癌症治疗患者的功能减弱的癌症治疗
Sabine Karam1,2, Mitchell H Rosner3, Ben Sprangers4,5
1Division of Nephrology and Hypertension, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
概括
患有慢性病 (CKD) 患者的癌症管理是具有挑战性的,因为病例的增加和潜在的药物毒性. 本综述为CKD患者的抗癌疗法监测,剂量和管理提供了指导.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學.
- 药理学 药理学是指药理学的学科.
背景情况:
- 慢性病 (CKD) 和癌症正在增加公众健康问题.
- 慢性瘤和癌症的同时发生率正在上升,使治疗决策复杂化.
- 癌症疗法可能会导致脏损伤,特别是在患有并发症的CKD患者中.
研究的目的:
- 审查各种抗癌疗法的毒性.
- 为CKD患者的癌症治疗监测和管理提供建议.
- 为高级CKD中选择的药物提供剂量指南.
主要方法:
- 与常规化疗,向疗法,免疫检查点抑制剂和放射性连体疗法相关的毒性综合审查.
- 在接受癌症治疗的CKD患者中分析电解质干扰和代谢异常.
- 对接受替代疗法的患者有限数据的检查.
主要成果:
- 在CKD患者中,抗癌药物可以引起显著的电解质干扰 (例如,低血,高血).
- 在治疗前和治疗期间,密切监测电解质,矿物质和酸状态至关重要.
- 有限的证据表明,在接受脏替代疗法的患者中,管理癌症疗法是有限的.
结论:
- 涉及瘤学家和瘤学家的多学科团队方法对于CKD患者的最佳癌症治疗至关重要.
- 瘤瘤学是管理这些复杂病例的关键和不断扩大的子专业.
- 对于CKD患者来说,有效和安全的抗癌治疗是可以实现的,只要谨慎管理.
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