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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Support+Care+Cancer
2020 ; 28
(11
): 5085-5097
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Is PEGylated G-CSF superior to G-CSF in patients with breast cancer receiving
chemotherapy? A systematic review and meta-analysis
#MMPMID32621264
Li X
; Zheng H
; Yu MC
; Wang W
; Wu XH
; Yang DM
; Xu J
Support Care Cancer
2020[Nov]; 28
(11
): 5085-5097
PMID32621264
show ga
BACKGROUND: PEGylated granulocyte colony-stimulating factor (G-CSF) is a safe
alternative to G-CSF to improve chemotherapy-induced neutropenia (CIN). This
superiority has resulted in its increased use by physicians; however, the
superiority of PEGylated G-CSF for CIN in breast cancer has not been conclusively
determined. OBJECTIVES: To assess the superiority of PEGylated G-CSF for CIN in
breast cancer in terms of effectiveness and safety via a systematic review and
meta-analysis. METHODS: A literature search in PubMed, Embase, Cochrane Library,
and Web of Science was performed for eligible studies published from database
inception to December 2019. All studies comparing PEGylated G-CSF and G-CSF for
CIN of breast cancer were reviewed. After literature selection, data extraction
and quality assessment were performed by two reviewers independently.
Meta-analysis was conducted using Revman, version 5.2. RESULTS: Nine randomized
controlled trials were finally identified. The publication bias of these studies
was acceptable. For the endpoint of effectiveness, analysis of the
incidence/duration of grade ??3 neutropenia, the duration of grade 4 neutropenia,
the incidence of febrile neutropenia (FN), and the time to absolute neutrophil
count recovery showed no advantage of PEGylated G-CSF over G-CSF for CIN of
breast cancer (P?>?0.05), with the premise of a sufficient dose of G-CSF
according to the guidelines. No significant differences in grade 4 adverse events
were observed between the groups (P?=?0.29), and PEGylated G-CSF did not increase
the incidence of skeletal and/or muscle pain compared with G-CSF (P?=?0.32).
CONCLUSION: PEGylated G-CSF was as effective and safe as G-CSF to reduce CIN in
breast cancer but did not show an obvious superiority. However, in clinical
practice, PEGylated G-CSF has an obvious advantage in terms of convenience, which
could improve patient's quality of life.
|Antineoplastic Combined Chemotherapy Protocols/*adverse effects/therapeutic use
[MESH]