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Cited by 337

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Efficacy of Pharmacological Therapies for the Prevention of Fractures in Postmenopausal Women: A Network Meta-Analysis

Open access
Barrionuevo, Patricia, Kapoor, Ekta, Asi, Noor, Alahdab, Fares, Mohammed, Khaled, Benkhadra, Khalid, Almasri, Jehad, Farah, Wigdan, Sarigianni, Maria, Muthusamy, Kalpana, Al Nofal, Alaa, Haydour, Qusay, Wang, Zhen, Murad, Mohammad Hassan·2019·The Journal of Clinical Endocrinology & Metabolism

Abstract

Background: Osteoporosis and osteopenia are associated with increased fracture incidence in postmenopausal women. We aimed to determine the comparative effectiveness of various available pharmacological therapies. Methods: We searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, ISI Web of Science, and Scopus for randomized controlled trials that enrolled postmenopausal women with primary osteoporosis and evaluated the risk of hip, vertebral, or nonvertebral fractures. A network meta-analysis was conducted using the multivariate random effects method. Results: We included 107 trials (193,987 postmenopausal women; mean age, 66 years; 55% white; median follow-up, 28 months). A significant reduction in hip fractures was observed with romosozumab, alendronate, zoledronate, risedronate, denosumab, estrogen with progesterone, and calcium in combination with vitamin D. A significant reduction in nonvertebral fractures was observed with abaloparatide, romosozumab, denosumab, teriparatide, alendronate, risedronate, zoledronate, lasofoxifene, tibolone, estrogen with progesterone, and vitamin D. A significant reduction in vertebral fractures was observed with abaloparatide, teriparatide, parathyroid hormone 1-84, romosozumab, strontium ranelate, denosumab, zoledronate, risedronate, alendronate, ibandronate, raloxifene, bazedoxifene, lasofoxifene, estrogen with progesterone, tibolone, and calcitonin. Teriparatide, abaloparatide, denosumab, and romosozumab were associated with the highest relative risk reductions, whereas ibandronate and selective estrogen receptor modulators had lower efficacy. The evidence for the treatment of fractures with vitamin D and calcium remains limited despite numerous large trials. Conclusions: This network meta-analysis provides comparative effective estimates for the various available treatments to reduce the risk of fragility fractures in postmenopausal women.

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Metadata

Authors
Barrionuevo, P., Kapoor, E., Asi, N., Alahdab, F., Mohammed, K., Benkhadra, K., Almasri, J., Farah, W., Sarigianni, M., Muthusamy, K., Al Nofal, A., Haydour, Q., Wang, Z., & Murad, M. H.
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2019-03-25
Volume
104
Issue
5
Pages
1623-1630
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2924633197
Cited by
337
References
7
FWCI
39.34
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Efficacy of Pharmacological Therapies for the Prevention of Fractures in Postmenopausal Women: A Network Meta-Analysis. https://app.cochat.ai/papers/10.1210/jc.2019-00192
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Barrionuevo, P., Kapoor, E., Asi, N., Alahdab, F., Mohammed, K., Benkhadra, K., Almasri, J., Farah, W., Sarigianni, M., Muthusamy, K., Al Nofal, A., Haydour, Q., Wang, Z., & Murad, M. H. (2019). Efficacy of Pharmacological Therapies for the Prevention of Fractures in Postmenopausal Women: A Network Meta-Analysis. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/jc.2019-00192

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

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.