Table 5 Prospective studies of bone mineral density (BMD) during androgen deprivation therapy (ADT).

From: Comparison of bone mineral loss by combined androgen block agonist versus GnRH in patients with prostate cancer: A 12 month-prospective observational study

Country

Stage

n

Type of ADT

Change in BMD

 

Australia14

M1

12

CAB

−6.6% at 6 mo

L spine

Sweden15

M0

11

Orchiectomy

−10% at 12 mo

Proximal femur

France16

M0

12

GnRH agonist

−4.6% at 12 mo

−3.9% at 12 mo

L spine

Femoral neck

USA17

M0

10

16

Orchiectomy

GnRH agonist or CAB

−2.4% at 12 mo

−3.4% at 12 mo

Femoral neck

USA18

M0

15

GnRH agonist

−2.8% at 12 mo

spine

Australia19

M0

26

GnRH agonist

−3.9% at 12 mo

L spine

USA20

M0

22

CAB

−3.3% at 12 mo

L spine

Italy21

M0

35

GnRH agonist

−2.3% at 12 mo

L spine

Spain22

M0

31

GnRH agonist

−4.8% at 12 mo

L spine

Australia23

M0

72

CAB

−1.9% at 9 mo

−3.3% at 9 mo

Hip

spine

Present study

M0 & M1

234

70

CAB

GnRH agonist

−2.6% at 12 mo

−4.4% at 12 mo

L spine

L spine