Evidence mapPaperPMID 39322597Full record

SynthesisBMJ open2024

Do bisphosphonates and RANKL inhibitors alter the progression of coronary artery calcification? A systematic review.

Samantha Louise Saunders, Kanika Chaudhri, Nathan Scott McOrist, Karen Gladysz, Sonali R Gnanenthiran, Grant Shalaby

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effect of osteoporosis medications on vascular and valvular calcification: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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.

Samantha Louise SaundersSchool of Medicine, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia Samantha.Saunders@health.nsw.gov.au.ORCID 0000-0002-9473-2012
Kanika ChaudhriCardiovascular Division, The George Institute for Global Health, Newtown, New South Wales, Australia.ORCID 0000-0002-3453-0769
Nathan Scott McOristSchool of Medicine, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia.
Karen GladyszSchool of Medicine, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia.
Sonali R GnanenthiranCardiovascular Division, The George Institute for Global Health, Newtown, New South Wales, Australia.
Grant ShalabySchool of Medicine, The University of Notre Dame Australia, Darlinghurst, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether bisphosphonates and NF-κB ligand (RANKL) inhibitors delay coronary artery calcification (CAC).

designA systematic review was conducted. DATA SOURCES: MEDLINE, EMBASE and CENTRAL. ELIGIBILITY CRITERIA: Longitudinal studies investigating CAC progression in adults (>18 years) taking either a bisphosphonate or denosumab compared with those who did not. DATA EXTRACTION AND SYNTHESIS: Study and participant characteristics, and primary outcome ( ∆ CAC from baseline to follow-up) were extracted. The Risk Of Bias In Non-Randomised Studies-of Interventions (ROBINS-I) and Risk-of-Bias Tool for Randomised Trials (RoB2) tools were used to assess the risk of bias for observational and randomised controlled trials (RCTs), respectively. Outcome measures were reported.

resultsFour observational studies and one RCT (n=377) were included. Three studies solely reported the effect of bisphosphonates on ∆ CAC; one study (n=56) demonstrated a statistically significant CAC reduction in the intervention group (-372 mm

conclusionsThere is insufficient evidence supporting the correlation between bisphosphonate or RANKL inhibitor use and CAC progression. Further research is warranted.

Indexed as

Bone Density Conservation AgentsCoronary Artery DiseaseDenosumabDiphosphonatesDisease ProgressionRANK LigandVascular CalcificationHumansObservational Studies as TopicRandomized Controlled Trials as TopicBone Density Conservation AgentsDenosumabDiphosphonatesRANK LigandCalcium & boneCardiovascular DiseaseCardiovascular imagingCoronary heart diseaseDiagnostic ImagingLipid disorders

Identifiers

PMID39322597
PMCPMC11429268

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.