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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Bone+Oncol
2017 ; 9
(ä): 21-24
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gab.com Text
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The skeletal-related events of denosumab versus zoledronic acid in patients with
bone metastases: A meta-analysis of randomized controlled trials
#MMPMID29123990
Zhang Z
; Pu F
; Shao Z
J Bone Oncol
2017[Nov]; 9
(ä): 21-24
PMID29123990
show ga
OBJECTIVE: The meta-analysis was used to evaluate the skeletal-related events
(SREs) and efficacy of denosumab versus zoledronic acid (ZA) in patients with
bone metastases. METHODS: The data of this meta-analysis study were searched from
PUBMED, EMBASE, Cochrane Library, Web of Science with Conference Proceedings,
Elsevier and China National Knowledge Infrastructure (CNKI) databases till August
2017. Two independent reviewers reviewed the reference lists of relevant
articles. The fixed-effects model and random-effects model were used to summarize
relative estimates and 95% confidence intervals (CIs) according to the
heterogeneity of the included studies. RESULTS: Three randomized controlled
trials (RCTs) including 4050 patients were identified in this meta-analysis
study. The pooled analysis showed that denosumab could significantly reduce SREs,
series SREs [Odds Ratio (OR) = 0.84; 95% CI, 0.74-0.95, I(2) = 0%, P = 0.008] in
patients with bone metastases as compared with ZA. Similar results of spinal cord
compression SRE and surgery to bone SRE were obtained with (OR = 0.84; 95% CI,
0.70-1.01, I(2) = 0%, P = 0.07) and (OR = 0.92; 95% CI, 0.78-1.08, I(2) = 0%, P =
0.28) separately, radiation to bone SRE (OR = 0.72; 95% CI, 0.46-1.10, I(2) =
11%, P = 0.13) and pathological fracture SRE (OR = 0.78; 95% CI, 0.35-1.73, I(2)
= 25%, P = 0.54) showed similar results, there were no significant difference
between denosumab and ZA in patients with bone metastases. CONCLUSION: Denosumab
was more effective than ZA in reducing the incidence of SRE in patients with bone
metastases.