Predictive factors for skeletal complications in hormone-refractory prostate cancer patients with metastatic bone disease
2005

Predictive Factors for Bone Complications in Prostate Cancer

Sample size: 200 publication 10 minutes Evidence: moderate

Author Information

Author(s): Berruti A, Tucci M, Mosca A, Tarabuzzi R, Gorzegno G, Terrone C, Vana F, Lamanna G, Tampellini M, Porpiglia F, Angeli A, Scarpa R M, Dogliotti L

Primary Institution: Dipartimento di Scienze Cliniche e Biologiche Università degli Studi di Torino, Prostate Cancer Unit, Oncologia Medica, Urologia, Medicina Interna, Azienda Ospedaliera San Luigi, Orbassano, Italy

Hypothesis

What factors predict skeletal-related events in hormone-refractory prostate cancer patients with metastatic bone disease?

Conclusion

Bone pain and disease extent in bone independently predict the occurrence of skeletal-related events in hormone-refractory prostate cancer patients.

Supporting Evidence

  • 43% of patients experienced skeletal-related events.
  • Bone pain and disease extent in bone were significant predictors of skeletal-related events.
  • Patients with high pain scores and extensive disease had a higher incidence of skeletal-related events.

Takeaway

Doctors can tell how likely it is for prostate cancer patients to have bone problems by looking at their pain and how much cancer is in their bones.

Methodology

The study evaluated 200 hormone-refractory prostate cancer patients for skeletal-related events using univariate and multivariate analyses.

Potential Biases

Potential bias due to the observational nature of the study and the exclusion of patients with prior treatments.

Limitations

The study may not account for all variables influencing skeletal-related events, and some data were only available for a subset of patients.

Participant Demographics

Median age of participants was 73 years, with a range from 52 to 92 years.

Statistical Information

P-Value

P=0.0001

Confidence Interval

95% CI: 1.07–1.25

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602767

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