Evidence map›Paper›PMID 39266779›Full record

ArticleJournal of bone and mineral metabolism2024

Temporal declines in bone mineral density and trabecular bone score during androgen deprivation therapy.

Takuto Hara, Hanako Nishimoto, Tomoaki Terakawa, Yasuyoshi Okamura, Kotaro Suzuki, Yukari Bando, Koji Chiba, Yoji Hyodo, Jun Teishima, Yuzo Nakano and 2 more

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In one paragraph

Article in Journal of bone and mineral metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Takuto HaraDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Hanako NishimotoDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Kobe, 650-0017, Japan. hanako.nishi127@gmail.com.ORCID http://orcid.org/0000-0001-5588-7145
Tomoaki TerakawaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yasuyoshi OkamuraDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Kotaro SuzukiDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yukari BandoDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Koji ChibaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yoji HyodoDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Jun TeishimaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuzo NakanoDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Ryosuke KurodaDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Kobe, 650-0017, Japan.
Hideaki MiyakeDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe trabecular bone score (TBS) has emerged as a convenient measure for assessing the microstructure of trabecular bone in the second through fourth lumbar vertebrae (L2-4) and can be conducted concurrently with bone mineral density (BMD) assessment. This study was performed to evaluate changes in BMD and the TBS during ADT for prostate cancer. MATERIALS AND

methodsConsecutive patients who had prostate cancer without bone metastases at Kobe University Hospital were studied from March 2020 to December 2021. BMD and TBS were measured every 6 months from the start of treatment using Hologic Horizon devices (Hologic, Inc., Marlborough, MA, USA).

resultsThirty-four patients were followed for 2 years. Significant declines in BMD (-3.8% for femoral neck, -4.2% for total hip, and -6.1% for lumbar spine) and TBS (-16.6%) were noted after 2 years of ADT. Correlation analyses revealed a weak correlation between lumbar spine BMD and TBS at ADT initiation, but this correlation strengthened after 2 years. The multiple regression analysis results suggested that the rate of BMD loss may be slower in patients with a preserved pretreatment TBS.

conclusionIn patients without bone metastases undergoing ADT for prostate cancer, notable decreases were found in both BMD and TBS over a 2-year treatment period. Factors influencing the TBS decline remain unclear; however, patients with a lower pretreatment TBS exhibited a more rapid decline in BMD.

Indexed as

Androgen AntagonistsBone DensityCancellous BoneProstatic NeoplasmsAgedAged, 80 and overHumansLumbar VertebraeMaleMiddle AgedAndrogen AntagonistsAndrogen deprivation therapyBone mineral densityProstate cancerTrabecular bone score

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.