Cochrane · systematic review · CD009144

Bisphosphonates for osteoporosis in primary biliary cirrhosis

Rudic, JS, Giljaca, V, Krstic, MN, et al. · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library

Hepato-BiliaryAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 13 · 92.9%Low 0 · 0%Moderate 1 · 7.1%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Bisphosphonates compared with placebo or no intervention for osteoporosis in primary biliary cirrhosis

Population: patients with primary biliary cirrhosis.
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Bisphosphonates vs placebo or no intervention
RD 02 studies · 46 participantsVery low
Downgraded: risk of bias, imprecision
Fractures
Bisphosphonates vs placebo or no intervention
RR 0.87 [0.29, 2.66]3 studies · 106 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Bisphosphonates vs placebo or no intervention
RR 1 [0.49, 2.04]2 studies · 46 participantsVery low
Downgraded: risk of bias, imprecision
Lumbar spine bone mineral density (g/cm²)
Bisphosphonates vs placebo or no intervention
no estimate extracted3 studies · 100 participantsVery low
Downgraded: risk of bias, imprecision
Proximal femur bone mineral density (g/cm²)
Bisphosphonates vs placebo or no intervention
no estimate extracted3 studies · 100 participantsVery low
Downgraded: risk of bias, imprecision
Serum osteocalcin (ng/ml)
Bisphosphonates vs placebo or no intervention
no estimate extracted3 studies · 100 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
The urinary amino telopeptides of collagen I (NTx) (nmol bone collagen equivalents/mmol creatinine)
Bisphosphonates vs placebo or no intervention
no estimate extracted2 studies · 88 participantsModerate
Downgraded: risk of bias, imprecision

Bisphosphonates compared with another bisphosphonate for osteoporosis in primary biliary cirrhosis

Population: patients with primary biliary cirrhosis.
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Bisphosphonates vs another bisphosphonate
no estimate extracted2 studies · 62 participantsVery low
Downgraded: risk of bias, imprecision
Fractures
Bisphosphonates vs another bisphosphonate
RR 0.95 [0.18, 5.06]2 studies · 62 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Bisphosphonates vs another bisphosphonate
RR 0.95 [0.31, 2.94]2 studies · 62 participantsVery low
Downgraded: risk of bias, imprecision
Lumbar spine bone mineral density (g/cm²)
Bisphosphonates vs another bisphosphonate
no estimate extracted2 studies · 50 participantsVery low
Downgraded: risk of bias, imprecision
Proximal femur bone mineral density (g/cm²)
Bisphosphonates vs another bisphosphonate
no estimate extracted2 studies · 49 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
The procollagen type I N‐terminal propeptide (PINP) (ng/ml)
Bisphosphonates vs another bisphosphonate
no estimate extracted2 studies · 48 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
The urinary amino telopeptides of collagen I (NTx) (nmol bone collagen equivalents /mmol creatinine)
Bisphosphonates vs another bisphosphonate
no estimate extracted2 studies · 46 participantsVery low
Downgraded: risk of bias, imprecision