Critical reviews in oncology/hematology最新文献

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Liquid biopsy entering clinical practice: Past discoveries, current insights, and future innovations 液体活检进入临床实践:过去的发现,当前的见解和未来的创新。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2025-01-03 DOI: 10.1016/j.critrevonc.2025.104613
Jinghan Song , Xiong Ye , Hui Xiao
{"title":"Liquid biopsy entering clinical practice: Past discoveries, current insights, and future innovations","authors":"Jinghan Song ,&nbsp;Xiong Ye ,&nbsp;Hui Xiao","doi":"10.1016/j.critrevonc.2025.104613","DOIUrl":"10.1016/j.critrevonc.2025.104613","url":null,"abstract":"<div><div>In recent years, liquid biopsy has gained prominence as an emerging biomarker in cancer research, providing critical insights into tumor biology and metastasis. Technological advancements have enabled its integration into clinical practice, with ongoing trials demonstrating encouraging outcomes. Key applications of liquid biopsy include early cancer detection, cancer staging, prognosis evaluation, and real-time monitoring of tumor progression to optimize treatment decisions. In this review, we present a comprehensive conceptual framework for liquid biopsy, discuss the challenges in its research and clinical application, and highlight its significant potential in identifying therapeutic targets and resistance mechanisms across various cancer types. Furthermore, we explore the emerging role of liquid biopsy-based multicancer screening, which has shown promising advancements. Looking ahead, standardization, multi-omics coanalysis, and the advancement of precision medicine and personalized treatments are expected to drive the future development and integration of liquid biopsy into routine clinical workflows, enhancing cancer diagnosis and treatment management.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104613"},"PeriodicalIF":5.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Circular RNAs as key regulators in cancer hallmarks: New progress and therapeutic opportunities 作为癌症标志物关键调控因子的环状 RNA:新进展和治疗机会。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2025-01-02 DOI: 10.1016/j.critrevonc.2024.104612
Bashdar Mahmud Hussen , Snur Rasool Abdullah , Rayan Mazin Jaafar , Mohammed Fatih Rasul , Rouben Aroutiounian , Tigran Harutyunyan , Thomas liehr , Majid Samsami , Mohammad Taheri
{"title":"Circular RNAs as key regulators in cancer hallmarks: New progress and therapeutic opportunities","authors":"Bashdar Mahmud Hussen ,&nbsp;Snur Rasool Abdullah ,&nbsp;Rayan Mazin Jaafar ,&nbsp;Mohammed Fatih Rasul ,&nbsp;Rouben Aroutiounian ,&nbsp;Tigran Harutyunyan ,&nbsp;Thomas liehr ,&nbsp;Majid Samsami ,&nbsp;Mohammad Taheri","doi":"10.1016/j.critrevonc.2024.104612","DOIUrl":"10.1016/j.critrevonc.2024.104612","url":null,"abstract":"<div><div>Circular RNAs (circRNAs) have emerged as critical regulators in cancer biology, contributing to various cancer hallmarks, including cell proliferation, apoptosis, metastasis, and drug resistance. Defined by their covalently closed loop structure, circRNAs possess unique characteristics like high stability, abundance, and tissue-specific expression. These non-coding RNAs function through mechanisms such as miRNA sponging, interactions with RNA-binding proteins (RBPs), and modulating transcription and splicing. Advances in RNA sequencing and bioinformatics tools have enabled the identification and functional annotation of circRNAs across different cancer types. Clinically, circRNAs demonstrate high specificity and sensitivity in samples, offering potential as diagnostic and prognostic biomarkers. Additionally, therapeutic strategies involving circRNA mimics, inhibitors, and delivery systems are under investigation. However, their precise mechanisms remain unclear, and more clinical evidence is needed regarding their roles in cancer hallmarks. Understanding circRNAs will pave the way for novel diagnostic and therapeutic approaches, potentially improving patient outcomes.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104612"},"PeriodicalIF":5.5,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MAVS: The next STING in cancers and other diseases MAVS:癌症和其他疾病的下一个刺痛。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-31 DOI: 10.1016/j.critrevonc.2024.104610
Xichen Wang , Qingwen Wang , Chunfu Zheng , Leisheng Wang
{"title":"MAVS: The next STING in cancers and other diseases","authors":"Xichen Wang ,&nbsp;Qingwen Wang ,&nbsp;Chunfu Zheng ,&nbsp;Leisheng Wang","doi":"10.1016/j.critrevonc.2024.104610","DOIUrl":"10.1016/j.critrevonc.2024.104610","url":null,"abstract":"<div><div>The mitochondrial antiviral signaling protein (MAVS) is a pivotal adaptor in the antiviral innate immune signaling pathway and plays a crucial role in the activation of antiviral defences. This comprehensive review delves into the multifaceted functions of MAVS, spanning from its integral role in the RIG-I-like receptor (RLR) pathway to its emerging roles in tumor biology and autoimmune diseases. We discuss the structural and functional aspects of MAVS, its activation mechanisms, and the intricate regulatory networks that govern its activity. The potential of MAVS as a therapeutic target has been explored, highlighting its promise in personalized cancer therapy and developing combination treatment strategies. Additionally, we compare it with the STING signaling pathway and discuss the synergistic potential of targeting both pathways in immunotherapy. Our review underscores the importance of MAVS in maintaining immune homeostasis and its implications for a broad spectrum of diseases, offering new avenues for therapeutic intervention.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104610"},"PeriodicalIF":5.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to Giunta et al.
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-27 DOI: 10.1016/j.critrevonc.2024.104605
Luca Nicosia, Andrea Gaetano Allegra, Jennifer Le Guevelou, Filippo Alongi
{"title":"Reply to Giunta et al.","authors":"Luca Nicosia,&nbsp;Andrea Gaetano Allegra,&nbsp;Jennifer Le Guevelou,&nbsp;Filippo Alongi","doi":"10.1016/j.critrevonc.2024.104605","DOIUrl":"10.1016/j.critrevonc.2024.104605","url":null,"abstract":"","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104605"},"PeriodicalIF":5.5,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
131I-mIBG therapy in relapsed/refractory neuroblastoma: A weapon from the future past i - mibg治疗复发/难治性神经母细胞瘤:来自未来的武器。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-26 DOI: 10.1016/j.critrevonc.2024.104606
Francesco Fabozzi , Maria Felicia Villani , Francesca Del Bufalo , Claudio Altini , Vittorio Cannatà , Ciucci Davide , Milena Pizzoferro , Margherita Drago , Federica D’Antonio , Elizabeth Katherine Anna Triumbari , Angela Di Giannatale , Sabina Vennarini , Angela Mastronuzzi , Maria Antonietta De Ioris , Maria Carmen Garganese
{"title":"131I-mIBG therapy in relapsed/refractory neuroblastoma: A weapon from the future past","authors":"Francesco Fabozzi ,&nbsp;Maria Felicia Villani ,&nbsp;Francesca Del Bufalo ,&nbsp;Claudio Altini ,&nbsp;Vittorio Cannatà ,&nbsp;Ciucci Davide ,&nbsp;Milena Pizzoferro ,&nbsp;Margherita Drago ,&nbsp;Federica D’Antonio ,&nbsp;Elizabeth Katherine Anna Triumbari ,&nbsp;Angela Di Giannatale ,&nbsp;Sabina Vennarini ,&nbsp;Angela Mastronuzzi ,&nbsp;Maria Antonietta De Ioris ,&nbsp;Maria Carmen Garganese","doi":"10.1016/j.critrevonc.2024.104606","DOIUrl":"10.1016/j.critrevonc.2024.104606","url":null,"abstract":"<div><div>Neuroblastoma (NB) is the most common extracranial solid tumor in children, with variable outcomes ranging from spontaneous remission to high-risk cases often leading to relapse or refractory disease. Approximately 50 % of patients with NB have high-risk features, often experiencing relapse or refractory disease despite intensive treatments and the prognosis remains poor, with long-term event-free survival (EFS) rates below 10 %,Radioactive iodine-labeled meta-iodobenzylguanidine (¹³¹I-mIBG) therapy, leveraging NB cells' radiosensitivity and expression of the norepinephrine transporter (NET), has shown promise in treating relapsed or refractory NB. Since 1985, ¹³¹I-mIBG has been studied to determine the maximum tolerated dose and side effects, with recent trials exploring its use in front-line treatment. Our systematic review, based on MEDLINE, EMBASE, and Cochrane CENTRAL databases up to December 2023, evaluates the effectiveness and toxicity of ¹³¹I-mIBG therapy in relapsed/refractory NB. It also discusses its potential role in conjunction with emerging therapies like CAR-T cells, haploidentical stem cell transplantation, and dinutuximab beta.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104606"},"PeriodicalIF":5.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exosome-based advances in pancreatic cancer: The potential of mesenchymal stem cells 基于外泌体的胰腺癌研究进展:间充质干细胞的潜力。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-26 DOI: 10.1016/j.critrevonc.2024.104594
Sana Rahimian , Kimia Mirkazemi , Armita Kamalinejad , Mohammad Doroudian
{"title":"Exosome-based advances in pancreatic cancer: The potential of mesenchymal stem cells","authors":"Sana Rahimian ,&nbsp;Kimia Mirkazemi ,&nbsp;Armita Kamalinejad ,&nbsp;Mohammad Doroudian","doi":"10.1016/j.critrevonc.2024.104594","DOIUrl":"10.1016/j.critrevonc.2024.104594","url":null,"abstract":"<div><div>Pancreatic cancer, especially pancreatic ductal adenocarcinoma (PDAC), is one of the most challenging clinical conditions due to its late-stage diagnosis and poor survival rates. Mesenchymal stem cells (MSCs), used for targeted therapies, are being explored as a promising treatment because of their tumor-homing properties and potential contributions to the pancreatic cancer microenvironment. Understanding these interactions is crucial for developing effective treatments. In this study, we investigated how MSCs exhibit tropism towards tumors, influence the microenvironment through paracrine effects, and serve as potential drug delivery vehicles. We also examined their role in progression and therapeutic resistance in pancreatic cancer therapy. The cytotoxic effects of certain compounds on tumor cells, the use of genetically modified MSCs as drug carriers, and the potential of exosomal biomarkers like miRNAs and riRNAs for diagnosis and monitoring of pancreatic cancer were analyzed. Overall, MSC-based therapies, coupled with insights into tumor-stromal interactions, offer new avenues for improving outcomes in pancreatic cancer treatment. Additionally, the use of MSC-based therapies in clinical trials is discussed. While MSCs show promising potential for pancreatic cancer monitoring, diagnosis, and treatment, results so far have been limited.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104594"},"PeriodicalIF":5.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Synergistic effects of immunotherapy and adjunctive therapies in prostate cancer management 免疫治疗和辅助治疗在前列腺癌治疗中的协同作用。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-26 DOI: 10.1016/j.critrevonc.2024.104604
Jie Chen , Na Ma , Bo Chen , Yin Huang , Jinze Li , Jin Li , Zeyu Chen , Puze Wang , Biao Ran , Jiahao Yang , Jingxing Bai , Shu Ning , Jianzhong Ai , Qiang Wei , Liangren Liu , Dehong Cao
{"title":"Synergistic effects of immunotherapy and adjunctive therapies in prostate cancer management","authors":"Jie Chen ,&nbsp;Na Ma ,&nbsp;Bo Chen ,&nbsp;Yin Huang ,&nbsp;Jinze Li ,&nbsp;Jin Li ,&nbsp;Zeyu Chen ,&nbsp;Puze Wang ,&nbsp;Biao Ran ,&nbsp;Jiahao Yang ,&nbsp;Jingxing Bai ,&nbsp;Shu Ning ,&nbsp;Jianzhong Ai ,&nbsp;Qiang Wei ,&nbsp;Liangren Liu ,&nbsp;Dehong Cao","doi":"10.1016/j.critrevonc.2024.104604","DOIUrl":"10.1016/j.critrevonc.2024.104604","url":null,"abstract":"<div><div>In recent years, cancer immunotherapy has received widespread attention due to significant tumor clearance in some malignancies. Various immunotherapy approaches, including vaccines, immune checkpoint inhibitors, oncolytic virotherapy, bispecific T cell engagers, and adoptive T cell transfer, have completed or are undergoing clinical trials for prostate cancer. Despite immune checkpoint blockade's extraordinary effectiveness in treating a variety of cancers, targeted prostate cancer treatment using the immune system is still in its infancy. Multiple factors including the heterogeneity of prostate cancer, the cold tumor microenvironment, and a low level of neoantigens, contribute to the poor immunotherapy response. Significant effort is being devoted to improving immune-based prostate cancer therapy. Recently, several key discoveries demonstrate that prostate cancer immunotherapy agents may be used to promise better prognosis for patients as part of combination strategies with other agents targeting tumor-associated immune mechanism of resistance. Here, this review comprehensively examines the recent advancements in immunotherapy for prostate cancer, exploring its potential synergistic effects when combined with other treatment modalities to enhance clinical efficacy.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104604"},"PeriodicalIF":5.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The multiple facets of ovarian high grade serous carcinoma: A review on morphological, immunohistochemical and molecular features 卵巢高级别浆液性癌的形态学、免疫组织化学和分子特征综述。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-26 DOI: 10.1016/j.critrevonc.2024.104603
Angela Santoro , Giuseppe Angelico , Antonio Travaglino , Frediano Inzani , Saveria Spadola , Angela Pettinato , Manuel Mazzucchelli , Emma Bragantini , Livia Maccio , Gian Franco Zannoni
{"title":"The multiple facets of ovarian high grade serous carcinoma: A review on morphological, immunohistochemical and molecular features","authors":"Angela Santoro ,&nbsp;Giuseppe Angelico ,&nbsp;Antonio Travaglino ,&nbsp;Frediano Inzani ,&nbsp;Saveria Spadola ,&nbsp;Angela Pettinato ,&nbsp;Manuel Mazzucchelli ,&nbsp;Emma Bragantini ,&nbsp;Livia Maccio ,&nbsp;Gian Franco Zannoni","doi":"10.1016/j.critrevonc.2024.104603","DOIUrl":"10.1016/j.critrevonc.2024.104603","url":null,"abstract":"<div><div>High-grade serous ovarian carcinoma (HGSOC) is the most aggressive subtype of epithelial ovarian cancer and a leading cause of mortality among gynecologic malignancies. This review aims to comprehensively analyze the morphological, immunohistochemical, and molecular features of HGSOC, highlighting its pathogenesis and identifying biomarkers with diagnostic, prognostic, and therapeutic significance. Special emphasis is placed on the role of tumor microenvironment (TME) and genomic instability in shaping the tumor’s behavior and therapeutic vulnerabilities. Key advancements, such as the identification of TP53 and BRCA mutations, the classification of homologous recombination repair (HRR) deficiencies, and the clinical implications of biomarkers like folate receptor alpha (FRα) and PD-L1 are discussed. These findings reveal actionable insights into targeted therapies, including immune checkpoint inhibitors and PARP inhibitors, which hold promise for improving outcomes in HGSOC. This synthesis of knowledge aims to bridge gaps in understanding HGSOC’s multifaceted biology, enhance clinical decision-making, and foster the development of precision therapies.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"208 ","pages":"Article 104603"},"PeriodicalIF":5.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating MicroRNAs as diagnostic tools for lymph node metastasis in breast cancer: Findings from a systematic review and meta-analysis 评价microrna作为乳腺癌淋巴结转移的诊断工具:来自系统回顾和荟萃分析的发现。
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-26 DOI: 10.1016/j.critrevonc.2024.104598
Coral González Martínez , Stavros Therapontos , Jose A. Lorente , Miriam Alcaide Lucena , F.Gabriel Ortega , M.Jose Serrano
{"title":"Evaluating MicroRNAs as diagnostic tools for lymph node metastasis in breast cancer: Findings from a systematic review and meta-analysis","authors":"Coral González Martínez ,&nbsp;Stavros Therapontos ,&nbsp;Jose A. Lorente ,&nbsp;Miriam Alcaide Lucena ,&nbsp;F.Gabriel Ortega ,&nbsp;M.Jose Serrano","doi":"10.1016/j.critrevonc.2024.104598","DOIUrl":"10.1016/j.critrevonc.2024.104598","url":null,"abstract":"<div><div>Lymph node metastasis (LNM) significantly affects the prognosis and clinical management of breast cancer (BC) patients. This systematic review and meta-analysis aim to identify microRNAs (miRNAs) associated with LNM in BC and evaluate their potential diagnostic and prognostic value. Following PRISMA guidelines, a comprehensive literature search was conducted in PubMed, Web of Science, and SCOPUS databases, to assess the role of miRNAs in LNM BC. The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool was used to evaluate the quality of included studies. A total of 84 miRNAs were identified as differentially expressed in BC patients with LNM. Of these, a meta-analysis was performed in two microRNAs that were present in at least 3 different articles with a coherent expression direction: miR-155 and miR-34a. The meta-analysis returned a pooled a Log2 fold change of 1.50 for miR-155 (upregulated) and −0.53 for miR-34a (downregulated) with no evidence of publication bias, and a low risk of bias and applicability concerns. To conclude, this study names miR-155 and miR-34a as potential diagnostic biomarkers for LNM in BC, although further experimental validation is necessary to confirm these findings and develop non-invasive diagnostic tools for clinical use.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104598"},"PeriodicalIF":5.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Grading the evidence for physical activity and any outcome in cancer survivors: An Umbrella review of 740 meta-analytic associations 癌症幸存者体育活动和任何结果的证据分级:740项meta分析关联的总括性回顾
IF 5.5 2区 医学
Critical reviews in oncology/hematology Pub Date : 2024-12-25 DOI: 10.1016/j.critrevonc.2024.104602
Panagiotis Filis , Georgios Markozannes , Doris SM Chan , Davide Mauri , Theodoros Foukakis , Alexios Matikas , Stavroula Droufakou , George Pentheroudakis , Konstantinos Tsilidis
{"title":"Grading the evidence for physical activity and any outcome in cancer survivors: An Umbrella review of 740 meta-analytic associations","authors":"Panagiotis Filis ,&nbsp;Georgios Markozannes ,&nbsp;Doris SM Chan ,&nbsp;Davide Mauri ,&nbsp;Theodoros Foukakis ,&nbsp;Alexios Matikas ,&nbsp;Stavroula Droufakou ,&nbsp;George Pentheroudakis ,&nbsp;Konstantinos Tsilidis","doi":"10.1016/j.critrevonc.2024.104602","DOIUrl":"10.1016/j.critrevonc.2024.104602","url":null,"abstract":"<div><h3>Background</h3><div>To contribute to the refinement of future physical activity (PA) guidelines, which have remained mostly generic until now, we performed an umbrella review of meta-analyses for PA in cancer survivors.</div></div><div><h3>Methods</h3><div>Medline and Scopus databases were searched in January 2024 for systematic reviews and meta-analyses on the association/effect of any type of PA in every cancer type and for any studied outcome. Statistically significant meta-analyses were categorized into four evidence groups (strong, highly suggestive, suggestive, weak) using pre-established grading criteria.</div></div><div><h3>Results</h3><div>A total of 102 publications reporting 740 meta-analytic associations were identified, including breast (n = 427), prostate (n = 104), hematological (n = 58), colorectal (n = 79) and lung (n = 54) cancer survivors. Overall, 401 (54 %) associations were nominally statistically significant, of which 16 were categorised as strong, 10 as highly suggestive, and 93 as suggestive evidence. In breast cancer, there was strong or highly suggestive evidence that post-diagnosis PA is associated with lower all-cause mortality, recurrence, cancer-related fatigue, depression, and higher mental health, body strength, aerobic capacity, and weight loss. In prostate cancer, strong evidence was identified for the positive association of PA with cardiovascular fitness, quality of life and fatigue amelioration. In colorectal cancer, strong and highly suggestive evidence supported the association of PA with lower all-cause mortality. In lung cancer, strong evidence supported the association of preoperative combination of breathing exercise and PA with reduced length of hospital stay.</div></div><div><h3>Conclusion</h3><div>This grading of the entirety of the available evidence can facilitate robust introduction of targeted exercise prescription in oncology care as standard practice.</div></div>","PeriodicalId":11358,"journal":{"name":"Critical reviews in oncology/hematology","volume":"207 ","pages":"Article 104602"},"PeriodicalIF":5.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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