Medical OncologyDepartments of Santa Chiara Hospital, Trento, Italy.
Medical Oncology Departments of Civic Hospital, Palermo, Italy.
Crit Rev Oncol Hematol. 2021 Nov;167:103491. doi: 10.1016/j.critrevonc.2021.103491. Epub 2021 Oct 6.
Real-world data suggest a possible interplay between androgen deprivation therapy (ADT) and susceptibility to and the severity of SARS-CoV-2 infection. As ADT is the backbone of prostate cancer treatment, various authors have evaluated different patient cohorts but the evidence provided is conflicting. The aim of this review is to assess the available publications concerning the role of ADT in preventing or reducing the severity of SARS-CoV-2 infection. After a literature search we identified four full papers, five letters, and four meeting abstracts, but these used different search methods and the quality of the evidence varied. They frequently had different endpoints, did not report the status of the prostate cancer patients and evaluated heterogeneous populations. The available data do not support the view that ADT protects against SARS-CoV-2 infection. Larger and more precise studies are warranted, considering variables that affect infection outcomes as these significantly influence the reliability of the findings.
真实世界的数据表明,雄激素剥夺疗法(ADT)与 SARS-CoV-2 感染的易感性和严重程度之间可能存在相互作用。由于 ADT 是前列腺癌治疗的基础,因此许多作者已经评估了不同的患者队列,但提供的证据相互矛盾。本综述的目的是评估有关 ADT 在预防或减轻 SARS-CoV-2 感染严重程度方面作用的现有文献。经过文献检索,我们确定了四篇全文论文、五篇信件和四篇会议摘要,但这些文献使用了不同的搜索方法,证据质量也存在差异。它们经常使用不同的终点,没有报告前列腺癌患者的状况,并评估了异质人群。现有数据不支持 ADT 可预防 SARS-CoV-2 感染的观点。鉴于影响感染结果的变量会显著影响研究结果的可靠性,因此需要进行更大规模和更精确的研究。