Shashidhara · Expert opinion on pharmacotherapy 2025 · narrative review · n=?

An update on the pharmacotherapy of osteoporosis.

Cited 10 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of guidelines and pharmacotherapy without systematic review methodology

PubMed 40178951 · doi:10.1080/14656566.2025.2489122 · record verified 2026-08-29

What was done

Synthesized recent literature and guidelines from international societies to summarize current diagnostic practices, pharmacotherapy options, and management strategies for osteoporosis.

What was found

The abstract reports no numerical findings. It notes that bisphosphonates serve as cost-effective first-line therapy, denosumab and anabolic agents (teriparatide, romosozumab) are alternatives for high-risk patients, and bone mineral density assessments are needed to address underdiagnosis, particularly in men.

Why it matters

Summarizes contemporary clinical guideline recommendations for risk-stratified pharmacotherapy and prevention of fragility fractures.

Limits

Narrative review design with no systematic search protocol, quality assessment, or quantitative pooling. The abstract provides no primary data, sample sizes, or statistical comparisons.

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