Evidence map›Paper›PMID 39682653›Full record

ReviewDiagnostics (Basel, Switzerland)2024

The Association Between Antipsychotics and Bone Fragility: An Updated Comprehensive Review.

Michele Mercurio, Giovanna Spina, Olimpio Galasso, Giorgio Gasparini, Cristina Segura-Garcia, Pasquale De Fazio, Renato de Filippis

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. 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.

Michele MercurioDepartment of Orthopaedic and Trauma Surgery, Magna Graecia University, "Renato Dulbecco" University Hospital, V.le Europa, (Loc. Germaneto), 88100 Catanzaro, Italy.ORCID 0000-0002-8742-5612
Giovanna SpinaDepartment of Orthopaedic and Trauma Surgery, Magna Graecia University, "Renato Dulbecco" University Hospital, V.le Europa, (Loc. Germaneto), 88100 Catanzaro, Italy.
Olimpio GalassoDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Giorgio GaspariniDepartment of Orthopaedic and Trauma Surgery, Magna Graecia University, "Renato Dulbecco" University Hospital, V.le Europa, (Loc. Germaneto), 88100 Catanzaro, Italy.ORCID 0000-0002-8256-7697
Cristina Segura-GarciaPsychiatry Unit, Department of Medical and Surgical Sciences, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0002-5756-3045
Pasquale De FazioPsychiatry Unit, Department of Health Sciences, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0001-5375-3565
Renato de FilippisPsychiatry Unit, Department of Health Sciences, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0001-6928-1224

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntipsychotic drugs appear to be related to reduced bone mineral density (BMD). We conducted a narrative review to collect the available literature investigating the relationship between antipsychotic use and bone fragility.

methodsA review of the published literature was conducted and reported through PubMed/Scopus/Cochrane libraries. We included studies using any antipsychotic treatment where the bone metabolism, osteoporosis, and/or risk of fractures has been assessed.

resultsAfter screening 1707 items, we finally included 15 papers. A total of 3245 initial patients were identified, of whom 1357 patients with a mean age of 43.8 years underwent antipsychotic treatment and were analyzed. The mean antipsychotic treatment duration of the treated group was 15.8 ± 13.9 years. Among the included studies, two reported a statistically significant difference in lumbar BMD reduction between the antipsychotic exposed group and the control group. Femoral neck BMD levels had been reported in four of the case-control studies; two reported a statistically significant difference in femoral neck BMD reduction between the antipsychotic exposed group and the control group.

conclusionsProlonged use of antipsychotic treatment seems to be associated with an increased risk of reduced BMD, and, consequentially, with an augmented risk of bone fragility and fractures. This effect is not limited to vulnerable groups, such as those with significant medical comorbidities, the elderly, and postmenopausal women, but may also apply to anyone using antipsychotics in the long-term. Clinicians' awareness of antipsychotic prescriptions should optimize their potential while reducing this risk.

Indexed as

adverse drug reactionantipsychoticbone mineral densityfallsfracturehippharmacovigilanceprolactinschizophreniavertebrae

Identifiers

PMID39682653
PMCPMC11640471

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.