2022
DOI: 10.3390/geriatrics7060133
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Improving Bone Health in Patients with Metastatic Prostate Cancer with the Use of Algorithm-Based Clinical Practice Tool

Abstract: Background: The bone health of patients with locally advanced and metastatic prostate cancer is at risk from treatment-related bone density loss and skeletal-related events from metastatic disease in bones. Evidence-based guidelines recommend using denosumab or zoledronic acid at bone metastasis-indicated dosages in the setting of castration-resistant prostate cancer with bone metastases and at the osteoporosis-indicated dosages in the hormone-sensitive setting in patients with a significant risk of fragility … Show more

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Cited by 1 publication
(2 citation statements)
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References 47 publications
(58 reference statements)
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“…Dental care navigation, the preferred intervention for BMA underuse, would likely require additional staffing or administrative burden on existing staff. However, several participants favored electronic medical record (EMR)‐based guidance, a strategy recently employed in a Veterans‐Affairs‐based setting with substantial improvement in BMA utilization 18 . Thus, there may be leeway to improve BMA utilization through comparatively low‐cost changes such as workflow redesign 19 …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Dental care navigation, the preferred intervention for BMA underuse, would likely require additional staffing or administrative burden on existing staff. However, several participants favored electronic medical record (EMR)‐based guidance, a strategy recently employed in a Veterans‐Affairs‐based setting with substantial improvement in BMA utilization 18 . Thus, there may be leeway to improve BMA utilization through comparatively low‐cost changes such as workflow redesign 19 …”
Section: Discussionmentioning
confidence: 99%
“…However, several participants favored electronic medical record (EMR)-based guidance, a strategy recently employed in a Veterans-Affairs-based setting with substantial improvement in BMA utilization. 18 Thus, there may be leeway to improve BMA utilization through comparatively low-cost changes such as workflow redesign. 19 Regarding BMA therapy in CSPC, our understanding of effective strategies to prevent medication overuse in oncology is in its early stages, and relatively little data exist.…”
Section: Interventions To Improve Utilizationmentioning
confidence: 99%