Osteoporosis, bone & mineral

Denosumab and the Risk of Diabetes in Patients Treated for Osteoporosis

JAMA Netw OpenPublished Retrospective cohort study

Main finding · Incident diabetesResult — go to the resultHazard ratio 0.84 95% CI 0.78–0.90

Authors' conclusion

The results from this cohort study indicating that denosumab treatment was associated with lower risk of incident diabetes

Study context

Population
Adults who received denosumab for osteoporosis in Taiwan, 2012–2019 (National Health Insurance Research Database); mean age 77.7 years, 84.3% femaleafter propensity score matching
Participants
68,510 adults
Exposure
Denosumab initiated and adhered to vs denosumab discontinued after the initial dose
  • Treatmentn = 34,255
  • Comparisonn = 34,255reference
Outcome
Incident diabetes requiring treatment with antidiabetic drugs
Methodological detailsnationwide, propensity score-matched, Cox proportional hazards model
  • Nationwide
  • Propensity score-matched
  • Cox proportional hazards model

Main finding

Incident diabetes · mean follow-up 1.9 (SD 1.6) years

Hazard ratio

0.84

95% CI 0.78–0.90

Events by group

Treatmentvs Comparison
HR 0.84 (95% CI 0.78–0.90)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Several sensitivity analyses also demonstrated similar results of lower diabetes risk associated with denosumab treatment

Original publication

Denosumab and the Risk of Diabetes in Patients Treated for Osteoporosis. JAMA Netw Open. Published 5 February 2024. doi:10.1001/jamanetworkopen.2023.54734

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