Osteoporosis & bone health

The effect of denosumab on minimum 3-years bone mineral density (BMD) changes in patients with osteoporotic hip fractures: a propensity score matching analysis

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Denosumab significantly increased lumbar spine and total hip BMD in patients with hip fractures, with comparable efficacy to that in other than hip fracture patients.

Study context

Population
Patients with osteoporosis treated with denosumab for at least 3 years, including patients with hip fractures122 per group after matching
Participants
371 patients
Exposure
Denosumab for at least 3 years in hip fracture vs other than hip fracture patients
  • Hip fracturen = 122
  • Other than hip fracturen = 122reference
Outcome
BMD changes in the lumbar spine, total hip and femoral neck; additional hip fracture incidence
Methodological details1:1 propensity score matching
  • 1:1 propensity score matching

Main finding

As reported in the abstract

  • Significant annual increases in lumbar spine and total hip BMD in both groups, with no significant differences between them after matching
  • Femoral neck BMD increased significantly only in the first year
  • Matched cohort

Observational data: associations, not effects.

Further findings

Additional hip fractures

Incidence did not differ significantly between the groups

BMD increase, medication-naïve vs prior anti-osteoporosis medication (subgroup)

Effect of denosumab on BMD increase more pronounced in patients without previous anti-osteoporosis medication

Original publication

The effect of denosumab on minimum 3-years BMD changes in patients with osteoporotic hip fractures: a propensity score matching analysis. Osteoporos Int. Published 13 December 2024. doi:10.1007/s00198-024-07314-y

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.