Decrease of creatinine clearance rate with aging in patients with head and neck cancer in Japan

We aimed to clarify the reason for the lower dosage of cis-platinum (CDDP) in patients with head and neck cancer in Japan compared with that in other countries, by evaluating renal function. We studied 375 patients with head and neck cancer who had been hospitalized from January 1998 to October 2005...

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Veröffentlicht in:International journal of clinical oncology 2007-04, Vol.12 (2), p.120-124
Hauptverfasser: Nishimura, Goshi, Tsukuda, Mamoru, Horiuchi, Choichi, Satake, Kenichi, Yoshida, Takafumi, Taguchi, Takahide, Nagao, Junichi, Kawakami, Mariko, Kondo, Norio, Matsuda, Hideki, Mikami, Yasukazu
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container_start_page 120
container_title International journal of clinical oncology
container_volume 12
creator Nishimura, Goshi
Tsukuda, Mamoru
Horiuchi, Choichi
Satake, Kenichi
Yoshida, Takafumi
Taguchi, Takahide
Nagao, Junichi
Kawakami, Mariko
Kondo, Norio
Matsuda, Hideki
Mikami, Yasukazu
description We aimed to clarify the reason for the lower dosage of cis-platinum (CDDP) in patients with head and neck cancer in Japan compared with that in other countries, by evaluating renal function. We studied 375 patients with head and neck cancer who had been hospitalized from January 1998 to October 2005, to evaluate and treat the disease. The creatinine clearance rate (Ccr) was calculated at least three times before beginning the treatments, and the average Ccr was estimated to evaluate the renal function. The Ccr decreased with aging, and the percentages of patients with Ccr lower than 65 ml/min per 1.73 m(2) were 27.1% of patients in their fifties, 36.8% in their sixties, 62.3% in their seventies, and 87.5% in their eighties. There was no correlation between renal function and the Japanese lifestyle (i.e., diet. water consumption). The renal function of Japanese decreases rapidly with aging, whereas that of Americans is maintained for longer periods. The poor renal function of Japanese is one of the causes of the need to reduce the dosage of or avoid the administration of CDDP in cancer patients.
doi_str_mv 10.1007/s10147-006-0635-9
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subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Aging
Aging - urine
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - adverse effects
Biomarkers, Tumor - urine
Carcinoma, Squamous Cell - drug therapy
Carcinoma, Squamous Cell - physiopathology
Carcinoma, Squamous Cell - urine
Chemotherapy
Cisplatin - administration & dosage
Cisplatin - adverse effects
Creatinine - urine
Female
Glomerular Filtration Rate - drug effects
Head & neck cancer
Head and Neck Neoplasms - drug therapy
Head and Neck Neoplasms - physiopathology
Head and Neck Neoplasms - urine
Humans
Japan
Kidney Failure, Chronic - chemically induced
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - urine
Kidney Function Tests
Kidneys
Male
Middle Aged
Oncology
Pharmacology
title Decrease of creatinine clearance rate with aging in patients with head and neck cancer in Japan
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