$Mortality following hip fracture in men with prostate cancer.$
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Mortality following hip fracture in men with prostate cancer.

<h4>Background</h4>Hip fractures are associated with increased mortality and are a known adverse effect of androgen deprivation therapy (ADT) for prostate cancer (PCa). It was our aim to evaluate how mortality after hip fracture is modified by PCa and ADT.<h4>Methods</h4>PCa...

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Autores principales:	Mieke Van Hemelrijck, Hans Garmo, Karl Michaëlsson, Andreas Thorstenson, Olof Akre, Pär Stattin, Lars Holmberg, Jan Adolfsson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8eae65d10f5f4d3cbd3292dcc681e174
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spelling	oai:doaj.org-article:8eae65d10f5f4d3cbd3292dcc681e1742021-11-18T08:53:26ZMortality following hip fracture in men with prostate cancer.1932-620310.1371/journal.pone.0074492https://doaj.org/article/8eae65d10f5f4d3cbd3292dcc681e1742013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24086350/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Hip fractures are associated with increased mortality and are a known adverse effect of androgen deprivation therapy (ADT) for prostate cancer (PCa). It was our aim to evaluate how mortality after hip fracture is modified by PCa and ADT.<h4>Methods</h4>PCa dataBase Sweden (PCBaSe 2.0) is based on the National PCa Register and also contains age and county-matched PCa-free men. We selected all men (n = 14,205) who had been hospitalized with a hip fracture between 2006 and 2010; 2,300 men had a prior PCa diagnosis of whom 1,518 (66%) were on ADT prior to date of fracture. Risk of death was estimated with cumulative incidence and standardized mortality ratios (SMRs) to make comparisons with the entire PCa population and the general population.<h4>Results</h4>Cumulative incidences indicated that there was a higher risk of death following a hip fracture for PCa men on ADT than for PCa men not on ADT or PCa-free men, particularly in the first year. The SMRs showed that PCa men on ADT with a hip fracture were 2.44 times more likely to die than the comparison cohort of all PCa men (95%CI: 2.29-2.60). This risk was especially increased during the first month (5.64 (95%CI: 4.16-7.48)). In absolute terms, hip fractures were associated with 20 additional deaths per 1,000 person-years in PCa men not on ADT, but 30 additional deaths per 1,000 person-years for PCa men on ADT, compared to all PCa men.<h4>Conclusion</h4>Hip fractures are associated with higher all-cause mortality in PCa men on ADT than in PCa men not on ADT or PCa-free men, especially within the first three months.Mieke Van HemelrijckHans GarmoKarl MichaëlssonAndreas ThorstensonOlof AkrePär StattinLars HolmbergJan AdolfssonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e74492 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mieke Van Hemelrijck Hans Garmo Karl Michaëlsson Andreas Thorstenson Olof Akre Pär Stattin Lars Holmberg Jan Adolfsson Mortality following hip fracture in men with prostate cancer.
description	<h4>Background</h4>Hip fractures are associated with increased mortality and are a known adverse effect of androgen deprivation therapy (ADT) for prostate cancer (PCa). It was our aim to evaluate how mortality after hip fracture is modified by PCa and ADT.<h4>Methods</h4>PCa dataBase Sweden (PCBaSe 2.0) is based on the National PCa Register and also contains age and county-matched PCa-free men. We selected all men (n = 14,205) who had been hospitalized with a hip fracture between 2006 and 2010; 2,300 men had a prior PCa diagnosis of whom 1,518 (66%) were on ADT prior to date of fracture. Risk of death was estimated with cumulative incidence and standardized mortality ratios (SMRs) to make comparisons with the entire PCa population and the general population.<h4>Results</h4>Cumulative incidences indicated that there was a higher risk of death following a hip fracture for PCa men on ADT than for PCa men not on ADT or PCa-free men, particularly in the first year. The SMRs showed that PCa men on ADT with a hip fracture were 2.44 times more likely to die than the comparison cohort of all PCa men (95%CI: 2.29-2.60). This risk was especially increased during the first month (5.64 (95%CI: 4.16-7.48)). In absolute terms, hip fractures were associated with 20 additional deaths per 1,000 person-years in PCa men not on ADT, but 30 additional deaths per 1,000 person-years for PCa men on ADT, compared to all PCa men.<h4>Conclusion</h4>Hip fractures are associated with higher all-cause mortality in PCa men on ADT than in PCa men not on ADT or PCa-free men, especially within the first three months.
format	article
author	Mieke Van Hemelrijck Hans Garmo Karl Michaëlsson Andreas Thorstenson Olof Akre Pär Stattin Lars Holmberg Jan Adolfsson
author_facet	Mieke Van Hemelrijck Hans Garmo Karl Michaëlsson Andreas Thorstenson Olof Akre Pär Stattin Lars Holmberg Jan Adolfsson
author_sort	Mieke Van Hemelrijck
title	Mortality following hip fracture in men with prostate cancer.
title_short	Mortality following hip fracture in men with prostate cancer.
title_full	Mortality following hip fracture in men with prostate cancer.
title_fullStr	Mortality following hip fracture in men with prostate cancer.
title_full_unstemmed	Mortality following hip fracture in men with prostate cancer.
title_sort	mortality following hip fracture in men with prostate cancer.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/8eae65d10f5f4d3cbd3292dcc681e174
work_keys_str_mv	AT miekevanhemelrijck mortalityfollowinghipfractureinmenwithprostatecancer AT hansgarmo mortalityfollowinghipfractureinmenwithprostatecancer AT karlmichaelsson mortalityfollowinghipfractureinmenwithprostatecancer AT andreasthorstenson mortalityfollowinghipfractureinmenwithprostatecancer AT olofakre mortalityfollowinghipfractureinmenwithprostatecancer AT parstattin mortalityfollowinghipfractureinmenwithprostatecancer AT larsholmberg mortalityfollowinghipfractureinmenwithprostatecancer AT janadolfsson mortalityfollowinghipfractureinmenwithprostatecancer
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Mortality following hip fracture in men with prostate cancer.

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