Evidence map›Paper›PMID 40726588›Full record

ReviewJournal of bone oncology2025

Management of aromatase inhibitor-associated bone loss (AIBL) in women with hormone-sensitive breast cancer: An updated joint position statement of the IOF, CABS, ECTS, IEG, ESCEO, IMS, and SIOG.

Peyman Hadji, Matty Aapro, Nasser Al-Dagri, Majed Alokail, Emmanuel Biver, Jean-Jacques Body, Maria Luisa Brandi, Janet Brown, Cyrille Confavreux, Bernard Cortet and 22 more

Abstract readReview
In one paragraph

Review in Journal of bone oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Effectiveness and safety of bone protective interventions to mitigate bone loss and skeletal fractures experienced by patients with non-metastatic breast cancer: 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 · 2026
    Pooled it
  2. Trial
  3. Modern pharmacological management of Osteoporosis: from monotherapy to sequential and combination approaches in postmenopausal women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  4. Article
  5. Review
  6. Bone health in patients with cancer: a SEOM-SEIOMM consensus review of risk factors, assessment strategies, and management approaches.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Drug-Induced Osteoporosis.Journal of clinical medicine · 2026
    Review
  12. Article
  13. 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

32 authors.

Peyman HadjiFrankfurt Centre for Bone Health and Endocrinology, Frankfurt, Germany.
Matty AaproCancer Center, Clinique de Genolier, Switzerland.
Nasser Al-DagriBiochemistry Department, College of Science, King Saud University, Riyadh, Saudi Arabia.
Majed AlokailBiochemistry Department, College of Science, King Saud University, Riyadh, Saudi Arabia.
Emmanuel BiverDivision of Bone Diseases Geneva University Hospitals and Faculty of Medicine Rue Gabrielle Perret-Gentil, Geneva, Switzerland.
Jean-Jacques BodyCHU Brugmann, Department of Medicine, Free University of Brussels, Brussels, Belgium.
Maria Luisa BrandiFondazione FIRMO, Florence, Italy.
Janet BrownDivision of Clinical Medicine and Weston Park Cancer Centre, University of Sheffield, Sheffield, UK.
Cyrille ConfavreuxUniversity of Lyon, Bone Metastasis Expert Center (CEMOS) Cancer Institute of Hospices Civils de Lyon, Rheumatology Department, Centre Hospitalier Lyon Sud, Pierre Bénite, France.
Bernard CortetDepartment of Rheumatology, CHU Lille and University of Lille, Lille, France.
Matthew DrakeMetabolic Bone Service, Hospital for Special Surgery, NY, USA.
Peter EbelingDepartment of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
Erik Fink EriksenPilestredet Park Specialist Centre and Faculty of Odontology, University of Oslo, Oslo, Norway.
Ghada El-Hajj FuleihanCalcium Metabolism and Osteoporosis Program, WHO Collaborating Center for Metabolic Bone Disorders, Department of Medicine, American University of Beirut, Beirut, Lebanon.
Theresa A GuiseDepartment of Endocrine Neoplasia and Hormone Disorders, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Nick C HarveyMRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton, Southampton, UK.
Andreas KurthOrthopedic Institute Dr. Baron and Colleagues, Goethe University, Frankfurt am Main, Frankfurt, Germany.
Bente LangdahlDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Willem LemsDepartment of Rheumatology, Amsterdam UMC, Amsterdam, the Netherlands.
Radmila MatijevicFaculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Eugene McCloskeyCentre for Metabolic Bone Diseases and the Mellanby Centre for Musculoskeletal Research, Division of Clinical Medicine, School of Medicine & Population Health, University of Sheffield, Sheffield, UK.
Rossella NappiDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Santiago PalaciosPalacios Clinic for Women's Health, Madrid, Spain.
Georg PfeilerDepartment of Gynecology and Gynecological Oncology, Medical University of Vienna, Vienna, Austria.
Jean-Yves ReginsterBiochemistry Department, College of Science, King Saud University, Riyadh, Saudi Arabia.
René RizzoliGeneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Daniele SantiniDepartment of Medical Sciences and Biotechnology, University "Sapienza", UOC Medical Oncology, Rome, Italy.
Sansin TuzunFaculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Catherine Van PoznakDepartment of Internal Medicine, Division of Hematology and Oncology, University of Michigan, Ann Arbor, MI, USA.
Tobias De VilliersMediclinic Panorama and Department of Gynecology, Stellenbosch University, Cape Town, South Africa.
M Carola ZillikensDepartment of Internal Medicine, Erasmus MC Bone Center, Erasmus University Medical Center, Rotterdam, the Netherlands.
Robert ColemanWeston Park Hospital and University of Sheffield, Sheffield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Women with hormone-responsive breast cancer who receive adjuvant endocrine treatment with aromatase inhibitors (AI) are known to be at higher fracture risk due to a marked increase in bone resorption. In 2017, several interdisciplinary cancer and bone societies involved in the management of women with AI-associated bone loss (AIBL) published a joint position statement comprising evidence-based recommendations and a practical management algorithm for the assessment of fracture risk and optimal treatment of this patient population. Patients and methods: In order to provide updated recommendations that reflect recent advances in the assessment and management of AIBL since publication of the 2017 joint position statement, a systematic literature review was undertaken to identify relevant studies for analysis, including systematic reviews and meta-analyses. Individual trials identified were assessed for their level of evidence based on design, size, follow-up, and evaluation of safety, as well as the impact of bone directed treatments on breast cancer outcomes. Results: New evidence was combined with the existing recommendations to provide an updated joint position statement regarding fracture risk assessment and implementation of bone-directed therapy. Conclusion: Current published literature, including recent clinical trial reports, systematic reviews and meta-analyses, continue to affirm the high risk of fractures in women with breast cancer who are receiving adjuvant AI treatment, a risk which has been observed to increase with the commonly used approach of extended duration AI therapy (>5 years). Risk factors for fracture and risk assessment in this patient population as well as the most suitable treatment modalities have been updated. Finally, the influence of bone protective treatments on breast cancer outcomes such as incidence of bone metastasis and breast cancer related overall survival have been included.

Indexed as

Aromatase InhibitorBisphosphonateBreast cancerDenosumabFractureOsteoporosis

Identifiers

PMID40726588
PMCPMC12301826

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.