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Glucocorticoid‐induced osteoporosis

2000· article· en· W4248486577 on OpenAlexaff
Jonathan D. Adachi, George Ioannidis

Bibliographic record

VenueDrug Development Research · 2000
Typearticle
Languageen
FieldMedicine
TopicAdrenal Hormones and Disorders
Canadian institutionsSt. Joseph’s Healthcare HamiltonSt. Joseph's HospitalMcMaster University
Fundersnot available
KeywordsOsteoporosisMedicineGlucocorticoidBisphosphonateClinical trialHormone replacement therapy (female-to-male)CalcitoninVitamin D and neurologyDrugInternal medicineIntensive care medicinePharmacology

Abstract

fetched live from OpenAlex

In order to help educate clinicians and other health care providers on the effects of glucocorticoids on bone and to provide appropriate treatment options for this condition using published data, this review will briefly explore bone loss associated with glucocorticoids, explain differences in drug efficacy between the prevention and treatment of glucocorticoid-induced osteoporosis, and examine the results of clinical drug trials. Based on current data, bisphosphonates appear to be the most effective therapy in both the prevention and treatment of glucocorticoid-induced osteoporosis. If bisphosphonate therapy is contraindicated, calcitonin may be an effective alternative. For patients who have been treated but continue to lose bone, anabolic therapy, fluoride, or vitamin D analogs may be considered. While hormone replacement therapy has been widely evaluated in the prevention and treatment of primary osteoporosis, no efficacy data exists as far as prevention and limited information is available in the treatment of glucocorticoid-induced osteoporosis. Bisphosphonates have shown significant treatment benefit. They increase bone mineral density and reduce the incidence of vertebral fractures. Bisphosphonates should be considered first line therapy for both the prevention and treatment of corticosteroid-induced osteoporosis. Drug Dev. Res. 49:120–134, 2000. © 2000 Wiley-Liss, Inc.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.926
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0060.005

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.070
GPT teacher head0.373
Teacher spread0.303 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designOther design
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2000
Admission routes1
Has abstractyes

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