Evidence map›Paper›PMID 41348218›Full record

ArticleCalcified tissue international2025

Use of Analgesics in Osteogenesis Imperfecta in Denmark-A Nationwide Register-based Cohort Study.

Camilla Gehling Horn, Camilla Christensen, Marc David, Mette Wod, Daniel Pilsgaard Henriksen, Lars Folkestad

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Article in Calcified tissue international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Camilla Gehling HornBone and Mineral Unit, Department of Endocrinology, Odense University Hospital, Odense, Denmark.
Camilla ChristensenBone and Mineral Unit, Department of Endocrinology, Odense University Hospital, Odense, Denmark.
Marc DavidBone and Mineral Unit, Department of Endocrinology, Odense University Hospital, Odense, Denmark.
Mette WodDepartment of Clinical Epidemiology, Research Unit of Clinical Epidemiology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Daniel Pilsgaard HenriksenDepartment of Clinical Pharmacology, Odense University Hospital, Odense, Denmark.
Lars FolkestadBone and Mineral Unit, Department of Endocrinology, Odense University Hospital, Odense, Denmark. Lfolkestad@health.sdu.dk.ORCID http://orcid.org/0000-0001-6266-6439

Funding

Jascha Fonden Jascha FondenOdense Universitetshospital Odense UniversitetshospitalRegion Syddanmark Region Syddanmark
6 · The paper itself

Abstract

Osteogenesis imperfecta (OI) is a group of rare, hereditary diseases caused by mutations to the genes involved in the biosynthesis of collagen type 1. A cardinal feature of OI is the frequent occurrence of fractures. Individuals with OI often experience pain that is not related to fracture episodes. However, little is known about the use of analgesics among people with OI. We aim to examine the use of analgesics in Danes with OI as a measure of pain, using register-based data. This study is a Danish nationwide, population-based, and register-based cohort study. It includes all individuals registered with an OI diagnosis from January 1977 to December 2018, and a reference population matched by birth month, year, and sex. We examined the number of prevalent analgesic users over time and by age, the amount of analgesic use in Defined Daily Doses (DDDs), and the risk of initiating analgesics as well as treatment at a specialised pain centre during the observation period. We present the Sub Hazard Ratio (SHR) [95% confidence interval] for the endpoints comparing the OI cohort to the reference population. Lastly, we evaluated the changes in analgesic use related to fractures in the OI cohort and the proportion of long-term opioid users in both cohorts. A total of 905 individuals with OI and 4542 in the reference population were identified. There were more prevalent analgesic users (71.8% vs. 46.8%) in the OI cohort, with the number of users increasing over time and with age. Individuals in the OI cohort were more likely to initiate analgesics (SHR 1.86 [1.68-2.05]) and specialised pain care (SHR 5.8 [3.1-11.0]) than in the reference cohort. The use of analgesics, as measured in total DDDs, increased shortly after a fracture in the OI cohort but normalised to pre-fracture levels within 6 months. A higher proportion of the OI cohort had repeated dispensed prescriptions of opioids compared to the reference population. Individuals with OI are more likely to use analgesics and to use more analgesics-as measured by DDDs-than non-OI individuals.

Indexed as

AnalgesicsOsteogenesis ImperfectaPainAdolescentAdultAgedChildChild, PreschoolCohort StudiesDenmarkFemaleFractures, BoneHumansInfantMaleMiddle AgedAnalgesicsImpactOsteogenesis imperfectaPainPharmacoepidemiologyQoLRegisterbased epidemiology

Identifiers

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Registered trials

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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.