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Updated: Nov 5, 2025

In Vivo Osteo-organoid Approach for Harvesting Therapeutic Hematopoietic Stem/Progenitor Cells
Published on: February 16, 2024
Osteoporosis management in hematologic stem cell transplant recipients: Executive summary
D L Kendler1, J J Body2, M L Brandi3
1Department of Medicine, Division of Endocrinology, University of British Columbia, Vancouver, Canada.
Insights
Hematopoietic stem cell transplant (HSCT) survivors face long-term risks of bone fragility and fractures. This summary outlines recommendations for bone assessment, lifestyle, and medication to mitigate these risks.
Area of Science:
- Hematology
- Oncology
- Bone Metabolism
Background:
- Advances in hematopoietic stem cell transplant (HSCT) have improved survival rates.
- Long-term survivors of HSCT experience increased concerns regarding bone health.
- Bone fragility and fracture are significant long-term morbidities following HSCT.
Purpose of the Study:
- To summarize key recommendations for managing bone health in HSCT recipients.
- To provide guidance on bone assessment, lifestyle modifications, and pharmacotherapy.
- To address the growing need for long-term care strategies in HSCT survivors.
Main Methods:
- Review and synthesis of previously published recommendations.
- Focus on bone assessment strategies.
- Inclusion of dietary, lifestyle, and medication management guidelines.
Main Results:
- Evidence supports enhanced monitoring of bone fragility in HSCT recipients.
- Recommendations include appropriate administration of osteoporosis pharmacotherapies.
- Guidelines address patients at high risk for bone loss and fracture.
Conclusions:
- This executive summary consolidates critical recommendations for HSCT patients.
- Management strategies encompass bone assessment, lifestyle advice, and medication.
- Proactive bone health management is essential for long-term HSCT survivor outcomes.
Background:
Treatment advances have reduced the adverse events associated with hematopoietic stem cell transplant (HSCT) and led to an increased number of transplants performed. HSCT patients are living longer with concerns on long-term outcomes. Bone fragility and fracture are at the forefront for long-term morbidities post-HSCT.
Results:
In HSCT recipients, evidence has accumulated to support recommendations for more extensive monitoring of bone fragility and more appropriate administration of osteoporosis pharmacotherapies for patients at high risk of bone loss and/or fracture.
Conclusion:
This executive summary reports and summarizes the main recommendations published previously, including bone assessment, dietary and lifestyle recommendations and osteoporosis medication.
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