Cardiovascular risks of androgen receptor targeted agents in prostate cancer: a systematic review and meta-analysis.
Prostate Cancer Prostatic Dis
; 2024 Jan 24.
Article
de En
| MEDLINE
| ID: mdl-38267540
ABSTRACT
INTRODUCTION:
Androgen receptor targeted agents (ARTA) have increasingly been incorporated into treatment regimens for various stages of prostate cancer. Patients are living longer with prostate cancer, and thus have a higher cumulative exposure to the treatment and its accompanying side effects, especially those of cardiovascular disease. We aim to assess the differences in the incidence of cardiac-related adverse events after treatment of prostate cancer with ARTA versus placebo.METHODS:
Three databases were thoroughly searched for relevant articles. The PICOS model was used to frame our clinical question, with which 2 independent authors went through several rounds of screening to select the final included studies. Meta-analysis was done using the Cochran-Mantel-Haenszel Method. Quality assessment was carried out with the Cochrane Risk of Bias tool RoB 2.RESULTS:
The use of ARTA in prostate cancer increases the incidence of cardiac-related adverse events (RR 1.56, 95% CI 1.29-1.90, p < 0.00001), such as hypertension (RR 1.69, 95% CI 1.46-1.97, p < 0.00001), ischaemic heart disease (RR 1.84, 95% CI 1.36-2.50, p < 0.0001), and arrhythmia (RR 1.38, 95% CI 1.11-1.71, p = 0.004), although this did not manifest in an increased incidence of cardiac arrests/deaths (RR 1.28, 95% CI 0.87-1.88, p = 0.21).DISCUSSION:
ARTA increases the risk of cardiac-related adverse events, hypertension, ischaemic heart disease and arrhythmia. Armed with this knowledge, we will be better poised to manage cardiac risks accordingly and involve a cardiologist as required when starting patients on ARTA.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Type d'étude:
Clinical_trials
/
Etiology_studies
/
Risk_factors_studies
/
Systematic_reviews
Langue:
En
Journal:
Prostate Cancer Prostatic Dis
Sujet du journal:
ENDOCRINOLOGIA
/
NEOPLASIAS
/
UROLOGIA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Singapour