Use of bisphosphonates and other bone supportive agents in the management of prostate cancer-A UK perspective.
Int J Clin Pract
; 74(11): e13611, 2020 Nov.
Article
en En
| MEDLINE
| ID: mdl-32654366
ABSTRACT
AIM:
To explore the practice and views of uro-oncologists in the UK regarding their use of bone supportive agents in patients with prostate cancer.METHODS:
An expert-devised online questionnaire was completed by members of the British Uro-oncology Group (BUG).RESULTS:
Of 160 uro-oncologists invited, 81 completed the questionnaire. Approximately 70% of respondents never use a bone supportive agent in patients with metastatic hormone-naïve prostate cancer on androgen deprivation therapy (ADT). However, use was more frequent in men with metastatic castration-resistant prostate cancer, from first-line treatment onwards. The majority of uro-oncologists do not use a bone supportive agent to prevent skeletal-related events in men with non-metastatic disease unless the individual patient is at an increased risk of osteoporosis. In men with more advanced disease, respondents would use an oral or intravenous (IV) bisphosphonate in 41% and 61% of patients, respectively. Zoledronic acid is the first-choice bone supportive treatment in 77% of cases, with the lack of clinical data cited as a barrier to use for other IV bisphosphonates. Local guidelines also have a significant influence on the use of bone supportive agents, especially with respect to denosumab. Bone mineral density measurement is conducted in approximately 40% of men with ADT exposure of 2 years or longer, or those with metastatic prostate cancer.CONCLUSION:
Uro-oncologists in the UK generally do not use bone supportive agents for men with metastatic hormone-naïve prostate cancer or those with non-metastatic disease. However, increasing the duration of ADT and the presence of castration-resistant metastatic prostate cancer increases use.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Neoplasias de la Próstata
/
Oncólogos
Tipo de estudio:
Guideline
/
Qualitative_research
Límite:
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Clin Pract
Asunto de la revista:
MEDICINA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Reino Unido