Osteoporosis, bone & mineral

The risk of fragility fractures in men with prostate cancer treated with androgen deprivation therapy

Osteoporos IntPublished Retrospective cohort study

Main finding · Fragility fracturesResult — go to the resultHazard ratio 3.61 95% CI 1.57–8.30

Authors' conclusion

Current ADT use was associated with a higher risk of fragility fractures than no-ADT use. A higher fracture risk was observed within the first six months of ADT use and persisted for longer durations.

Study context

Population
Men with prostate cancer (mean age 70.5 (± 8.3) years)60 with fracture
Participants
471 men
Exposure
Current Androgen Deprivation Therapy (ADT) use vs no-ADT use
Outcome
Fragility and malignancy-related fractures
Methodological detailscause-specific Cox proportional hazard models, 30-day exposure intervals
  • Cause-specific Cox proportional hazard models
  • 30-day exposure intervals

Main finding

Fragility fractures

Hazard ratio

3.61

95% CI 1.57–8.30

Current ADT usevs No-ADT use
HR 3.61 (95% CI 1.57–8.30)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
All fracturesCurrent ADT usevs No-ADT use5.10 (2.34–11.13)

All fractures

Increased risk of all fractures with longer duration of ADT use

Original publication

The risk of fragility fractures in men with prostate cancer treated with androgen deprivation therapy. Osteoporos Int. Published 18 September 2024. doi:10.1007/s00198-024-07180-8

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