Sustained beneficial effect of intravenous bisphosphonates after their discontinuation in children.

Document Type

Article

Publication Date

2-1-2007

Identifier

DOI: 10.1007/s00467-006-0306-0

Abstract

We studied if the beneficial effects of bisphosphonates are maintained after their discontinuation, and whether adverse effects may develop. Seventeen children in whom I.V. bisphosphonates were discontinued for at least 12 months were included. Fracture rate (FR), skeletal pain, bone mineral density of total body (TB) and spine L(2-4), skeletal radiographs, bone markers and kidney functions were compared between: (a) before treatment, (b) end of treatment, and (c) last follow-up. Mean treatment duration was 22+/-2 months (6-43) and follow-up 26+/-2 months (18-44). FR (mean +/- SD) decreased from 0.74+/-0.21/year before treatment to 0.35+/-0.11/year after treatment and 0.20+/-0.09/year at follow-up (p

Journal Title

Pediatric nephrology (Berlin, Germany)

Volume

22

Issue

2

First Page

282

Last Page

287

MeSH Keywords

Adolescent; Bone Density; Bone Diseases, Metabolic; Child; Child, Preschool; Diphosphonates; Female; Follow-Up Studies; Humans; Male; Osteogenesis; Osteoporosis; Retrospective Studies; Time

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