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Cited by 355

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Use of Thiazolidinediones and Fracture Risk

Meier, Christian, Kraenzlin, Marius E., Bodmer, Michael, Jick, Susan S., Jick, Hershel, Meier, Christoph R.·2008·Archives of Internal Medicine

Abstract

BACKGROUND: Thiazolidinediones may adversely affect the skeleton owing to decreased bone formation and accelerated bone loss. METHODS: This study examines the association between the use of thiazolidinediones or other oral antidiabetic drugs and the risk of fracture. This nested case-control analysis uses the UK General Practice Research Database, including case patients with fracture aged 30 to 89 years with an incident fracture diagnosis between January 1994 and December 2005 and control subjects who were matched to case patients on age, sex, calendar time, and general practice attended. We assessed the odds ratios (ORs) of having a fracture associated with the use of rosiglitazone maleate, pioglitazone hydrochloride, other oral antidiabetic agents, or insulin. RESULTS: There were 1020 case patients with an incident low-trauma fracture and 3728 matched controls. After adjustment for age, body mass index, other antidiabetic drugs, comedication, and comorbidities, the ORs for users of 8 or more thiazolidinedione prescriptions (corresponding to approximately 12-18 months of therapy) compared with nonuse was 2.43 (95% confidence interval [CI], 1.49-3.95). Rosiglitazone (OR, 2.38; 95% CI, 1.39-4.09) and pioglitazone (OR, 2.59; 95% CI, 0.96-7.01) were used more frequently by case patients with fracture (predominantly hip and wrist fractures) than by controls. The association was independent of patient age and sex and tended to increase with thiazolidinedione dose. No materially altered relative fracture risk was found in association with the use of other oral antidiabetic drugs. CONCLUSION: This analysis provides further evidence of a possible association between long-term use of thiazolidinediones and fractures, particularly of the hip and wrist, in patients with diabetes mellitus.

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Metadata

Authors
Meier, C., Kraenzlin, M. E., Bodmer, M., Jick, S. S., Jick, H., & Meier, C. R.
Venue
Archives of Internal Medicine
Published
2008-04-28
Volume
168
Issue
8
Pages
820
ISSN
0003-9926 (ISSN-L)
OpenAlex
W2151616821
Cited by
355
References
34
FWCI
43.53
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Use of Thiazolidinediones and Fracture Risk. https://app.cochat.ai/papers/10.1001/archinte.168.8.820
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Meier, C., Kraenzlin, M. E., Bodmer, M., Jick, S. S., Jick, H., & Meier, C. R. (2008). Use of Thiazolidinediones and Fracture Risk. Archives of Internal Medicine. https://doi.org/10.1001/archinte.168.8.820

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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