在不同固体瘤中对药物假期趋势的知识映射和可视化:文献综述
Romina Giannini1, Andrealuna Ucciero2, Alessia Romagnoli3
1Hospital Pharmacy of "Valle d'Itria" Hospital, Martina Franca, ASL Taranto, Taranto, Italy.
概括
癌症治疗中的药物假期 (DH) 定义不清楚,缺乏标准化的协议. 虽然可能减少某些癌症的毒性,但目前的证据并不支持DH作为一种普遍有益的策略.
科学领域:
- 在瘤学瘤学.
- 癌症治疗方法 癌症治疗方法
- 临床试验设计 临床试验设计
背景情况:
- 随着生存率的提高,癌症治疗的复杂性正在增加.
- 药物假期 (DH) 被探索以减少治疗负担和毒性.
- 在瘤学中缺乏标准化的方案和明确的DH指导方针.
研究的目的:
- 评估DH在固体瘤治疗中的应用.
- 定义DH及其与临床结果的相关性.
- 评估DH在降低毒性和延迟耐药性的作用.
主要方法:
- 在PubMed数据库进行系统搜索.
- 最后一次搜索于2024年6月30日执行.
- 在癌症治疗中确定27项关于DH的相关研究.
主要成果:
- 在结直肠癌中最常被研究的DH;前列腺癌,基底细胞癌和甲状腺癌的积极结果.
- 在癌和黑色素瘤中观察到负面结果.
- DH定义的广泛变化使研究比较变得复杂;在某些癌症中潜在的毒性降低,但疗效和长期益处尚不清楚.
结论:
- 没有强有力的证据支持DH作为一种普遍有益的癌症治疗策略.
- 需要进一步的精心设计的研究来澄清DH的作用.
- 药物假期在固体瘤中的临床实用性需要进一步研究.
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