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May 11, 2018癌症:英文版Open Access

Cardiotoxicity of 5‐fluorouracil and capecitabine in Chinese patients: a prospective study

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Why the study?

Does capecitabine-based chemotherapy compared to 5-FU-based chemotherapy increase the risk of cardiotoxicity in Chinese patients with malignant diseases?

Population

527 Chinese patients with malignant diseases receiving 5-fluorouracil-based or capecitabine-based…

Comparison

Capecitabine-based chemotherapy vs 5-fluorouracil (5-FU)-based chemotherapy

Design

Cohort

Follow-up

during treatment and up to 28 days of follow-up

Authors

JPJianjun PengHunan University of Science and TechnologyCDChao DongCRRC (China)CWChang WangWorld Wide Web Consortium

Discussion

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Member takes

Overview

Capecitabine was associated with higher cardiotoxicity than 5-FU; leaves open preferential 5-FU use pending randomized confirmation.

Structured PICO

Does capecitabine-based chemotherapy compared to 5-FU-based chemotherapy increase the risk of cardiotoxicity in Chinese patients with malignant diseases?

P
Population
527 Chinese patients with malignant diseases receiving 5-fluorouracil (5-FU)-based or capecitabine-based chemotherapy as either first-line or adjuvant therapy.
I
Intervention
Capecitabine-based chemotherapy
C
Comparator
5-fluorouracil (5-FU)-based chemotherapy
O
Outcome
Incidence rates and clinical manifestations of cardiotoxicity (measured by ECG, myocardial enzymes, cardiac troponin, brain natriuretic peptide, and echocardiography)safety

Capecitabine-based chemotherapy is associated with a significantly higher incidence of cardiotoxicity compared to 5-FU-based chemotherapy in Chinese cancer patients, with pre-existing cardiac disease and hypertension identified as significant risk factors.

Cite This Study

Peng et al. (2018) studied this question.

synapsesocial.com/papers/6a7d69f5c7e6f6a50737d8d2https://doi.org/10.1186/s40880-018-0292-1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical and Electrocardiography Changes in Patients Treated with Capecitabine2011 · 47 citations
  2. 2Fluoropyrimidine-associated cardiotoxicity: revisited2009 · 281 citations
  3. 3High Incidence of Angina pectoris in Patients Treated with 5-Fluorouracil2003 · 104 citations
  4. 4Cardio-oncology: A new medical issue2009 · 37 citations
  5. 55-fluorouracil induced cardiotoxicity: Review of the literature2012 · 194 citations