Do you get DEXA scans routinely before starting ADT for prostate cancer or endocrine therapy for breast cancer?

When initiating long-term ADT, I order a DEXA scan, check vitamin D level, ensure adequate dietary calcium intake, and discuss weight-bearing exercise/refer to PT when appropriate. I also continue check DEXAs every 2 years unless they otherwise meet criteria for a bone-modifying agent (mCRPC with bo...

I started screening all of my patients getting any form of ADT and have been surprised at the number of patients with osteopenia and osteoporosis on DEXA scans. While our colleagues in family medicine developed a model to estimate male osteoporosis risk in 2007, I have never seen it employed. The st...

DEXA scans are not routinely used for prostate cancer prior to initiating ADT.

An intriguing alternative: Langley et al., PMID 41880608.