The Practice of Scottish Urologists in the Assessment and Management of Fracture Risk in the Ageing Male being Treated for Prostate Cancer. (2007)

• Record Type: Journal Article
• Authors: Ngu, Wee Sing; Byrne, Derek J.
• Other Names: Clark Peter E. Academic Editor.
• Is Part Of: TheScientificWorldjournal. Volume 7(2007)
• Page Start: 1590
• Page End: 1595
• Publication Date: 2007
• Subjects: fracture risk -- prostate cancer -- androgen deprivation therapy -- bone mineral density; Science -- Periodicals; Technology -- Periodicals; Medicine -- Periodicals; 505
• DOI: 10.1100/tsw.2007.202
• Languages: English
• ISSNs: 2356-6140

Abstract

Abstract : The aim of this study was to ascertain the practice of urologists in Scotland in the assessment and prevention of fracture risk in males starting castration-type therapy for prostate cancer. A questionnaire survey was sent to all practicing consultant urologists in Scotland. A majority of urologists, 25 (64.1%), did not consider the state of their patients' bone mineral density (BMD) before commencing castration-type therapy. The rest used various methods to assess BMD, including clinical impression alone, plain bone radiographs, and dual-energy X-ray absorptiometry (DEXA). Various methods were used in the prophylaxis and treatment of osteoporosis, including avoidance of castration type therapy and the use of bisphosphonates and bicalutamide along with castration-type therapy. This study has shown that there is no consensus as to the assessment and management of fracture risk in patients with prostate cancer commencing or on established castration-type therapy. The situation needs to be addressed with some consensus guidance.