{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:12:48Z","timestamp":1787015568362,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T00:00:00Z","timestamp":1488758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 CA069533"],"award-info":[{"award-number":["P30 CA069533"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To compare the prevalence of and association between falls and frailty of prostate cancer survivors (\n                      <jats:styled-content style=\"fixed-case\">PCS<\/jats:styled-content>\n                      s) who were current, past or never users of androgen deprivation therapy (\n                      <jats:styled-content style=\"fixed-case\">ADT<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Mail and electronic survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">PCS<\/jats:styled-content>\n                      s (N = 280; mean age 72 \u00b1 8).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Cancer history, falls, and frailty status (robust, prefrail, frail) using traditionally defined and obese phenotypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Current (37%) or past (34%)\n                      <jats:styled-content style=\"fixed-case\">ADT<\/jats:styled-content>\n                      users were more than twice as likely to have fallen in the previous year as never users (15%) (\n                      <jats:italic>P<\/jats:italic>\n                      = .002).\n                      <jats:styled-content style=\"fixed-case\">ADT<\/jats:styled-content>\n                      users had twice as many recurrent falls (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and more fall\u2010related injuries than unexposed men (\n                      <jats:italic>P<\/jats:italic>\n                      = .01). Current (43%) or past (40%)\n                      <jats:styled-content style=\"fixed-case\">ADT<\/jats:styled-content>\n                      users were more likely to be classified as prefrail or frail than never users (15%) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and the prevalence of combined obese frailty + prefrailty was even greater in current (59%) or past (62%)\n                      <jats:styled-content style=\"fixed-case\">ADT<\/jats:styled-content>\n                      users than never users (25%) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Traditional and obese frailty significantly increased the likelihood of reporting falls in the previous year (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      ) = 2.15, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.18\u20133.94 and\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 2.97, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.62\u20135.58, respectively) and was also associated with greater risk of recurrent falls (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 3.10, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.48\u20136.5 and\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 3.99, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.79\u20138.89, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Current and past exposure to\n                      <jats:styled-content style=\"fixed-case\">ADT<\/jats:styled-content>\n                      is linked to higher risk of falls and frailty than no treatment.\n                      <jats:styled-content style=\"fixed-case\">PCS<\/jats:styled-content>\n                      s should be appropriately counseled on fall prevention strategies, and approaches to reduce frailty should be considered.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14795","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T10:32:48Z","timestamp":1488796368000},"page":"1414-1419","source":"Crossref","is-referenced-by-count":77,"title":["Falls and Frailty in Prostate Cancer Survivors: Current, Past, and Never Users of Androgen Deprivation Therapy"],"prefix":"10.1111","volume":"65","author":[{"given":"Kerri M.","family":"Winters\u2010Stone","sequence":"first","affiliation":[{"name":"Knight Cancer Institute Oregon Health &amp; 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