Osteoporosis & bone health

Denosumab and clinical outcomes among men with osteoporosis: a retrospective cohort study

Osteoporos IntPublished Retrospective cohort study

Main finding · Hip fractureResult — go to the resultHazard ratio 0.64 95% CI 0.50–0.83

Authors' conclusion

In this large, real-world study evaluating denosumab treatment among men with osteoporosis, the observed fracture risk reductions were consistent with the available risk reductions demonstrated in clinical trials among women with postmenopausal osteoporosis.

Study context

Population
Men aged ≥ 50 years with osteoporosis who had initiated denosumab in Taiwan248 hip fracture events
Participants
13,797 men
Exposure
Denosumab 60 mg subcutaneously every 6 months (on-treatment) vs ending therapy after one administration (off-treatment)
Outcome
Hip fracture
Methodological detailspropensity-score inverse probability of treatment weighting, Cox proportional hazards model, Taiwan National Health Insurance Research Database
  • Propensity-score inverse probability of treatment weighting
  • Cox proportional hazards model
  • Taiwan National Health Insurance Research Database

Main finding

As reported in the abstract

Hazard ratio

0.64

95% CI 0.50–0.83

By group

On-treatmentvs Off-treatment
HR 0.64 (95% CI 0.50–0.83)

Observational data: associations, not effects.

Further findings

Clinical vertebral and nonvertebral fractures

A similar magnitude of risk reduction was observed

Sensitivity analyses, incl. validation with a-million individual health records

Unmeasured confounders not suggested to impact interpretation

Original publication

Denosumab and clinical outcomes among men with osteoporosis: a retrospective cohort study. Osteoporos Int. Published 8 January 2025. doi:10.1007/s00198-024-07381-1

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