for 12-, 18-, and 24-mo changes in THBMD, respectively. These findings demonstrate that treatment-related THBMD changes at 12, 18, and 24 mo are associated with fracture risk reductions across trials. We conclude that BMD measurement intervals as short as 12 mo could be used to assess fracture efficacy, but the association is stronger with longer BMD measurement intervals.

Indexed as

Bone DensityOsteoporosisAgedFemaleHipHip FracturesHumansMaleMiddle AgedRandomized Controlled Trials as TopicRisk FactorsSpinal FracturesTime FactorsBone mineral densityclinical fracturefracture risk reductionhip fracturemeta-regressionnon-vertebral fractureosteoporosis medicationrandomised controlled trialsurrogatevertebral fracture

Identifiers

PMID39127916
PMCPMC11425700

What OpenQuestion holds

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Registered trials

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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.