Stereotactic body radiotherapy (SBRT) in combination with drugs in metastatic kidney cancer: A systematic review.


Journal

Critical reviews in oncology/hematology
ISSN: 1879-0461
Titre abrégé: Crit Rev Oncol Hematol
Pays: Netherlands
ID NLM: 8916049

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 15 11 2020
revised: 15 01 2021
accepted: 20 01 2021
pubmed: 6 2 2021
medline: 9 3 2021
entrez: 5 2 2021
Statut: ppublish

Résumé

To conduct a systematic review and meta-analysis of the role of SBRTdrug combination in patients affected by mRCC and associated oncologic outcomes and toxicity profiles. We performed a critical review of the Pubmed, Medline, and Embase databases from January 1, 2000 through April 30, 2020 according to the Preferred Reporting Items and Meta-Analyses statement. To assess the overall quality of the literature reviewed, we used a modified Delphi tool. A total of 6 studies were included, corresponding to a cohort of 216 patients. Tyrosine Kinases Inhibitors were the most widely used drugs in combination with SBRT, being administered in 93% patients. No study reported an increase of radiation-induced toxicity. SBRT resulted to be safe, without increase in terms of drugs-related adverse events in this setting. Moreover, this approach showed promising clinical outcomes in terms of LC and OS.

Identifiants

pubmed: 33545356
pii: S1040-8428(21)00030-5
doi: 10.1016/j.critrevonc.2021.103242
pii:
doi:

Substances chimiques

Pharmaceutical Preparations 0

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

103242

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Auteurs

Gianluca Ingrosso (G)

Radiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia, Italy.

Carlotta Becherini (C)

Radiation Oncology, A.O.U. Careggi, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy.

Giulio Francolini (G)

Radiation Oncology, A.O.U. Careggi, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy.

Andrea Lancia (A)

Radiation Oncology, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.

Emanuele Alì (E)

Radiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia, Italy.

Saverio Caini (S)

Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Networking, Florence, Italy.

Maria Ausilia Teriaca (MA)

Radiation Oncology, A.O.U. Careggi, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy.

Alessandro Marchionni (A)

Radiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia, Italy.

Andrea Riccardo Filippi (AR)

Radiation Oncology, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.

Lorenzo Livi (L)

Radiation Oncology, A.O.U. Careggi, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy.

Giuseppe Sanguineti (G)

Department of Radiation Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy.

Cynthia Aristei (C)

Radiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia, Italy.

Beatrice Detti (B)

Radiation Oncology, A.O.U. Careggi, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy. Electronic address: bdetti@unifi.it.

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Classifications MeSH