Bisphosphonates (Bis) v placebo or control in metastatic bone disease*

Outcomes at ⩾6 monthsWeighted event rates Bis v placebo or controlRRR (95% CI)NNT (CI)
*Abbreviations defined in glossary; RRR, NNT, and CI calculated from data in article using a random effects model. Studies ranged in duration from 6 months to >2 years.
Vertebral fractures18% v 22%23% (10 to 35)22 (14 to 44)
Non-vertebral fractures16% v 22%28% (15 to 38)18 (12 to 38)
Combined fractures27% v 34%24% (14 to 32)14 (10 to 24)
Radiotherapy28% v 36%23% (15 to 31)12 (8 to 22)
Hypercalcaemia8% v 11%40% (15 to 58)30 (19 to 74)
Orthopaedic surgery6% v 7%29% (−4 to 41)Not significant
Spinal cord compression3% v 4%22% (–16 to 48)Not significant