The practice of Scottish urologists in the assessment and management of fracture risk in the ageing male being treated for prostate cancer

Wee Sing Ngu, Derek J. Byrne

    Research output: Contribution to journalArticle

    1 Citation (Scopus)

    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.
    Original languageEnglish
    Pages (from-to)1590-1595
    Number of pages6
    JournalScientific World Journal
    Volume7
    DOIs
    Publication statusPublished - 2007

    Keywords

    • Age Distribution
    • Comorbidity
    • Fractures, Bone
    • Health Services for the Aged
    • Humans
    • Male
    • Physician's Practice Patterns
    • Prevalence
    • Prostatic Neoplasms
    • Questionnaires
    • Risk Assessment
    • Risk Factors
    • Urology

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