Literature DB >> 22956210

Prescribing of zoledronic acid in a tertiary outpatient hospital setting.

Helena Anglada-Martínez1, Fernando do Pazo-Oubiña, Glòria Molas-Ferrer, Anna Estefanell-Tejero, Gisela Riu-Viladoms, Josep Ribas-Sala, Natàlia Creus-Baró.   

Abstract

BACKGROUND: Zoledronic acid (ZA) is an intravenous bisphosphonate approved for the prevention and treatment of cancer skeletal-related events.
OBJECTIVE: Our aim was to analyze the prescription patterns of ZA in the cancer outpatient clinic.
METHOD: We performed a retrospective chart review of all patients who received at least 1 dose of ZA from January 2009 until December 2010 in our institution. The patients' follow-up period was defined from the administration of the first dose until February 2011.
RESULTS: The sample comprised 345 patients: 31.9 % had breast cancer, 14.5 % prostate cancer, 29.0 % multiple myeloma, and 24.6 % other solid tumors. A total of 4,546 doses were administered; 2,749 (60.5 %) without intravenous chemotherapy. 71.1 % of patients with breast cancer, 86 % with prostate cancer, 60 % with multiple myeloma and 44.6 % with other solid tumors, received ZA without intravenous chemotherapy throughout bisphosphonate treatment. Doses were adjusted in one-third of cases. Administration every 4-weeks was the most frequent schedule. Median duration of treatment varied between 15.0 months for breast cancer and 4.2 months for other solid tumors.
CONCLUSION: Most of ZA prescriptions in cancer outpatients followed the labeled indications. The percentage of ZA doses administered without intravenous chemotherapy was 60.5 %.

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Year:  2012        PMID: 22956210     DOI: 10.1007/s11096-012-9693-4

Source DB:  PubMed          Journal:  Int J Clin Pharm


  7 in total

1.  Feasibility of administering zoledronic acid in palliative patients being cared for in the community: results of a pilot study.

Authors:  H K Marr; C R Stiles; M A Boyar; T C Braun; N A Hagen; C Janzen; L M Whitten; J L Pereira
Journal:  Curr Oncol       Date:  2010-04       Impact factor: 3.677

2.  Zoledronic acid treatment at home: safety data from an observational prospective trial.

Authors:  Davide Tassinari; Barbara Poggi; Stefania Nicoletti; Manuela Fantini; Emiliano Tamburini; Cinzia Possenti; Sergio Sartori
Journal:  J Palliat Med       Date:  2007-04       Impact factor: 2.947

3.  Pattern of intravenous bisphosphonate use in outpatient care in Germany.

Authors:  Falk Hoffmann; Tatjana I Jung; Dieter Felsenberg; Gerd Glaeske
Journal:  Pharmacoepidemiol Drug Saf       Date:  2008-09       Impact factor: 2.890

4.  American Society of Clinical Oncology 2003 update on the role of bisphosphonates and bone health issues in women with breast cancer.

Authors:  Bruce E Hillner; James N Ingle; Rowan T Chlebowski; Julie Gralow; Gary C Yee; Nora A Janjan; Jane A Cauley; Brent A Blumenstein; Kathy S Albain; Allan Lipton; Susan Brown
Journal:  J Clin Oncol       Date:  2003-09-08       Impact factor: 44.544

Review 5.  Management of the adverse effects associated with intravenous bisphosphonates.

Authors:  T Tanvetyanon; P J Stiff
Journal:  Ann Oncol       Date:  2006-03-17       Impact factor: 32.976

Review 6.  Guidance on the use of bisphosphonates in solid tumours: recommendations of an international expert panel.

Authors:  M Aapro; P A Abrahamsson; J J Body; R E Coleman; R Colomer; L Costa; L Crinò; L Dirix; M Gnant; J Gralow; P Hadji; G N Hortobagyi; W Jonat; A Lipton; A Monnier; A H G Paterson; R Rizzoli; F Saad; B Thürlimann
Journal:  Ann Oncol       Date:  2007-09-28       Impact factor: 32.976

7.  Zoledronic acid significantly improves pain scores and quality of life in breast cancer patients with bone metastases: a randomised, crossover study of community vs hospital bisphosphonate administration.

Authors:  A Wardley; N Davidson; P Barrett-Lee; A Hong; J Mansi; D Dodwell; R Murphy; T Mason; D Cameron
Journal:  Br J Cancer       Date:  2005-05-23       Impact factor: 7.640

  7 in total

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