Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data

<i>Background and Objectives</i>: This study aimed to investigate osteoporosis-related treatments and the overall anticancer drug treatment tendencies, with a focus on selective estrogen receptor modulators (SERMs) and aromatase inhibitors (AIs), in Korean patients with breast cancer fro...

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Main Authors: Yen Min Wang, Yu-Cheol Lim, Deok-Sang Hwang, Yoon Jae Lee, In-Hyuk Ha, Ye-Seul Lee
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/9/1505
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author Yen Min Wang
Yu-Cheol Lim
Deok-Sang Hwang
Yoon Jae Lee
In-Hyuk Ha
Ye-Seul Lee
author_facet Yen Min Wang
Yu-Cheol Lim
Deok-Sang Hwang
Yoon Jae Lee
In-Hyuk Ha
Ye-Seul Lee
author_sort Yen Min Wang
collection DOAJ
description <i>Background and Objectives</i>: This study aimed to investigate osteoporosis-related treatments and the overall anticancer drug treatment tendencies, with a focus on selective estrogen receptor modulators (SERMs) and aromatase inhibitors (AIs), in Korean patients with breast cancer from 2010 to 2019. <i>Materials and Methods</i>: Data were obtained from the Health Insurance Review and Assessment Service. Patients with breast cancer (International Classification of Diseases, 10th Revision code: C50) as a principal diagnosis at least once from 2010 to 2019 were included. Those with osteoporosis (M80, M81, or M82) as a principal or sub-diagnosis or those who received osteoporosis treatment at least once were categorized as the osteoporosis-related treatment group, and others as the non-osteoporosis-related treatment group. The trends of drug prescriptions and treatment costs in patient groups were evaluated using descriptive statistics. <i>Results</i>: Among all included patients, those aged 45–54 years (40.20%) without osteoporosis treatment and those aged 55–64 years (34.11%) with osteoporosis treatment were the most common. SERM was the most commonly prescribed anticancer drug (29.20%) in the entire patient group, followed by AIs (20.83%). Patients without osteoporosis treatment had the highest prescription rate of SERM (31.48%), and those with osteoporosis treatment had a higher prescription rate of AIs (34.28%). Additionally, SERM and AIs were prescribed most frequently before and after the age of 55 years, respectively, regardless of the presence of treatment. <i>Conclusions</i>: This study found that osteoporosis-related treatment and patient age were associated with anticancer drug prescriptions. The present findings would help clinicians and researchers in the clinical diagnosis and treatment of breast cancer.
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spelling doaj.art-1248c8e836bf451ab47a3939e598e8812023-11-19T11:50:50ZengMDPI AGMedicina1010-660X1648-91442023-08-01599150510.3390/medicina59091505Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample DataYen Min Wang0Yu-Cheol Lim1Deok-Sang Hwang2Yoon Jae Lee3In-Hyuk Ha4Ye-Seul Lee5Jaseng Hospital of Korean Medicine, 536 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 2F, 540 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of KoreaDepartment of OB & GY in Korean Medicine, College of Korean Medicine, Kyung Hee University, Seoul 02453, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 2F, 540 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 2F, 540 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 2F, 540 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of Korea<i>Background and Objectives</i>: This study aimed to investigate osteoporosis-related treatments and the overall anticancer drug treatment tendencies, with a focus on selective estrogen receptor modulators (SERMs) and aromatase inhibitors (AIs), in Korean patients with breast cancer from 2010 to 2019. <i>Materials and Methods</i>: Data were obtained from the Health Insurance Review and Assessment Service. Patients with breast cancer (International Classification of Diseases, 10th Revision code: C50) as a principal diagnosis at least once from 2010 to 2019 were included. Those with osteoporosis (M80, M81, or M82) as a principal or sub-diagnosis or those who received osteoporosis treatment at least once were categorized as the osteoporosis-related treatment group, and others as the non-osteoporosis-related treatment group. The trends of drug prescriptions and treatment costs in patient groups were evaluated using descriptive statistics. <i>Results</i>: Among all included patients, those aged 45–54 years (40.20%) without osteoporosis treatment and those aged 55–64 years (34.11%) with osteoporosis treatment were the most common. SERM was the most commonly prescribed anticancer drug (29.20%) in the entire patient group, followed by AIs (20.83%). Patients without osteoporosis treatment had the highest prescription rate of SERM (31.48%), and those with osteoporosis treatment had a higher prescription rate of AIs (34.28%). Additionally, SERM and AIs were prescribed most frequently before and after the age of 55 years, respectively, regardless of the presence of treatment. <i>Conclusions</i>: This study found that osteoporosis-related treatment and patient age were associated with anticancer drug prescriptions. The present findings would help clinicians and researchers in the clinical diagnosis and treatment of breast cancer.https://www.mdpi.com/1648-9144/59/9/1505aromatase inhibitorsbreast cancerosteoporosisselective estrogen receptor modulatorantineoplastic agents
spellingShingle Yen Min Wang
Yu-Cheol Lim
Deok-Sang Hwang
Yoon Jae Lee
In-Hyuk Ha
Ye-Seul Lee
Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data
Medicina
aromatase inhibitors
breast cancer
osteoporosis
selective estrogen receptor modulator
antineoplastic agents
title Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data
title_full Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data
title_fullStr Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data
title_full_unstemmed Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data
title_short Osteoporosis Associated with Breast Cancer Treatments Based on Types of Hormonal Therapy: A Cross-Sectional Study Using Korean National Sample Data
title_sort osteoporosis associated with breast cancer treatments based on types of hormonal therapy a cross sectional study using korean national sample data
topic aromatase inhibitors
breast cancer
osteoporosis
selective estrogen receptor modulator
antineoplastic agents
url https://www.mdpi.com/1648-9144/59/9/1505
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AT deoksanghwang osteoporosisassociatedwithbreastcancertreatmentsbasedontypesofhormonaltherapyacrosssectionalstudyusingkoreannationalsampledata
AT yoonjaelee osteoporosisassociatedwithbreastcancertreatmentsbasedontypesofhormonaltherapyacrosssectionalstudyusingkoreannationalsampledata
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