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http://hdl.handle.net/1942/43570
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DC Field | Value | Language |
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dc.contributor.author | Karam, Sabine | - |
dc.contributor.author | Rosner, Mitchell H. | - |
dc.contributor.author | SPRANGERS, Ben | - |
dc.contributor.author | Stec, Rafal | - |
dc.contributor.author | Malyszko, Jolanta | - |
dc.date.accessioned | 2024-08-19T09:46:03Z | - |
dc.date.available | 2024-08-19T09:46:03Z | - |
dc.date.issued | 2024 | - |
dc.date.submitted | 2024-08-19T08:28:20Z | - |
dc.identifier.citation | Nephrology, dialysis, transplantation (Print), | - |
dc.identifier.uri | http://hdl.handle.net/1942/43570 | - |
dc.description.abstract | Chronic kidney disease (CKD) and cancer constitute two major public health burdens, and both are on the rise. Moreover, the number of patients affected simultaneously by both conditions is growing. The potential nephrotoxic effect of cancer therapies is particularly important for patients with CKD, as they are also affected by several comorbidities. Therefore, administering the right therapy at the right dose for patients with decreased kidney function can represent a daunting challenge. We review in detail the renal toxicities of anticancer therapies, i.e. conventional chemotherapy, targeted therapy, immune checkpoint inhibitors and radioligand therapies, issue recommendations for patient monitoring along with guidance on when to withdraw treatment and suggest dosage guidelines for select agents in advanced stage CKD. Various electrolytes disturbances can occur as the result of the administration of anticancer agents in the patient with decreased kidney function. These patients are prone to developing hyponatremia, hyperkalemia and other metabolic abnormalities because of a decreased glomerular filtration rate. Therefore, all electrolytes, minerals and acid base status should be checked at baseline and before each administration of chemotherapeutic agents. Moreover, studies on patients on kidney replacement therapy are very limited and only single cases or small case series have been published. Therefore, clinical therapeutical decisions in cancer patients with decreased function should be made by multidisciplinary teams constituted of medical oncologists, nephrologists and other specialists. Onconephrology is an evolving and expanding subspecialty. It is crucial to consider anticancer drug treatment in these patients and offer them a chance to be treated effectively. | - |
dc.language.iso | en | - |
dc.publisher | OXFORD UNIV PRESS | - |
dc.rights | The Author(s) 2024. Published by Oxford University Press on behalf of the ERA. | - |
dc.subject.other | anticancer therapy | - |
dc.subject.other | cancer | - |
dc.subject.other | decreased kidney function | - |
dc.subject.other | electrolytes disturbances | - |
dc.subject.other | onconephrology | - |
dc.title | Cancer therapy in patients with reduced kidney function | - |
dc.type | Journal Contribution | - |
local.format.pages | 9 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Malyszko, J (corresponding author), Warsaw Med Univ, Dept Nephrol Dialysis & Internal Med, Warsaw, Poland. | - |
dc.description.notes | jmalyszko@gmail.com | - |
local.publisher.place | GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Review | - |
dc.identifier.doi | 10.1093/ndt/gfae142 | - |
dc.identifier.pmid | 38914465 | - |
dc.identifier.isi | 001275555400001 | - |
dc.contributor.orcid | Malyszko, Jolanta/0000-0001-8701-8171; Stec, Rafal/0000-0002-3291-6422 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Karam, Sabine] Univ Minnesota, Dept Med, Div Nephrol & Hypertens, Minneapolis, MN USA. | - |
local.description.affiliation | [Karam, Sabine] Amer Univ Beirut, Dept Internal Med, Div Nephrol & Hypertens, Beirut, Lebanon. | - |
local.description.affiliation | [Rosner, Mitchell H.] Univ Virginia Hlth, Dept Med, Charlottesville, VA USA. | - |
local.description.affiliation | [Sprangers, Ben] UHasselt, Biomed Res Inst, Dept Immunol & Infect, Diepenbeek, Belgium. | - |
local.description.affiliation | [Sprangers, Ben] Ziekenhuis Oost Limburg, Dept Nephrol, Genk, Belgium. | - |
local.description.affiliation | [Stec, Rafal] Warsaw Med Univ, Dept Oncol, Warsaw, Poland. | - |
local.description.affiliation | [Malyszko, Jolanta] Warsaw Med Univ, Dept Nephrol Dialysis & Internal Med, Warsaw, Poland. | - |
local.uhasselt.international | yes | - |
item.fulltext | No Fulltext | - |
item.fullcitation | Karam, Sabine; Rosner, Mitchell H.; SPRANGERS, Ben; Stec, Rafal & Malyszko, Jolanta (2024) Cancer therapy in patients with reduced kidney function. In: Nephrology, dialysis, transplantation (Print),. | - |
item.accessRights | Closed Access | - |
item.contributor | Karam, Sabine | - |
item.contributor | Rosner, Mitchell H. | - |
item.contributor | SPRANGERS, Ben | - |
item.contributor | Stec, Rafal | - |
item.contributor | Malyszko, Jolanta | - |
crisitem.journal.issn | 0931-0509 | - |
crisitem.journal.eissn | 1460-2385 | - |
Appears in Collections: | Research publications |
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