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REVIEW ARTICLE Kyle O. Rove, E. David Crawford; ONCOLOGY Vol. 25 No. 14 This review will examine agents with potential activity in the palliation and treatment of skeletal metastases of PCa, and will weigh the clinical-outcomes evidence for and against their broad use. • Managing CRPC: Improving Symptoms, Survival, or Both? • Are We Trumping Bone Disease in Prostate Cancer? REVIEW ARTICLE Rashmi K. Murthy et al; ONCOLOGY Vol. 23 No. 14; Supplement The goals of this article are to highlight the RANK ligand pathway and its involvement in healthy bone remodeling, bone metastasis, cancer treatment–induced bone loss, and multiple myeloma. Now and in the future, this topic will become even more important as novel therapies targeted at reducing skeletal complications emerge. • Introduction: Skeletal Issues and Bone Health in Patients With Cancer REVIEW ARTICLE Kyle O. Rove, E. David Crawford; ONCOLOGY Vol. 23 No. 14, Supplement Advances in understanding the mechanisms of metastasis to bone, the resulting physiologic disturbances that take place, screening, diagnosis, and availability of better treatment options are advancing clinicians’ abilities to combat this devastating problem. • Early Breast and Prostate Cancer and Clinical Outcomes (Fracture) REVIEW ARTICLE Rowan T. Chlebowski, Tomoko Tagawa; ONCOLOGY Vol. 23 No. 14 All patients undergoing treatment for breast cancer and prostate cancer need evaluation of their state of bone health and fracture risk. If there is evidence of osteopenia or osteoporosis at baseline, secondary causes of bone loss should be excluded and a discussion of lifestyle modification factors, supplementation with calcium and vitamin D, and if appropriate, pharmacologic treatment needs to be initiated.
Early Breast and Prostate Cancer and Clinical Outcomes (Fracture)
Rowan T. Chlebowski, MD, PhD1, Tomoko Tagawa, MD2
, January 6, 2010
Over 40 million men and women in the United States have osteoporosis and low bone mineral density (BMD), placing them at risk for adverse skeletal events such as fractures and their sequelae. There are over 12 million cancer survivors in this country.
Bone Biology and the Role of the RANK Ligand Pathway
Rashmi K. Murthy, MD1, P.K. Morrow, MD2, Richard L. Theriault, MD3
, January 6, 2010
Bone renewal is essential for bone strength. During childhood and early adulthood, bone formation prevails over bone resorption, as bones increase in size and strength. Peak bone mass is achieved during the third decade in life, with a higher peak bone mass being protective against osteoporosis later in life.
Bone Disease in Multiple Myeloma
Matthew T. Drake, MD, PhD1
, January 6, 2010
Despite the significant progress that has occurred in recent decades in the treatment of many advanced malignancies, skeletal morbidity remains a major problem for patients affected by cancers that metastasize to or grow primarily within bone.
Metastatic Cancer in Solid Tumors and Clinical Outcome: Skeletal-Related Events
Kyle O. Rove, MD1, E. David Crawford, MD2
, January 6, 2010
More than 50% of patients with advanced breast or prostate cancer have identifiable bone metastasis, and 30% to 40% of patients with non–small-cell lung cancer ultimately develop metastases to bone. Most tumors preferentially metastasize to the axial skeleton, targeting the vertebrae, pelvis, proximal ends of long bones, and skull.
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Improve EHR Systems by Rethinking Medical Billing Daniel Essin, MA, MD, February 6, 2012 Separating billing-related data from other clinical documentation and transmitting it to a billing system is not difficult …no matter how the charting is done.
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