Clinical efficacy of denosumab versus bisphosphonates for the prevention of bone complications: implications for nursing

Support Care Cancer. 2015 Dec;23(12):3625-32. doi: 10.1007/s00520-015-2887-2. Epub 2015 Aug 23.

Abstract

Antiresorptive therapies are used for the prevention of skeletal-related events (SREs) associated with metastatic bone disease related to breast cancer, prostate cancer, and other solid tumors. This review highlights the central role of nurses in supporting and educating advanced cancer patients regarding the consequences of bone metastases and SREs, including therapy management options. Contemporary clinical journals reporting evidence-based studies were reviewed. SREs associated with bone metastases can significantly impact the quality of life of advanced cancer patients. Denosumab therapy, an advancement in antiresorptive treatments, significantly prevents and delays the time to develop SREs. In the multifaceted approach required for successful and consistent management of SREs associated with bone metastases, antiresorptive therapies can play a central role in maintaining the functional independence of patients through the prevention of debilitating SREs, thereby preserving quality of life.

Keywords: Antiresorptive; Bisphosphonates; Bone metastases; Denosumab; Skeletal-related events.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Bone Neoplasms / physiopathology
  • Bone Neoplasms / secondary*
  • Denosumab / administration & dosage
  • Denosumab / therapeutic use*
  • Diphosphonates / administration & dosage
  • Diphosphonates / therapeutic use*
  • Female
  • Humans
  • Male
  • Nursing
  • Quality of Life
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal, Humanized
  • Diphosphonates
  • Denosumab