NCCN Task Force report: Bone health and cancer care

Richard L. Theriault, J. Sybil Biermann, Elizabeth Brown, Adam Brufsky, Laurence Demers, Ravinder K. Grewal, Theresa Guise, Rebecca Jackson, Kevin McEnery, Donald Podoloff, Peter Ravdin, Charles L. Shapiro, Matthew Smith, Catherine H. Van Poznak

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

Higher incidences of osteoporosis and osteopenia are found in cancer patients, particularly in women receiving aromatase inhibitors or with chemotherapy-induced ovarian failure, or in men with prostate cancer and androgen deprivation therapy. Therefore, management of long-term bone health is emerging as an important aspect of comprehensive cancer care. Patients with cancer typically have a number of additional risk factors for osteoporosis that should prompt screening, regardless of patient age or sex. Maintaining bone health requires a broad knowledge base, including understanding underlying bone metabolism and how it is affected by both cancer itself and the drugs used to treat cancer, the effect of chemotherapy-induced menopause on bone health, bone markers and imaging techniques used to assess bone health, therapeutic strategies to maintain bone health, and treatment of bone metastases, including surgery for pathologic fractures. Multiple members of the healthcare team may need to be involved in education and care of the patient. This report summarizes discussion of these and other issues regarding bone health and cancer care from the NCCN Bone Health and Cancer Care Task Force meeting in early 2006.

Original languageEnglish (US)
Pages (from-to)S-1-S-20
JournalJNCCN Journal of the National Comprehensive Cancer Network
Volume4
Issue numberSUPPL. 2
StatePublished - May 1 2006
Externally publishedYes

Keywords

  • Aromatase inhibitors
  • Bisphosphonates
  • Bone health
  • Bone metastases
  • Bone mineral density
  • Breast cancer
  • Chemotherapy
  • Dual x-ray absorptiometry
  • NCCN Clinical Practice Guidelines in Oncology
  • Osteopenia
  • Osteoporosis
  • Parathyroid hormone
  • Prostate cancer

ASJC Scopus subject areas

  • Oncology

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  • Cite this

    Theriault, R. L., Biermann, J. S., Brown, E., Brufsky, A., Demers, L., Grewal, R. K., Guise, T., Jackson, R., McEnery, K., Podoloff, D., Ravdin, P., Shapiro, C. L., Smith, M., & Van Poznak, C. H. (2006). NCCN Task Force report: Bone health and cancer care. JNCCN Journal of the National Comprehensive Cancer Network, 4(SUPPL. 2), S-1-S-20.