Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25732263
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Oncologist
2015 ; 20
(4
): 440-9
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Systematic literature review and network meta-analysis comparing bone-targeted
agents for the prevention of skeletal-related events in cancer patients with bone
metastasis
#MMPMID25732263
Wang Z
; Qiao D
; Lu Y
; Curtis D
; Wen X
; Yao Y
; Zhao H
Oncologist
2015[Apr]; 20
(4
): 440-9
PMID25732263
show ga
BACKGROUND: Complications from skeletal-related events (SREs) constitute a
challenge in the care of cancer patients with bone metastasis (BM). OBJECTIVES:
This study evaluated the comparative effectiveness of pamidronate, ibandronate,
zoledronate, and denosumab in reducing the morbidity of SREs in cancer patients
with BM. METHODS: Medline (1948 to January 2014), Embase (1980 to January 2014),
the Cochrane Library (2014 issue 1), and Web of Science with Conference
Proceedings (1970 to January 2014) were searched. Only randomized controlled
trials assessing denosumab, bisphosphonates, or placebo in cancer patients with
BM were included. The primary outcomes were SREs and SREs by type. The network
meta-analysis (NMA) was performed with a random-effects Bayesian model. RESULTS:
The NMA included 14 trials with 10,192 patients. Denosumab was superior to
placebo in reducing the risk of SREs (odds ratio [OR]: 0.49; 95% confidence
interval [CI]: 0.31-0.75), followed by zoledronate (OR: 0.57; 95% CI: 0.41-0.77)
and pamidronate (OR: 0.55; 95% CI: 0.41-0.72). Ibandronate compared with placebo
could not reduce the risk of SREs. Denosumab was superior to placebo in reducing
the risk of pathologic fractures (OR: 0.50; 95% CI: 0.32-0.79), followed by
zoledronate (OR: 0.61; 95% CI: 0.43-0.86). Denosumab was superior to placebo in
reducing the risk of radiation (OR: 0.51; 95% CI: 0.35-0.75), followed by
pamidronate (OR: 0.67; 95% CI: 0.52-0.86) and zoledronate (OR: 0.70; 95% CI:
0.52-0.96). CONCLUSION: This NMA showed that denosumab, zoledronate, and
pamidronate were generally effective in preventing SREs in cancer patients with
BM. Denosumab and zoledronate were also associated with reductions in the risk of
pathologic fractures and radiation compared with placebo. Denosumab was shown to
be the most effective of the bone-targeted agents.
|Bone Density Conservation Agents/*therapeutic use
[MESH]