PMID- 29768347 OWN - NLM STAT- MEDLINE DCOM- 20180522 LR - 20210109 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 97 IP - 20 DP - 2018 May TI - A retrospective study of alendronate for the treatment of ankylosing spondylitis. PG - e10738 LID - 10.1097/MD.0000000000010738 [doi] LID - e10738 AB - This retrospective study assessed the effect of alendronate for treating patients with ankylosing spondylitis (AS).Eighty-six patients with AS were included in this retrospective study, and were divided into 2 groups. Forty-six patients in the intervention group received alendronate plus vitamin D (400 mg/day) and calcium (500 mg/day), while 40 patients in the control group received vitamin D and calcium only, the same dose as the intervention group. The primary outcome included bone densitometry. The secondary outcomes consisted of quality of life, measured by Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire, disease activity, measured by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), and functional status, measured by Bath Ankylosing Spondylitis Functional Index (BASFI), as well as the adverse events (AEs).At the end of 6-month treatment, patients in the intervention group were not superior to the patients in the control group in bone densitometry (hip, P = .47; lumbar, P = .53), quality of life (P = .32), disease activity (P = .39), and functional status (P = .41). Moreover, no significant differences in AEs were found between 2 groups.The results of the present study showed that alendronate can neither be used to treat bone loss, nor to enhance the quality of life, disease activity, and functional status. FAU - Li, Gang AU - Li G AD - Department of Orthopedic Surgery Department of Critical-Care Medicine Department of Anesthesia, The Affiliated Hongqi Hospital of Mudanjiang Medical University Department of Anatomy, Mudanjiang Medical University, Mudanjiang, China. FAU - Lv, Chang-An AU - Lv CA FAU - Tian, Li AU - Tian L FAU - Jin, Lian-Jin AU - Jin LJ FAU - Zhao, Wei AU - Zhao W LA - eng PT - Journal Article PT - Observational Study PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Bone Density Conservation Agents) RN - 1406-16-2 (Vitamin D) RN - SY7Q814VUP (Calcium) RN - X1J18R4W8P (Alendronate) SB - IM MH - Adult MH - *Alendronate/administration & dosage/adverse effects MH - Bone Density Conservation Agents/administration & dosage/adverse effects MH - *Calcium/administration & dosage/adverse effects MH - Densitometry/methods MH - Dose-Response Relationship, Drug MH - Drug Monitoring/methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pain Measurement MH - Patient Acuity MH - Quality of Life MH - Retrospective Studies MH - Spondylitis, Ankylosing/diagnosis/*drug therapy/physiopathology/psychology MH - Treatment Outcome MH - *Vitamin D/administration & dosage/adverse effects PMC - PMC5976316 COIS- The authors have no conflicts of interest to disclose. EDAT- 2018/05/17 06:00 MHDA- 2018/05/23 06:00 PMCR- 2018/05/18 CRDT- 2018/05/17 06:00 PHST- 2018/05/17 06:00 [entrez] PHST- 2018/05/17 06:00 [pubmed] PHST- 2018/05/23 06:00 [medline] PHST- 2018/05/18 00:00 [pmc-release] AID - 00005792-201805180-00027 [pii] AID - MD-D-18-00941 [pii] AID - 10.1097/MD.0000000000010738 [doi] PST - ppublish SO - Medicine (Baltimore). 2018 May;97(20):e10738. doi: 10.1097/MD.0000000000010738.