Pyridinium crosslinks as markers of bone resorption in patients with breast cancer
1991

Pyridinium Crosslinks as Markers of Bone Resorption in Breast Cancer

Sample size: 20 publication Evidence: moderate

Author Information

Author(s): C.R. Paterson, S.P. Robins, J.M. Horobin, P.E. Preece, A. Cuschieri

Primary Institution: University of Dundee

Hypothesis

Can urinary excretion of collagen crosslinks indicate bone resorption in breast cancer patients?

Conclusion

The study suggests that measuring urinary collagen crosslinks may help in the early detection of bone metastases in breast cancer patients.

Supporting Evidence

  • Eight out of ten patients with metastases had higher crosslink excretion values than the reference interval.
  • The mean value for Pyd in patients with metastases was significantly higher than in those without.
  • Some patients without known metastases also had raised values of Pyd and Dpd.

Takeaway

Doctors can check urine for special markers to see if breast cancer has spread to bones.

Methodology

Urinary excretion of pyridinoline and deoxypyridinoline was measured in breast cancer patients with and without known bone metastases.

Potential Biases

The assays were performed blind, but the small sample size may introduce bias.

Limitations

The study had a small sample size and further long-term follow-up is needed.

Participant Demographics

20 breast cancer patients, 10 with known bone metastases and 10 without.

Statistical Information

P-Value

p<0.025

Statistical Significance

p<0.025

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