UBC Faculty Research and Publications

A Systematic Review of the Efficacy of Bisphosphonates Therapeutics Initiative (University of British Columbia)

Description

Therapeutics Letter 83 reports the findings of our systematic review of the randomized controlled trial evidence of the benefits and harms of bisphosphonates. Conclusions: There are no proven clinically meaningful benefits for bisphosphonates in postmenopausal women without a prior fracture or vertebral compression. Because of the small magnitude of effect and the high risk of bias in the RCTs, it is unclear whether bisphosphonates cause a clinically meaningful reduction of hip fractures in women with a prior fracture or vertebral compression. For any new class of drugs indicated to prevent bone fractures, it is essential that a clinically meaningful reduction in hip fractures be demonstrated before licensing.

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Attribution-NonCommercial-NoDerivatives 4.0 International