Osteoporosis, bone & mineral

Denosumab associated with accelerated progression of abdominal aortic calcification among patients on dialysis

J Bone Miner ResPublished Retrospective cohort study

Authors' conclusion

Although denosumab is beneficial for bone health in patients on dialysis, its vascular effects warrant careful monitoring.

Study context

Population
Patients on dialysis
Participants
25 vs 21
Exposure
Denosumab vs no denosumab in dialysis patients
  • Denosumabn = 25
  • Controln = 21reference
Outcome
Change in abdominal aortic calcification (CT calcification volume and Agatston score) and BMD
Follow-up
2 yr
Methodological detailsBMD assessed at 1-yr intervals; abdominal aortic calcification evaluated by CT
  • BMD assessed at 1-yr intervals; abdominal aortic calcification evaluated by CT

Main finding

As reported in the abstract

Rate of increase from baseline in abdominal aortic calcification volume

P = 0.0476

Observational data: associations, not effects.

Further findings

Rate of increase from baseline in Agatston score · 2 yr · higher with Denosumab

P = 0.0483

BMD increase at LS

P = 0.0079

Original publication

Denosumab associated with accelerated progression of abdominal aortic calcification among patients on dialysis. J Bone Miner Res. Published 10 July 2025. doi:10.1093/jbmr/zjaf093

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