Osteoporosis Guidlines: ADT

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Steve Jordan - 06 May 2008 20:26 GMT

Here is a link to the latest Clinical Practice Guidelines from the
American College of Physicians on screening men for osteoporosis:
http://www.annals.org/cgi/content/full/148/9/680

This is important for us geezers, and especially for those of us on
androgen deprivation therapy (ADT).

One essential quotation:

"Androgen deprivation therapy (pharmacologic and orchiectomy) is a
strong predictor of both osteoporosis and fracture."

And bisphosphonates still appear to be the treatment of choice for
prevention.

Regards,

Steve J

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Clarence Crow - 07 May 2008 03:28 GMT

<ship>

>This is important for us geezers, and especially for those of us on
>androgen deprivation therapy (ADT).
[quoted text clipped - 3 lines]
>"Androgen deprivation therapy (pharmacologic and orchiectomy) is a
>strong predictor of both osteoporosis and fracture."

I've had 18 mths ADT and at the end of it all, including a DEXA scan,
I've been diagnosed with spinal Osteopenia (a pre-cursor to
Osteoporosis.)
I've been on a wait list since 2003 for a R knee replacement, which I
deferred several times during my PCa treatment. Now my L Ankle joint
has collapsed, and Osteopenia has been mentioned in the Radiology
report. (DEXA scan does not cover this area.) So not having " a leg to
stand on", begs the question, would a knee implant remain in situ. The
Orthopaedic Surgeon says "no worries". I tend to move toward
cancelling the surgery.
Why can't we get a more comprehensive method of BMD scanning to cover
the whole body?

>And bisphosphonates still appear to be the treatment of choice for
>prevention.

Some sources identify bisphosphonates as components of laundry
detergents! ???

Suitably pissed!

-Please reply to group as my email addr is fake!

-Regards CC

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I.P. Freely - 07 May 2008 04:25 GMT

> Why can't we get a more comprehensive method of BMD scanning to cover
> the whole body?

Whole body DEXA scans are available, but I haven't looked too widely for
it yet as my purpose for it is far less urgent than BMD assessment. One
technique is to scan the whole body and obtain body-wide values of bone,
fat, and muscle mass; I have seen some indication that it is also
available as a full-body image of bone, fat, and muscle.

I.P.

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Clarence Crow - 08 May 2008 00:15 GMT

>> Why can't we get a more comprehensive method of BMD scanning to cover
>> the whole body?
>
>Whole body DEXA scans are available

<snip>
I've seen those too, but they're not on my side of the country.
Can't afford the air fares to discover my knees are also like crumbly
old cakes to then create a further conundrum of what to do next.

So no surgery's still the main option.

-Please reply to group as my email addr is fake!

-Regards CC

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