Osteoporosis & bone health

Type 2 diabetes incidence in patients initiating denosumab or alendronate treatment: a primary care cohort study

Osteoporos IntPublished Retrospective cohort study

Main finding · T2DM incidence rate per 1,000 person-yearsResult — go to the resultHazard ratio 0.73 95% CI 0.58–0.89

Authors' conclusion

In this comparative study of older patients seen in routine practices, denosumab was associated with a lower risk of developing T2DM than alendronate.

Study context

Population
Patients aged ≥ 45 years without history of diabetes initiating denosumab or alendronate (2010–2021), IQVIA Disease Analyzer general and specialist practices, Germany54,916 person-years
Participants
3,354 vs 27,068
Exposure
Denosumab vs alendronate initiation
  • Denosumabn = 3,354
  • Alendronaten = 27,068reference
Outcome
Incident T2DM
Methodological detailsnew-user comparative study, primary care, Cox proportional hazards
  • New-user comparative study
  • Primary care
  • Cox proportional hazards

Main finding

T2DM incidence rate per 1,000 person-years

Hazard ratio

0.73

95% CI 0.58–0.89

By group

Denosumabvs Alendronate
HR 0.73 (95% CI 0.58–0.89)

As reported in the abstract

Observational data: associations, not effects.

Original publication

Type 2 diabetes incidence in patients initiating denosumab or alendronate treatment: a primary care cohort study. Osteoporos Int. Published 24 July 2024. doi:10.1007/s00198-024-07182-6

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