Evidence map›Paper›PMID 33801212›Full record

ReviewJournal of clinical medicine2021

The Impact of Antiosteoporotic Drugs on Glucose Metabolism and Fracture Risk in Diabetes: Good or Bad News?

Athanasios D Anastasilakis, Elena Tsourdi, Gaia Tabacco, Anda Mihaela Naciu, Nicola Napoli, Fabio Vescini, Andrea Palermo

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. The role of bone in whole-body energy metabolism.Nature reviews. Endocrinology · 2025
    Review
  3. Article
  4. Article
  5. Insulin resistance, bone health, and fracture risk.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Diabetes and bone.Archives of endocrinology and metabolism · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Article
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

7 authors at 4 institutions in 3 countries.

Athanasios D AnastasilakisDepartment of Endocrinology, 424 General Military Hospital, 56429 Thessaloniki, Greece.ORCID 0000-0002-9624-6296
Elena TsourdiDepartment of Medicine (III) &Center for Healthy Aging, Technische Universität Dresden Medical Center, 01307 Dresden, Germany.
Gaia TabaccoUnit of Endocrinology and Diabetes, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0002-6808-0700
Anda Mihaela NaciuUnit of Endocrinology and Diabetes, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0002-4576-3381
Nicola NapoliUnit of Endocrinology and Diabetes, Campus Bio-Medico University, 00128 Rome, Italy.
Fabio VesciniDepartment of Endocrinology and Diabetes, Santa Maria della Misericordia Hospital, 33100 Udine, Italy.
Andrea PalermoUnit of Endocrinology and Diabetes, Campus Bio-Medico University, 00128 Rome, Italy.ORCID 0000-0002-1143-4926
Università Campus Bio-Medico · IT424 General Military Hospital · GROspedale Santa Maria della Misericordia di Udine · ITTechnische Universität Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis and diabetes mellitus represent global health problems due to their high, and increasing with aging, prevalence in the general population. Osteoporosis can be successfully treated with both antiresorptive and anabolic drugs. While these drugs are clearly effective in reducing the risk of fracture in patients with postmenopausal and male osteoporosis, it is still unclear whether they may have the same efficacy in patients with diabetic osteopathy. Furthermore, as bone-derived cytokines (osteokines) are able to influence glucose metabolism, it is conceivable that antiosteoporotic drugs may have an effect on glycemic control through their modulation of bone turnover that affects the osteokines' release. These aspects are addressed in this narrative review by means of an unrestricted computerized literature search in the PubMed database. Our findings indicate a balance between good and bad news. Active bone therapies and their modulation of bone turnover do not appear to play a clinically significant role in glucose metabolism in humans. Moreover, there are insufficient data to clarify whether there are any differences in the efficacy of antiosteoporotic drugs on fracture incidence between diabetic and nondiabetic patients with osteoporosis. Although more studies are required for stronger recommendations to be issued, bisphosphonates appear to be the first-line drug for treatment of osteoporosis in diabetic patients, while denosumab seems preferable for older patients, particularly for those with impaired renal function, and osteoanabolic agents should be reserved for patients with more severe forms of osteoporosis.

Indexed as

bisphosphonatesbone turnoverdenosumabdiabetes mellitusfractureosteoporosisteriparatide

Identifiers

PMID33801212
PMCPMC7957889
OpenAlexW3134494485

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.