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贫血癌症患者的静脉铁剂治疗:近期发表的临床研究综述

Intravenous iron therapy for anemic cancer patients: a review of recently published clinical studies.

作者信息

Lebrun F, Klastersky J, Levacq D, Wissam Y, Paesmans M

机构信息

Department of Medicine, Institut Jules Bordet, 1, Rue Héger-Bordet, 1000, Brussels, Belgium.

Data Center, Institut Jules Bordet, 1, Rue Héger-Bordet, 1000, Brussels, Belgium.

出版信息

Support Care Cancer. 2017 Jul;25(7):2313-2319. doi: 10.1007/s00520-017-3672-1. Epub 2017 Apr 7.

Abstract

Based on available literature and on the present review, IV iron administration to anemic cancer patients can increase significantly the level of Hb, probably independently from the precise mechanism of anemia itself. However, in future studies, the benefit should be evaluated taking into account whether the anemia is due to absolute or functional iron deficiency; therapeutic modalities might be different for these two conditions. Along the same lines, it appears important to further evaluate the respective roles of PO and IV iron therapies and the modalities of their use in clinical practice. Until the results of such studies are available, it appears reasonable to propose IV iron therapy to anemic cancer patients as the resulting rise of Hb level may increase their quality of life and performance status and reduce the need for erythropoietin-stimulating agents and/or blood transfusions.

摘要

基于现有文献和本综述,给贫血癌症患者静脉注射铁剂可显著提高血红蛋白水平,这可能与贫血本身的确切机制无关。然而,在未来的研究中,应考虑贫血是由于绝对缺铁还是功能性缺铁来评估这种益处;这两种情况的治疗方式可能不同。同样,进一步评估口服和静脉铁剂治疗各自的作用及其在临床实践中的使用方式似乎很重要。在获得此类研究结果之前,向贫血癌症患者推荐静脉铁剂治疗似乎是合理的,因为血红蛋白水平的升高可能会提高他们的生活质量和体能状态,并减少对促红细胞生成素和/或输血的需求。

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