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. 2019 Oct 22;2019(10):CD005015. doi: 10.1002/14651858.CD005015.pub4

Comparison 17. Bisphosphonates versus placebo or no treatment ‐ subgroup analysis.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Fracture: incident or prevalent patients 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.37, 0.97]
1.1 Incident patients 9 583 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.37, 1.05]
1.2 Prevalent patients 4 182 Risk Ratio (M‐H, Random, 95% CI) 0.47 [0.13, 1.77]
2 Fracture: adults and children 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.37, 0.97]
2.1 Adults 12 735 Risk Ratio (M‐H, Random, 95% CI) 0.61 [0.37, 1.00]
2.2 Children 1 30 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.58]
3 Fracture: treatment duration 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.37, 0.97]
3.1 6 months or less 1 19 Risk Ratio (M‐H, Random, 95% CI) 1.11 [0.19, 6.34]
3.2 More than 6 months 12 746 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.34, 0.94]
4 Fracture: primary or secondary prevention 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.37, 0.97]
4.1 Primary 9 582 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.35, 1.02]
4.2 Secondary 4 183 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.17, 1.97]
5 Fracture: surveillance versus non‐systematic assessment 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.37, 0.97]
5.1 Surveillance 6 519 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.35, 1.01]
5.2 Non‐systematic 7 246 Risk Ratio (M‐H, Random, 95% CI) 0.63 [0.19, 2.04]
6 Fracture: baseline bone mineral density 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.38, 1.01]
6.1 Low 4 183 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.17, 1.97]
6.2 Normal or not specified 9 582 Risk Ratio (M‐H, Random, 95% CI) 0.63 [0.37, 1.06]
7 Fracture: spinal or peripheral 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.38, 1.01]
7.1 Peripheral 2 60 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.04, 3.04]
7.2 Vertebral 7 578 Risk Ratio (M‐H, Random, 95% CI) 0.61 [0.36, 1.02]
7.3 Not specified 4 127 Risk Ratio (M‐H, Random, 95% CI) 1.11 [0.19, 6.34]
8 Fracture: high and low potency bisphosphonate 13 765 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.38, 1.01]
8.1 High potency 4 305 Risk Ratio (M‐H, Random, 95% CI) 0.70 [0.38, 1.29]
8.2 Low potency 9 460 Risk Ratio (M‐H, Random, 95% CI) 0.51 [0.23, 1.13]
9 Bone mineral density at vertebrae: drug potency 13 579 Mean Difference (IV, Random, 95% CI) 0.04 [‐0.01, 0.08]
9.1 Low potency (clodronate, pamidronate, alendronate) 9 331 Mean Difference (IV, Random, 95% CI) 0.04 [‐0.04, 0.11]
9.2 High potency (risedronate, ibandronate, zolendronate) 4 248 Mean Difference (IV, Random, 95% CI) 0.04 [‐0.03, 0.10]