Erythropoietin in cancer patients: pros and cons

PURPOSE OF REVIEWAnaemia is a frequent complication of cancer. Recently, some concerns have appeared regarding the safety of erythropoiesis-stimulating agents (ESAs) for the treatment of anaemia in cancer patients. The current review will analyse the main arguments in favour of erythropoietin (EPO),...

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Veröffentlicht in:Current opinion in oncology 2010-07, Vol.22 (4), p.307-311
Hauptverfasser: Dicato, Mario, Plawny, Laurent
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creator Dicato, Mario
Plawny, Laurent
description PURPOSE OF REVIEWAnaemia is a frequent complication of cancer. Recently, some concerns have appeared regarding the safety of erythropoiesis-stimulating agents (ESAs) for the treatment of anaemia in cancer patients. The current review will analyse the main arguments in favour of erythropoietin (EPO), as well as those against EPO in chemotherapy-induced anaemia and in cancer-related anaemia. The principal concerns are tumour progression, increased mortality and the risk of venous thromboembolic events (VTEs). Recent meta-analyses have come to divergent conclusions. RECENT FINDINGSSeveral meta-analyses have reviewed the data regarding VTEs, EPO receptors on tumours and tumour progression as well as mortality. SUMMARYAs of now, ESAs should only be used within the indications as given in the various guidelines.
doi_str_mv 10.1097/CCO.0b013e32833aa9de
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subjects Anemia - complications
Anemia - drug therapy
Anemia - metabolism
Disease Progression
Erythropoietin - metabolism
Hematinics - adverse effects
Hematinics - therapeutic use
Humans
Hypertension - chemically induced
Neoplasms - complications
Neoplasms - pathology
Red-Cell Aplasia, Pure - chemically induced
Risk Assessment
Seizures - chemically induced
title Erythropoietin in cancer patients: pros and cons
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