Table 2

Recommended Clinical Assessment of Men Before the Start of Androgen Deprivation Therapy and During Follow-up

Risk assessment before the initiation of ADT:
    History taking: prior fractures, prior cardiovascular events, family history of osteoporosis and cardiovascular disease, alcohol consumption, and smoking habits
    Rule out or treat affective disorders
    Advise lifestyle modification, including weight-bearing exercise, healthful dietary pattern, and abstinence from smoking and excessive alcohol use
    Physical examination: especially weight, height, blood pressure
    Complete laboratory screen, with fasting glucose (to detect incident diabetes), lipid profile, hemoglobin, and hematocrit level
Clinical assessment after the initiation of ADT:
    History taking and physical examination (every six months): especially evaluate for signs and symptoms of weight gain, hypertension, hot flushes, depression, emotional disturbances, and other constitutional symptoms
    Laboratory examination: fasting glucose, lipid profile, hemoglobin, and hematocrit level
    DEXA (every one or two years)