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Romosozumab versus teriparatide and risk of all-cause mortality in patients with osteoporosis: a real-world propensity score-matched cohort study - PubMed

5 hours ago
  • #osteoporosis
  • #romosozumab
  • #mortality
  • Romosozumab showed significantly lower all-cause mortality compared to teriparatide in osteoporosis patients (HR 0.68, 95% CI 0.49-0.94).
  • The survival benefit with romosozumab was more pronounced in patients aged ≥60 years (HR 0.65, 95% CI 0.47-0.88).
  • No increased cardiovascular mortality risk was observed with romosozumab, even in patients with hypertension or coronary heart disease.
  • Subgroup analyses favored romosozumab across conditions like diabetes and chronic kidney disease, though results were not statistically significant.
  • Study used real-world data from over 120 healthcare organizations with propensity score matching, involving 2470 patients per treatment group.
  • Findings suggest romosozumab as a potentially safer and more effective option for reducing mortality, especially in older adults.