Evidence map›Paper›PMID 40439877›Full record

ReviewEndocrine2025

A practical use of bone turnover markers in management of patients with skeletal fragility.

Alessandro Brunetti, Miriam Cellini, Valentina Vitale, Lucrezia Maria Silvana Gentile, Maria Francesca Birtolo, Fabio Vescini, Andrea Gerardo Lania, Gherardo Mazziotti

Abstract readReview
PubMed Publisher
In one paragraph

Review in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Alessandro BrunettiEndocrinology, SOC Endocrinologia, Ospedale Santa Maria della Misericordia, Udine, Italy.
Miriam CelliniEndocrinology, SOC Endocrinologia, Ospedale Santa Maria della Misericordia, Udine, Italy.
Valentina VitaleDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy.
Lucrezia Maria Silvana GentileDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy.
Maria Francesca BirtoloDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy.
Fabio VesciniEndocrinology, SOC Endocrinologia, Ospedale Santa Maria della Misericordia, Udine, Italy.
Andrea Gerardo LaniaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy. andrea.lania@hunimed.eu.
Gherardo MazziottiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBone turnover markers (BTMs) are metabolites produced during the bone remodeling cycle. BTMs can be distinguished in bone formation (procollagen type I N-terminal propeptide, bone-specific alkaline phosphatase and osteocalcin) and bone resorption markers (C-terminal telopeptide of type 1 collagen, N-terminal telopeptide of type 1 collagen and the tartrate-resistant isoform 5b of acid phosphatase). The evaluation of BTMs can offer dynamic information on bone turnover, making it a valuable tool for the management of patients with bone metabolic diseases.

resultsIn the context of osteoporosis, BTMs have demonstrated utility in the monitoring of adherence and response to bone-active treatment, as well as in the management of treatment withdrawal. Additionally, they can be helpful in the evaluation of secondary osteoporosis, mainly when bone turnover is low. However, BTM assessment could be influenced by considerable biological and analytical variability, which must be addressed to ensure a correct clinical interpretation of the values. An accurate patient evaluation is therefore essential for selecting the most reliable biomarker to adopt in clinical practice and appropriate sample handling is critical for minimizing analytical variability.

conclusionsIn recent decades, the applications of BTMs in metabolic bone diseases have expanded significantly and future research will further highlight the role of these markers in the clinical management of osteoporosis.

Indexed as

BiomarkersBone RemodelingOsteoporosisHumansPeptidesBiomarkersPeptidesAnabolic drugsBisphosphonatesBone turnover markersDenosumabFracturesOsteoporosis

Identifiers

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.