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Evolent Level 1 Medical Oncology

Pathways and Low-Value Regimens

Bone Disease

Regimen Options
Last Updated: 06/02/2024 See Details
Evolent Pathways Febrile Neutropenic Risk Emetogenic Risk References

Bone Mets w/ solid tumors

zoledronic acid *denosumab is pathway if patient has proven contraindication to zoledronic acid*

 

Multiple Myeloma

zoledronic acid *denosumab is pathway if patient has proven contraindication to zoledronic acid*

Non-Metastatic Adjuvant (to reduce breast cancer recurrence to the bone)

zoledronic acid *postmenopausal defined as natural or induced by ovarian ablation/suppression; Hormone positive with adjuvant endocrine treatment; 4 mg IV q6 mos up to 5 years* *denosumab is pathway if patient has proven contraindication to zoledronic acid*

Bone Mets w/ solid tumors

Evolent Pathways

zoledronic acid *denosumab is pathway if patient has proven contraindication to zoledronic acid*

 

Multiple Myeloma

Evolent Pathways

zoledronic acid *denosumab is pathway if patient has proven contraindication to zoledronic acid*

Non-Metastatic Adjuvant (to reduce breast cancer recurrence to the bone)

Evolent Pathways

zoledronic acid *postmenopausal defined as natural or induced by ovarian ablation/suppression; Hormone positive with adjuvant endocrine treatment; 4 mg IV q6 mos up to 5 years* *denosumab is pathway if patient has proven contraindication to zoledronic acid*