Evidence map›Paper›PMID 40589671›Full record

ArticleCureus2025

Atypical Femoral Fracture During Long-Term Treatment With Denosumab in Patients With Metastatic Bone Tumors.

Yuka Aimono, Tomiko Sunaga, Ryo Yonezawa, Ayako Tsuboya, Mari Kogo, Ako Itoh

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Yuka AimonoDepartment of Pharmacy, Hitachi General Hospital, Hitachi, JPN.
Tomiko SunagaClinical Epidemiology, Division of Applied Pharmaceutical Education and Research, Hoshi University, Tokyo, JPN.
Ryo YonezawaDepartment of Hospital Pharmaceutics, School of Pharmacy, Showa Medical University, Tokyo, JPN.
Ayako TsuboyaDepartment of Hospital Pharmaceutics, School of Pharmacy, Showa Medical University, Tokyo, JPN.
Mari KogoDivision of Pharmacotherapeutics, Department of Clinical Pharmacy, School of Pharmacy, Showa Medical University, Tokyo, JPN.
Ako ItohDepartment of Breast and Thyroid Surgery, Hitachi General Hospital, Hitachi, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone-modifying agents (BMAs) are used to treat metastatic bone tumors and are also administered to reduce bone loss caused by bone metastases. Adverse events, such as osteonecrosis of the jaw and hypocalcemia, have been associated with long-term use of bisphosphonates; however, atypical femoral fracture (AFF) is rare. We encountered a patient who received long-term treatment with denosumab (DEN) and had a history of zoledronic acid hydrate administration. Severe complications may have been prevented if the patient had consulted with an orthopedic surgeon when she developed pain in the left thigh one month before AFF. The provision of relevant information on AFF to patients starting treatment with DEN may lead to its early detection. Since it is important to disseminate rare adverse events to the public, we report the present results based on a literature review.

Indexed as

adverse effectatypical femoral fracturebisphosphonatesbreast cancerdenosumablong-term efficacymetastatic bone tumorsnaranjo scoreosteoporosis medicationszoledronic acid hydrate

Identifiers

PMID40589671
PMCPMC12208516

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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.