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Metabolic bone diseases

Treating Paget disease: when matters more than how

New research shows that intensive bisphosphonate therapy for Paget disease of bone has no beneficial effect on quality of life, bone pain or clinical complications compared with symptomatic management. What are the implications of these findings on the management of patients with Paget disease?

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References

  1. Langston, A. L. et al. Randomised trial of intensive bisphosphonate treatment versus symptomatic management in Paget's disease of bone. J. Bone Miner. Res. doi:10.1359/JBMR.090709.

    Article  Google Scholar 

  2. Siris, E. S. Goals of treatment for Paget's disease of bone. J. Bone Miner. Res. 14 (Suppl. 2), 49–52 (1999).

    Article  Google Scholar 

  3. Selby, P. L., Davie, M. W. J., Ralston, S. H. & Stone, M. D. Guidelines on the management of Paget's disease of bone. Bone 31, 366–373 (2002).

    Article  CAS  Google Scholar 

  4. Wermers, R. A., Tiegs, R. D., Atkinson, E. J., Achenbach, S. J. & Melton, L. J. 3rd. Morbidity and mortality associated with Paget's disease of bone: a population-based study. J. Bone Miner. Res. 23, 819–825 (2008).

    Article  Google Scholar 

  5. Miller, P. D. et al. A comparative trial of risedronate versus etidronate in the treatment of patients with Paget's disease of bone. Am. J. Med. 106, 513–520 (1999).

    Article  CAS  Google Scholar 

  6. Reid, I. R. et al. Comparison of a single infusion of zoledronic acid with risedronate for Paget's disease. N. Engl. J. Med. 353, 898–908 (2005).

    Article  CAS  Google Scholar 

  7. Josse, R. G. et al. Diagnosis and treatment of Paget's disease of bone. Clin. Invest. Med. 30, E210–E223 (2007).

    Article  CAS  Google Scholar 

  8. Meunier, P. J. & Vignon, E. Therapeutic strategy in Paget's disease of bone. Bone 17, S489–S491 (1999).

    Article  Google Scholar 

  9. Altman, R. D. et al. Influence of disodium etidronate on clinical and laboratory manifestations of Paget's disease of bone (osteitis deformans). N. Engl. J. Med. 289, 1379–1384 (1973).

    Article  CAS  Google Scholar 

  10. Fraser, W. D., Stamp, T. C., Creek, R. A., Sawyer, J. P. & Picot, C. A double-blind, multicentre, placebo-controlled study of tiludronate in Paget's disease of bone. Postgrad. Med. J. 73, 496–502 (1997).

    Article  CAS  Google Scholar 

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Correspondence to Jacques P. Brown.

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Competing interests

Dr. Brown reports has received honoraria for lecturing and consultancies, as well as grants and research support for running clinical trials, from the following companies: Abbott, Amgen, Arthrolab, Bristol-Myers Squibb, Eli Lilly Canada, Glaxosmithkline, Merck Frosst, Novartis, Nycomed, Pfizer, Procter & Gamble, Roche, Sanofi-Aventis Canada, Servier, and Wyeth.

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Brown, J. Treating Paget disease: when matters more than how. Nat Rev Rheumatol 5, 663–665 (2009). https://doi.org/10.1038/nrrheum.2009.230

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