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Table 1 Characteristics of included studies

From: Effect of medications on prevention of secondary osteoporotic vertebral compression fracture, non-vertebral fracture, and discontinuation due to adverse events: a meta-analysis of randomized controlled trials

Study ID

Number of participants had prevalent fractures

Proportion of participants had prevalent fractures

Mean age (year)

Intervention & Comparison

Calcium

Vitamin D

Observation period (year)

Lost to follow up

Compare with control group

 Zoledronate

  Nakamura, 2017 [17]

661

100%

74.15

G1: Zoledronate 5 mg/year, intravenous infusion;

G2: PLC

Both groups

Both groups

2

0.6%

 Alendronate

  Black, 1996 [18]

1942

100%

71

G1: Alendronate 5 mg/d on the first 2 years,

10 mg/d on the third year

G2: PLC

Selectively offer

Selectively offer

3

9%

  Kushida, 2004 a [19]

170

100%

72

G1: Alendronate 5 mg/d

G2: Alfacalcidol 1 μg/d

1.5 g/d

Alfacalcidol

3

30%

  Liberman, 1995 a [20]

165

18.72%

64

G1: Alendronate 5–10 mg/d

G2: PLC

All groups

Not reported

3

16%

 Risedronate

  Clemmesen, 1997 [21]

132

100%

68

G1: Risedronate 2.5 mg/d continuously

G2: Risedronate 2.5 mg/ cyclically

G3: PLC

All groups

Not reported

3

30%

  Reginster, 2000 [22]

690

100%

71

G1: Risedronate 5 mg/d;

G2: Risedronate 2.5 mg/d;

G3: PLC

All groups

All groups

3

42%

  Sorensen, 2003 [23]

212

100%

72

G1: Risedronate 5 mg/d

G2: PLC

Both groups

Both groups

2

17%

  Fogelman, 2000 a [24]

237

43.81%

64

G1: Risedronate 2.5 mg/d

G2: Risedronate 5 mg/d

G3: PLC

All groups

Not reported

2

21%

  Harris, 1999 [25]

1374

100%

69

G1: Risedronate 5 mg/d;

G2: Risedronate 2.5 mg/d;

G3: PLC

All groups

All groups

3

42%

 Etidronate

  Guanabens, 2000 [26]

118

100%

65

G1: Etidronate 400 mg/d for 14 days in a cyclic of 90 days

G2: Sodium fluoride 50 mg/d

Selectively offer

Not reported

3

34%

  Lyritis, 1997 [27]

100

100%

72

G1: Etidronate 400 mg/d for 20 days in a cyclic of 90 days

G2: 5 days’ vitamin D + 85 days calcium

Both groups

Both groups

4

26%

  Montessori, 1997 a [28]

28

35%

62.5

G1: Etidronate 400 mg/d for 14 days in a cyclic of 90 days

G2: Calcium 500 mg/d

Selectively offer

Not reported

3

20%

  Shiota, 2001 a [29]

24

60%

61.7

G1: Etidronate 200 mg/d for 14 days in a cyclic of 84 days

G2:2 g/d calcium and 0.5 μg/d alphacalcidol for 2 years

Selectively offer

Selectively offer

2

Not reported

  Harris, 1993 [36]

423

100%

 

G1: PLC and PLC

G2: Phosphate and PLC

G3: PLC and Etidronate 400 mg/daily for 14 in a cycle of 91 days

G4: Phosphate and Etidronate

All groups

Not mentioned

4c

20%

  Watts, 1990 [30]

423

100%

65

G1: PLC for 17 days in a cyclic of 91 days

G2: Phosphonate 2 g/d for 3 days in a cyclic of 91 days

G3: Etidronate 400 mg/d for 14 days in a cyclic of 91 days

G4: Phosphonate 2 g/d for 3 days + Etidronate 400 mg/d for next 14 days in a cyclic of 91 days

All groups

Not reported

2

14%

 Ibandronate

  Chesnut, 2004 [31]

2929

100%

69

G1: Ibandronate 2.5 mg/d, oral

G2: Ibandronate 20 mg alternate day for 12 doses every 3 months, oral

G3: PLC

All arms

All arms

3

34%

  Recker, 2004 [32]

2860

100%

67

G1: Ibandronate 0.5 mg injection, every 3 months

G2: Ibandronate 1 mg injection, every 3 months

G2: PLC

All arms

All arms

3

18%

 Minodronate

  Matsumoto, 2009 [33]

704

100%

72

G1: Minodronate 1 mg/d

G2: PLC

Both groups

Both groups

2

31%

 Pamidronate

  Reid, 1994 [34]

61

100%

66

G1: Pamidronate 150 mg/d

G2: PLC

Both groups

Not reported

2

79%

  Brumsen, 2002 [35]

101

100%

65

G1: Pamidronate 150 mg/d

G2: PLC

Both groups

Both groups

3

10%

 Calcitonin

  Peichl, 1999 [37]

42

100%

62

G1: Nasal salmon calcitonin 100 IU twice daily for 2 months with a pause of 2 months

G2: Control group

Both groups

Only control groups

1

Not reported

  Hodsman, 1997 [38]

30

100%

67

G1: PTH sc injections 800 IU/d for 28 days in a cyclic of 90 days

G2: PTH sc injections 800 IU/d for 28 days + salmon calcitonin 75 U/d for 42 days in a cyclic of 90 days

Both groups

Not prescribed

2

23%

  Chesnut, 2005 [39]

91

100%

67.4

G1: Calcitonin nasal spray 200 IU/d

G2: Placebo nasal spray

Both groups

Not reported

2

78%

 Hormone replace therapy

  Gutteridge, 2002 [40]

99

100%

69

G1: Fluoride

G2: Control group

G3: Fluoride + Estrogen 0.625 mg/d

G4: Estrogen 0.625 mg/d

All groups

All groups

2.25

24%

  Wimalawansa, 1998 [41]

72

100%

65

G1: HRT group, Permarin 0.625 mg/d + norgestril 150 μg for 12 days each month

G2: Etidronate group, Etidronate 400 mg/d for 14 days each 12 week

G3: Combined therapy, combination of G1 and G2 with same dose

G4: control group

All groups

All groups

4

17%

  Lufkin, 1992 [42]

75

100%

65

G1: Estrogen group, Estradiol 0.1 mg/d on the first 21 days + medroxyprogesterone acetate for the days 11 to 21 in a 28 days’ cycle

G2: Placebo

Both

Not reported

1

 

 Parathyroid hormone

  Neer, 2001 [43]

1637

100%

71.0

G1: rhPTH 20 μg/d

G2: rhPTH 40 μg/d

G3: PLC

All groups

All groups

2

6%

  Nakamura, 2012 [44]

578

100%

75.3

G1: Teriparatide 56.5 μg/w, sc injection

G2: PLC, sc injection

Both groups

Both groups

400 IU/d

1.5

26%

  Greenspan, 2001a [46]

471

18.6%

64.4

G1: Teriparatide 100 μg/d, sc injection

G2: PLC

Both groups

Both groups

1.5

33%

  Fujita, 2014 [45]

316

100%

71

G1: Teriparatide 28.2 μg/w, injection

G2: Teriparatide 1.4 μg/w, injection

Both groups

Not prescribed

3

17%

 Denosumab

  Nakamura, 2014 [48]

1262

100%

69.6

G1: Denosumab 60 mg/6 months, sc injection

G2: PLC

G3: Alendronate 35 mg/w

All groups

All groups

3

13%

  Boonen, 2011 b [49]

759

100%

73.7

G1: Denosumab 60 mg/6 months, sc

G2: PLC

Both groups

Both groups

3

18%

 Romozumab

  Saag, 2017 [55]

4093

100%

74.3

G1: Alendronate: 70 mg/w

G2: Romosozumab: 210 mg/m sc injection

Both groups

Both groups

3

11%

 Raloxifene

  Ettinger, 1999 a [50]

2304

33.74%

68

G1: Raloxifene 60 mg/d

G2: Raloxifene 120 mg/d

G3: PLC

All groups

All groups

3

23%

  Lufkin, 1998 [51]

143

100%

68

G1: Raloxifene 60 mg/d

G2: Raloxifene 120 mg/d

G3: PLC

All groups

All groups

1

9%

 Bazedoxifene

  Palacios, 2015 a [52]

3857

49.40%

67

G1: Bazedoxifene 60 mg/d

G2: Bazedoxifene 40 mg/d

G3: Bazedoxifene 20 mg/d

G4: PLC

All groups

All groups

7

74%

Compare between medications

 Kushida, 2004 b [53]

547

100%

72

G1: Risedronate 2.5 mg/d

G2: Etidronate 200 mg/d cyclically

Both groups

Not reported

2

21%

 Nakamura, 2013 [56]

1265

100%

72.7

G1: Ibandronate 0.5 mg injection per month

G2: Ibandronate 1 mg iv injection per month

G3: Risedronate 2.5 mg/d

All arms

All arms

3

10%

 Hadji, 2012 [57]

710

100%

71

G1: Risedronate: 35 mg/w

G2: Teriparatide: 20 μg/w subcutaneous injection

Both groups

Both groups

1.5

26%

 Kendler, 2017 [58]

1360

100%

72.1

G1: Risedronate 35 mg/w

G2: Teriparatite: 20 μg/d subcutaneous injection

Both groups

Both groups

2

26%

  1. PLC Placebo, PTH Parathyroid hormone, ALD Alendronate
  2. aThe study included patients with and without fracture history, and only the data of patients with fracture history was analyzed
  3. bPost hoc analysis of previous data
  4. cData on the third year was pooled because the study design was changed to open-label and all participants in the fourth year received Etidronate