Evidence map›Paper›PMID 41964816›Full record

ArticleAging clinical and experimental research2026

Trends and prescribing patterns of antiosteoporosis medicines in Chinese patients: a real-world retrospective study.

Shuo Zhang, Yuqing Fan, Mengyao Xue, Linfeng Jiang, Chen Mu, Nan Peng, Dongning Yao

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Article in Aging clinical and experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Shuo Zhang *School of Pharmacy, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Yuqing Fan *School of Pharmacy, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Mengyao XueSchool of Pharmacy, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Linfeng JiangSchool of Pharmacy, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Chen MuSchool of Pharmacy, Nanjing Medical University, Nanjing, 211166, Jiangsu, China.
Nan PengSchool of Pharmaceutical Science and Technology, Tianjin University, Tianjin, 300072, China. npeng@tju.edu.cn.
Dongning YaoSchool of Pharmacy, Nanjing Medical University, Nanjing, 211166, Jiangsu, China. dnyao@njmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe availability of new anti-osteoporosis medications (AOMs) and updates to clinical guidelines in recent years may have substantially influenced real-world prescribing patterns.

aimsTo assess trends in the utilization, prescribing patterns of AOMs and related influencing factors in Eastern China.

methodsPatients with osteoporosis who had at least one prescription for AOMs were identified from a provincial healthcare database in Eastern China (2019–2024). Patients were followed until the occurrence of Paget’s disease, malignant tumors, death, loss to follow-up, or October 29, 2024. The prescribing patterns and utilization trends of AOMs were analyzed. Multivariate logistic regression was performed to identify factors influencing AOMs choice.

resultsA total of 363,529 patients were included (mean age 65.1 years; 73.0% female). Active vitamin D analogs (71.9%), bisphosphonates (22.0%), traditional Chinese medicine (TCM) (15.3%) and denosumab (14.2%) were the most commonly prescribed AOMs. The use of denosumab increased significantly (2.9% vs. 21.8%, P < 0.001), while active vitamin D analogs (80.0% vs. 64.8%, P < 0.001), bisphosphonate (26.9% vs. 16.7%, P < 0.001) and TCM (15.3% vs. 11.6%, P < 0.001) declined from 2019 to 2024. Most patients received monotherapy (92.2%), with only 7.8% receiving combination therapy. The most frequent combination was vitamin D and analogs with bisphosphonates (55.6%). Women, older adults, and those with fracture history were more likely to receive calcitonin and denosumab, but less likely to receive vitamin D analogs.

conclusionsOsteoporosis treatment was predominantly monotherapy, with active vitamin D analogs being the most commonly prescribed agents, followed by bisphosphonates, TCM, and denosumab. Attention should be given to weak evidence-based TCM use.

Indexed as

Bone Density Conservation AgentsOsteoporosisPractice Patterns, Physicians'AgedAged, 80 and overChinaDenosumabDiphosphonatesFemaleHumansMaleMedicine, Chinese TraditionalMiddle AgedRetrospective StudiesVitamin DBone Density Conservation AgentsDenosumabDiphosphonatesVitamin DAnti-osteoporosis medicationOsteoporosisPrescriptionReal-world studyTreatment pattern

Identifiers

PMID41964816
PMCPMC13194246

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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.