Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.

PURPOSE:Nowadays, the efficacy of teriparatide in treating osteoporosis was widely accepted, but the discussion about using teriparatide to enhance fracture healing hasn't come to an agreement. This meta-analysis was conducted to evaluate the effectiveness of teriparatide for fracture healing....

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Main Authors: Zhongju Shi, Hengxing Zhou, Bin Pan, Lu Lu, Jun Liu, Yi Kang, Xue Yao, Shiqing Feng
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5173248?pdf=render
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author Zhongju Shi
Hengxing Zhou
Bin Pan
Lu Lu
Jun Liu
Yi Kang
Xue Yao
Shiqing Feng
author_facet Zhongju Shi
Hengxing Zhou
Bin Pan
Lu Lu
Jun Liu
Yi Kang
Xue Yao
Shiqing Feng
author_sort Zhongju Shi
collection DOAJ
description PURPOSE:Nowadays, the efficacy of teriparatide in treating osteoporosis was widely accepted, but the discussion about using teriparatide to enhance fracture healing hasn't come to an agreement. This meta-analysis was conducted to evaluate the effectiveness of teriparatide for fracture healing. METHODS:We searched PubMed, the Cochrane Library, and Embase in August 2016 for randomized controlled trials (RCTs) which concerned the treatment of teriparatide for fracture healing. RESULTS:Finally, a total of 380 patients were randomly assigned in the 5 trials included in this meta-analysis. There was a significant effectiveness with regards to function improvement in patients following fracture, however, there was no significant effectiveness with regards to time of radiographic fracture healing, fracture healing rate and reduction in pain. CONCLUSIONS:This analysis showed that administration of teriparatide following fracture lacked the effectiveness for fracture healing. Moreover, teriparatide administration had no apparent adverse effects. These results should be interpreted with caution because of some clear limitations. If we want to confirm whether teriparatide improves fracture healing, more high-quality randomized controlled trials are needed.
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spelling doaj.art-8f92943f0c694e7681c6771dacda158f2022-12-21T19:05:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011112e016869110.1371/journal.pone.0168691Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.Zhongju ShiHengxing ZhouBin PanLu LuJun LiuYi KangXue YaoShiqing FengPURPOSE:Nowadays, the efficacy of teriparatide in treating osteoporosis was widely accepted, but the discussion about using teriparatide to enhance fracture healing hasn't come to an agreement. This meta-analysis was conducted to evaluate the effectiveness of teriparatide for fracture healing. METHODS:We searched PubMed, the Cochrane Library, and Embase in August 2016 for randomized controlled trials (RCTs) which concerned the treatment of teriparatide for fracture healing. RESULTS:Finally, a total of 380 patients were randomly assigned in the 5 trials included in this meta-analysis. There was a significant effectiveness with regards to function improvement in patients following fracture, however, there was no significant effectiveness with regards to time of radiographic fracture healing, fracture healing rate and reduction in pain. CONCLUSIONS:This analysis showed that administration of teriparatide following fracture lacked the effectiveness for fracture healing. Moreover, teriparatide administration had no apparent adverse effects. These results should be interpreted with caution because of some clear limitations. If we want to confirm whether teriparatide improves fracture healing, more high-quality randomized controlled trials are needed.http://europepmc.org/articles/PMC5173248?pdf=render
spellingShingle Zhongju Shi
Hengxing Zhou
Bin Pan
Lu Lu
Jun Liu
Yi Kang
Xue Yao
Shiqing Feng
Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.
PLoS ONE
title Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.
title_full Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.
title_fullStr Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.
title_full_unstemmed Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.
title_short Effectiveness of Teriparatide on Fracture Healing: A Systematic Review and Meta-Analysis.
title_sort effectiveness of teriparatide on fracture healing a systematic review and meta analysis
url http://europepmc.org/articles/PMC5173248?pdf=render
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