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Cancer treatment-induced bone loss.

The Korean journal of internal medicine
September 1, 2024
Yong Jun Choi
Journal ArticleReviewResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the role of Vitamin D supplementation in managing cancer treatment-induced bone loss (CTBL) and osteoporosis.

Results Summary

The abstract mentions that lifestyle management, including Vitamin D supplementation, is recommended for CTBL, but the supporting evidence is limited. No specific outcomes or effects of Vitamin D are detailed.

Population

Patients with cancer treatment-induced bone loss (CTBL), particularly those at heightened risk for osteoporosis.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
calcium and vitamin D supplementation
null
Cancer treatment-induced bone loss (CTBL)
null
null
is recommended
#1
Oral and injectable bisphosphonates
null
osteoporosis and malignant bone disease
null
null
are effective
#2
Bisphosphonates
increase
bone mineral density (BMD)
patients with CTBL
null
increase
#3
Denosumab
increase
BMD
patients in clinical trials
null
improved
#4
Denosumab
decrease
risk of fracture
patients in clinical trials
null
reduced
#5
Abstract

Cancer treatment-induced bone loss (CTBL) is associated with anti-tumor treatments, including endocrine therapies, chemotherapeutic treatments, radiotherapy, glucocorticoids, and tyrosine kinase inhibitors. Osteoporosis, characterized by the loss of bone mass, can increase the risk of fractures, leading to mortality and long-term disability, even after cancer remission. Cancer and osteoporosis have marked clinical and pathogenetic similarities. Both have a multifactorial etiology, affect the geriatric population, and markedly influence quality of life. Lifestyle management, including calcium and vitamin D supplementation, is recommended but the supporting evidence is limited. Oral and injectable bisphosphonates are effective for osteoporosis and malignant bone disease. Bisphosphonates increase bone mineral density (BMD) in patients with CTBL. Denosumab is also used in the management of CTBL; in clinical trials, it improved BMD and reduced the risk of fracture. Currently, there are no bone anabolic therapies for patients with cancer. Appropriate therapies are necessary to maintain optimal bone health, particularly in patients at heightened risk.

Medical Subject Headings (MeSH)
HumansOsteoporosisBone Density Conservation AgentsBone DensityNeoplasmsAntineoplastic AgentsRisk FactorsDiphosphonatesDenosumab
Study Links
Quality Scores
SafetyNot Assessed
Efficacy50/10
Quality70/10
Citation Metrics
Total Citations3
Citations/Year3.0
Research Impact Scores
APT Score0.50
Weight Score2.56
Normalized Score0.54
Related Supplements
Cancer treatment-induced bone loss. | Panacea Index