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Cited by 667

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Pathologic fractures correlate with reduced survival in patients with malignant bone disease

Open access
Saad, Fred, Lipton, Allan, Cook, Richard, Chen, Yin‐Miao, Smith, Matthew, Coleman, Robert·2007·Cancer

Abstract

BACKGROUND.: Data from randomized, controlled trials of zoledronic acid were retrospectively analyzed to assess the effect of pathologic fractures on survival in patients with malignant bone disease. METHODS.: A Cox regression model was used to estimate the effect of fractures (time‐dependent variable) on survival in patients with stage III multiple myeloma or bone metastases from solid tumors enrolled in 3 large trials. Patients were randomized to receive zoledronic acid, pamidronate, or placebo every 3–4 weeks for up to 24 months (prostate cancer, breast cancer, and multiple myeloma) or up to 21 months (lung and other solid tumors). RESULTS.: A total of 3049 patients with multiple myeloma (n = 513), breast (n = 1130), prostate (n = 640), or lung cancer or other solid tumors (n = 766) were included in this analysis. Patients with multiple myeloma had the highest fracture incidence (43%), followed by breast (35%), prostate (19%), and lung cancer (17%). In all tumor types except lung, pathologic fracture was associated with a significant increase in risk of death, and breast cancer patients had the greatest increased risk. After adjustment for baseline characteristics, including performance status and prior skeletal complications, breast cancer patients who developed a pathologic fracture on study had a significant 32% increased risk of death relative to patients without a fracture (hazard ratio = 1.32; P < .01); patients with multiple myeloma or prostate cancer had a >20% increased risk of death. CONCLUSIONS.: These results suggest that fractures are associated with increased risk of death in patients with malignant bone disease. Therefore, preventing fractures is an important goal of therapy. Cancer 2007. © 2007 American Cancer Society.

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Metadata

Authors
Saad, F., Lipton, A., Cook, R., Chen, Y., Smith, M., & Coleman, R.
Venue
Cancer
Publisher
Wiley
Published
2007-09-19
Volume
110
Issue
8
Pages
1860-1867
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W2011926580
Cited by
667
References
33
FWCI
10.26
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Pathologic fractures correlate with reduced survival in patients with malignant bone disease. https://app.cochat.ai/papers/10.1002/cncr.22991
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Saad, F., Lipton, A., Cook, R., Chen, Y., Smith, M., & Coleman, R. (2007). Pathologic fractures correlate with reduced survival in patients with malignant bone disease. Cancer. https://doi.org/10.1002/cncr.22991

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