Contrast nephropathy in cancer patients receiving anti-VEGF therapy: a prospective study
dc.authorid | Hacioglu, Bekir/0000-0001-8490-3239 | |
dc.authorid | Gökyer, Ali/0000-0002-1653-6155 | |
dc.authorwosid | Erdogan, Bulent/AAA-9781-2021 | |
dc.authorwosid | Kurt, Nazmi/JFA-8132-2023 | |
dc.authorwosid | Hacioglu, Bekir/GZH-1824-2022 | |
dc.authorwosid | Küçükarda, Ahmet/AGF-2120-2022 | |
dc.authorwosid | Gökyer, Ali/AAQ-5700-2020 | |
dc.contributor.author | Gokyer, Ali | |
dc.contributor.author | Kucukarda, Ahmet | |
dc.contributor.author | Kostek, Osman | |
dc.contributor.author | Hacioglu, Muhammet Bekir | |
dc.contributor.author | Uzunoglu, Sernaz | |
dc.contributor.author | Kula, Osman | |
dc.contributor.author | Kurt, Nazmi | |
dc.date.accessioned | 2024-06-12T10:58:25Z | |
dc.date.available | 2024-06-12T10:58:25Z | |
dc.date.issued | 2020 | |
dc.department | Trakya Üniversitesi | en_US |
dc.description.abstract | Objectives Contrast nephropathy risk has been increasing in cancer patients. Nephrotoxic side effects of anti-vascular endothelial growth factor/receptor (anti-VEGF/R) drugs used in oncologic treatment are also prominent. The purpose of this study was to identify the possible association among anti-VEGF/R drugs use and development of the contrast-induced nephropathy (CIN) in patients with cancers. Methods A total of 92 patients were included in this prospective cross-sectional study. Patients whose glomerular filtration rate (GFR) of < 50 ml/min, hemoglobin of < 10 g/dl, and eastern cooperative oncology group (ECOG) score of >= 2 and had received nephrotoxic drugs were not included in the study. Blood samples were collected baseline at pre computed tomography (CT) and day 2, day 3 and day 7 later CT imaging. CIN was defined as either an increased serum creatinine value of 0.5 mg/dl or increased 25% to baseline. CIN frequency between groups receivingand not receiving anti-VEGF/R was compared using the chi-squared test. CIN frequency between bevacizumab and other anti-VEGF/R was also analyzed. Results There were 39 patients in the anti-VEGF/R (+) group and 53 patients in the anti-VEGF/R (-) group. Eleven patients (28%) in the anti-VEGF/R (+) group and 3 patients (5.6%) in the anti-VEGF/R (-) group had CIN (p = 0.006). In the anti-VEGF/R (+) group, 23 patients received bevacizumab (combined with FOLFOX/FOLFIRI), while 16 patients received other anti-VEGF/R (sunitinib, axitinib, regorafenib, aflibercept) effective treatments. CIN ratio in patients who received bevacizumab or other anti-VEGFR therapy was similar (p = 0 = 50). Of the patients, one patient had acute kidney injury leading to death. Conclusion CIN was significantly more frequent in cancer patients who receiving anti-VEGF/R drugs than those not receiving anti-VEGF/R drugs. | en_US |
dc.identifier.doi | 10.1007/s10147-020-01729-3 | |
dc.identifier.endpage | 1762 | en_US |
dc.identifier.issn | 1341-9625 | |
dc.identifier.issn | 1437-7772 | |
dc.identifier.issue | 10 | en_US |
dc.identifier.pmid | 32591963 | en_US |
dc.identifier.scopus | 2-s2.0-85087290813 | en_US |
dc.identifier.scopusquality | Q1 | en_US |
dc.identifier.startpage | 1757 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s10147-020-01729-3 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14551/20061 | |
dc.identifier.volume | 25 | en_US |
dc.identifier.wos | WOS:000543601600001 | en_US |
dc.identifier.wosquality | Q3 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.language.iso | en | en_US |
dc.publisher | Springer Japan Kk | en_US |
dc.relation.ispartof | International Journal Of Clinical Oncology | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Contrast Media | en_US |
dc.subject | Anticancer Agents | en_US |
dc.subject | Spiral CT Scan | en_US |
dc.subject | Computed-Tomography | en_US |
dc.subject | Nephrotoxicity | en_US |
dc.subject | Risk | en_US |
dc.title | Contrast nephropathy in cancer patients receiving anti-VEGF therapy: a prospective study | en_US |
dc.type | Article | en_US |