Utilisation of primary and secondary G-CSF prophylaxis enables maintenance of optimal dose delivery of standard adjuvant chemotherapy for early breast cancer: An analysis of 1655 patients

被引:9
作者
Chan, Arlene [1 ,2 ]
McGregor, Scott [2 ]
Liang, Wenbin [3 ]
机构
[1] Curtin Univ, Perth, WA 6000, Australia
[2] Breast Canc Res Ctr WA, Perth, WA 6000, Australia
[3] Curtin Univ, Hlth Sci, Natl Drug Res Inst, Perth, WA 6000, Australia
关键词
Relative dose intensity; G-CSF use; First cycle nadir; Breast cancer; RANDOMIZED-TRIAL; CYCLOPHOSPHAMIDE; NEUTROPENIA; DOCETAXEL; 5-FLUOROURACIL; METHOTREXATE; DOXORUBICIN; EPIRUBICIN; PREDICTORS; INTENSITY;
D O I
10.1016/j.breast.2014.07.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Optimal outcome for early breast cancer patients receiving adjuvant chemotherapy requires adequate dose delivery, commonly defined as >85% of planned dose of chemotherapy agents. Outside the clinical trial setting, reports from community oncology centres have demonstrated that a significant proportion of patients fail to receive this dose intensity, with neutropenia being the most commonly cited reason for sub-optimal treatment. Data collected prospectively on 1655 patient treated in a single breast cancer centre demonstrates that patients at risk of sub-optimal dose delivery can be identified by routine assessment of neutropenic events during the first cycle. The uniform administration of secondary G-CSF for all subsequent cycles enables dose delivery >= 85%, which was shown to lead to improved survival outcomes when compared with those patients who received <85%. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:676 / 682
页数:7
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