Usefulness of Cystatin C-Based Renal Function Assessment in Patients Undergoing Paclitaxel and Carboplatin Combination Therapy
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- WAKAMATSU Ayaka
- Hospital Pharmacy, Sapporo Kosei General Hospital
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- TANAKA Aya
- Hospital Pharmacy, Obihiro Kosei General Hospital
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- WAKAMATSU Ryosuke
- Hospital Pharmacy, Sapporo Kosei General Hospital
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- YAMASHITA Yuki
- Hospital Pharmacy, Sapporo Kosei General Hospital
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- SHIBANAMI Akio
- Hospital Pharmacy, Sapporo Kosei General Hospital
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- HIURA Kazuya
- Dept. of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Hokkaido University of Science
Bibliographic Information
- Other Title
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- TC療法施行症例におけるシスタチンCを指標とした腎機能評価の有用性
Abstract
We investigated the relationship between renal function assessment based on cystatin C (CsyC) and serum creatinine levels and the status of chemotherapy use in patients with gynecological cancer undergoing paclitaxel and carboplatin therapy. A significant positive correlation was found between estimated glomerular filtration rate from creatinine (eGFRcre) and eGFR from CsyC (eGFRcys) in the 98 patients included in the study. When eGFRcre and eGFRcys values were grouped according to GFR categories in the CKD severity classification, severe cases (eGFRcys < eGFRcre) were of more advanced age (P < 0.05) and had lower albumin levels (P < 0.01) than matched cases. Although no clear relationship was found between renal function assessment and chemotherapy status, the CysC and eGFRcys values tended to be higher and lower, respectively, in patients whose chemotherapy was deferred (P < 0.01 for CysC, P = 0.07 for eGFRcys). These results suggest that eGFRcre-based renal function assessment is overestimated compared with eGFRcys-based assessment in patients with gynecological cancer and may lead to carboplatin overdose or treatment deferral in elderly patients and patients with hypoalbuminemia.
Journal
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- JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 72 (5), 385-393, 2024
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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Details 詳細情報について
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- CRID
- 1390299517765746816
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- ISSN
- 13497421
- 04682513
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed