Assessment and management of bone health in women with early breast cancer receiving endocrine treatment in the DATA study
International Journal of Cancer Feb 18, 2019
van Hellemond IEG, et al. - In this planned side-study, researchers evaluated treatment and detection of osteopenia/osteoporosis in terms of care patterns, as well as trends in bone mineral density (BMD) during and after treatment with adjuvant anastrozole (6 vs 3 year) in postmenopausal women with breast cancer enrolled in the phase 3 DATA study and formerly treated with 2-3 years of tamoxifen. All BMD measurements and bisphosphonate-use were assessed. Using Kaplan Meier methodology, they assessed time to osteopenia/osteoporosis. They used linear mixed models with random patients effects in order to study the trend in T-scores. This study included 1,860 eligible DATA patients, with a baseline BMD measurement available in 910 (48.9%). Findings revealed no association between extended anastrozole therapy and a higher incidence of osteoporosis. A modest BMD decrease was noted in relation to anastrozole use, but following anastrozole cessation, the decline somewhat reversible.
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