title: The practice of Scottish urologists in the assessment and management of fracture risk in the ageing male being treated for prostate cancer.
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.
authors: Department of Urology, Ninewells Hospital, Dundee UK DD1 9SY.
authors: Wee Sing
authors: WS
authors: Ngu
authors: Derek J
authors: DJ
authors: Byrne
mesh_terms: D017677:Age Distribution; D015897:Comorbidity; D050723:Fractures, Bone / Q000453:epidemiology* / Q000517:prevention & control*; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D015995:Prevalence; D011471:Prostatic Neoplasms / Q000453:epidemiology* / Q000628:therapy*; D018570:Risk Assessment / Q000706:statistics & numerical data*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014572:Urology / Q000706:statistics & numerical data*