Osteoporosis, bone & mineral

Antiresorptive Medication Use Is not Associated With Acute Cardiovascular Risk: An Observational Study

J Clin Endocrinol MetabPublished Population-based cohort study

Authors' conclusion

oBP and Dmab use was not associated with CVEs.

Study context

Population
Participants with incident minimal trauma fracture from the Sax Institute's 45 and Up Study, NSW, Australia, followed 2005/2009 to 2017880 oral bisphosphonate (oBP) and 770 denosumab (Dmab) matched pairs
Exposure
oBP or DMAB use vs never users
Outcome
CVE (acute MI, unstable angina, cerebrovascular accident, transient ischemic attack)
Follow-up
∼4.3 years
Methodological detailspropensity-score matched, stratified Cox's proportional hazards model
  • Propensity-score matched
  • Stratified Cox's proportional hazards model

Main finding

As reported in the abstract

CVE
Each group vs NoRxHazard ratio (95% CI)
oBPwomen
0.88(0.65–1.18)
oBPmen
1.07(0.72–1.57)
Dmabwomen
1.08(0.78–1.50)
Dmabmen
1.55(0.96–2.48)

Observational data: associations, not effects.

Original publication

Antiresorptive Medication Use Is not Associated With Acute Cardiovascular Risk: An Observational Study. J Clin Endocrinol Metab. Published 21 November 2022. doi:10.1210/clinem/dgac669

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