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Skeletal Fractures Negatively Correlate With Overall Survival in Men With Prostate Cancer
Abstract
We assessed the correlation of skeletal fracture with survival in men with prostate cancer on chronic androgen suppressive therapy.A total of 195 consecutive patients on chronic androgen suppression for prostate cancer were evaluated for the history and type of skeletal fracture. Correlation with overall survival was performed via multivariate analysis.Of these 195 men 24 reported skeletal fracture since the diagnosis of prostate cancer. Median overall survival was 121 and 160 months in men without and with a history of skeletal fracture since the diagnosis of prostate cancer, respectively (p = 0.04). A history of skeletal fracture was retained as a negative predictor of survival on forward stepwise regression analysis (RR = 7.4, p = 0.007).Our results suggest that skeletal fracture in patients with prostate cancer is an independent and adverse predictor of survival. Consideration for screening men at greatest risk via bone mineral density measurements and initiating empirical skeletal therapies (bisphosphonates, estrogens and so forth) may be warranted. This recommendation awaits validation through prospective randomized trials.
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Keogh, J. W. L., & MacLeod, R. D. (2012) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2011.03.006 · Cited by 209
Uth, J., Hornstrup, T., Christensen, J. F., Christensen, K. B., Jørgensen, N. R., Schmidt, J. F., Brasso, K., Jakobsen, M. D., Sundstrup, E., Andersen, L. L., et al. (2016) · Osteoporosis International · doi:10.1007/s00198-015-3399-0 · Cited by 84
Metadata
- Authors
- Oefelein, M. G., Ricchiuti, V., Conrad, W., & Resnick, M. I.
- Venue
- Journal of Urology
- Published
- 2002-09
- Volume
- 168
- Issue
- 3
- Pages
- 1005-1007
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W4297691666
- Cited by
- 347
- References
- 0
- FWCI
- 5.35
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Skeletal Fractures Negatively Correlate With Overall Survival in Men With Prostate Cancer. https://app.cochat.ai/papers/10.1016/s0022-5347(05)64561-2
- The paper
- Oefelein, M. G., Ricchiuti, V., Conrad, W., & Resnick, M. I. (2002). Skeletal Fractures Negatively Correlate With Overall Survival in Men With Prostate Cancer. Journal of Urology. https://doi.org/10.1016/s0022-5347(05)64561-2
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
