Clinica AMO, Rua Altino Serbeto de Barros, 119, 12° andar, Itaigara, Salvador, Bahia 41825-010, Brazil.
Future Oncol. 2011 Apr;7(4):507-17. doi: 10.2217/fon.11.24.
Cancer-related anemia adversely affects quality of life and is associated with reduced overall survival. The correction of anemia in cancer patients has the potential to improve treatment efficacy and increase survival. A large number of studies demonstrate that treatment of anemia in cancer patients using erythropoiesis-stimulating agents (ESAs) significantly increases hemoglobin levels, decreases transfusion requirements and improves quality of life, predominantly by reducing fatigue. Some data on the use of ESAs in cancer patients indicate an increased risk of thromboembolic events and a possibly increased risk of mortality. However, there is ample evidence that when ESAs are used within current guidelines, they are valuable and safe drugs for the treatment of anemia in patients receiving radiotherapy and/or chemotherapy. There are increasing data from prospective, randomized trials demonstrating better responses to ESAs with the concurrent use of iron. Blood transfusions are also helpful in the management of anemia in cancer patients, especially when there is a need for immediate increases in hemoglobin levels. In this article, we discuss recent aspects relating to treatment modalities for anemia in cancer patients.
癌症相关性贫血会降低生活质量,与总生存期缩短相关。纠正癌症患者的贫血可能会提高治疗效果并延长生存期。大量研究表明,使用促红细胞生成素刺激剂(ESA)治疗癌症患者的贫血可显著提高血红蛋白水平,减少输血需求,并改善生活质量,主要是通过减轻疲劳。一些关于癌症患者使用 ESA 的数据表明血栓栓塞事件的风险增加,并且可能的死亡率风险增加。然而,有充分的证据表明,当 ESA 在当前指南范围内使用时,它们是接受放疗和/或化疗的患者治疗贫血的有价值且安全的药物。越来越多的前瞻性随机试验数据表明,同时使用铁剂可使 ESA 产生更好的反应。输血在癌症患者贫血的治疗中也有帮助,特别是当需要立即提高血红蛋白水平时。在本文中,我们讨论了与癌症患者贫血治疗方式相关的最新方面。