转移性荷尔蒙敏感前列腺癌中的骨健康:我们现在的位置以及我们可以改善的地方
Juan Antonio Encarnación1,2,3, Enrique López-Jiménez1,2, Jose Luis Alonso-Romero1,3,4
1Faculty of Medicine, University of Murcia, 30120 Murcia, Spain.
Cancers
|December 30, 2025
概括
对于接受雄激素剥夺疗法 (ADT) 的前列腺癌患者,遵守骨健康指南的程度较低. 这凸显了改善监测和治疗以预防骨折和骨损失的必要性.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 老年病的医生 老年病的医生
背景情况:
- 对转移性激素敏感前列腺癌 (mHSPC) 的治疗非常重要.
- ADT加快了骨矿物密度的丧失,增加了骨折风险.
- 指南建议/维生素D,DXA扫描和抗吸收疗法用于mHSPC患者的骨健康.
研究的目的:
- 评估mHSPC接受ADT的患者遵守骨健康指南.
- 为了确定与低最佳骨健康管理相关的因素.
主要方法:
- 对156名接受ADT治疗的mHSPC患者的回顾性审查.
- 评估/维生素D补充剂,DXA测试和抗吸收治疗.
- 基于患者特征的骨折事件分析和分层分析.
主要成果:
- 只有50.6%的人接受了/维生素D,12.8%的人有基线DXA,5.1%的人接受了denosumab.
- 骨折发生率为每100个人年0.67个事件.
- 在老年患者中观察到较低的坚持,那些暴露于ADT较长时间的人,以及更高的转移负担.
结论:
- 在接受ADT的mHSPC患者中,遵守骨健康指南显著不理想.
- 对于标准化的机构协议有着至关重要的需要.
- 系统补充,常规DXA监测和适当的抗吸收疗法是必不可少的.
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