Multidisciplinary Approach for Bone Metastasis: A Review

Area of Science:

• Oncology
• Bone Metastasis Management

Background:

• Advanced cancer treatments improve survival, leading to prolonged patient courses.
• Bone metastases cause significant morbidity, including skeletal-related events (SREs) like fractures and paralysis.
• SREs severely impair daily activities and quality of life (QOL).

Purpose of the Study:

• To emphasize the need for early diagnosis and prophylactic strategies for bone metastases.
• To highlight the importance of initiating bone management programs concurrently with cancer treatment.
• To advocate for a multidisciplinary approach to prevent SREs and improve patient outcomes.

Main Methods:

• Focus on a multidisciplinary cancer board approach for bone metastasis management.
• Involvement of specialists: oncology, palliative care, radiotherapy, orthopedics, nuclear medicine, radiology, physiatrists.
• Emphasis on preventing complications, reducing morbidity, hospitalization, and costs.

Main Results:

• Multidisciplinary cancer boards are effective in managing bone metastases.
• Proactive bone management reduces the incidence and impact of SREs.
• Improved QOL and prognosis for advanced cancer patients with bone metastases.

Conclusions:

• Early and proactive bone management is essential for advanced cancer patients.
• A multidisciplinary team approach via a cancer board optimizes care for bone metastases.
• This integrated strategy enhances patient QOL and survival, potentially enabling continued primary cancer treatment.