评估纽约布朗克斯区少数族裔--社会经济地位较低人群中顺铂引起的肾毒性的发生率和严重程度。

IF 1.9 4区 医学 Q3 INFECTIOUS DISEASES
Journal of Chemotherapy Pub Date : 2025-05-01 Epub Date: 2024-06-30 DOI:10.1080/1120009X.2024.2363105
M Bakri Hammami, Paola Gudino, Juan Diego Rodriguez Salazar, Charan Vegivinti, Asma Qasim, Anjali Acharya
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引用次数: 0

摘要

评估少数民族顺铂诱发肾毒性的研究非常有限。我们对一家市内医院2019年至2023年接受顺铂治疗的成年患者进行了回顾性研究。我们在顺铂的基线和第 1、2、3 周期后采集了肾脏指数。共纳入 93 名患者,46% 为男性。中位年龄为 57 岁。约 40% 为黑人,13% 为白人,42% 为西班牙裔。约 54% 的患者没有保险。约 16% 的患者在顺铂第一周期后出现 AKI,5% 的患者在第二周期后出现 AKI,17% 的患者在第三周期后出现 AKI。种族、性别、体重指数与顺铂诱发的 AKI 之间没有明显的统计学相关性。重复测量方差分析检验表明,顺铂治疗后肌酐水平的累积上升具有统计学意义[Wilks' Lambda = 0.003, F(1,26)=13.7, η2 = 0.44]。我们在少数族裔、社会经济地位较低的人群中进行的研究强调了顺铂治疗每个周期后的渐进性肾损伤。有必要针对这一特定人群开展进一步研究,以制定有针对性的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the prevalence and severity of cisplatin-induced nephrotoxicity in a minority- low socioeconomic population in the Bronx, New York.

Studies evaluating Cisplatin-induced nephrotoxicity in minorities are limited. We conducted a retrospective review of adult patients receiving cisplatin from 2019 to 2023 at an inner-city hospital. Renal indices were obtained at baseline and after cycles 1, 2, and 3 of Cisplatin. A total of 93 patients were included, 46% were male. Median age was 57 years. About 40% were Black, 13% White, and 42% Hispanic. About 54% were uninsured. About 16% of the patients developed AKI after cycle 1 of cisplatin, 5% after cycle 2%, and 17% after cycle 3. There was no statistically significant correlation between race, sex, BMI and development of cisplatin-induced AKI. Repeated measures ANOVA test indicated a statistically significant and cumulative rise in creatinine level following cisplatin therapy [Wilks' Lambda = 0.003, F(1,26)=13.7, η2 = 0.44]. Our study in a minority, low socioeconomic population highlights the progressive kidney injury following each cycle of cisplatin therapy. Further studies targeting this specific population are warranted to develop tailored interventions.

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来源期刊
Journal of Chemotherapy
Journal of Chemotherapy 医学-药学
CiteScore
3.70
自引率
0.00%
发文量
144
审稿时长
6-12 weeks
期刊介绍: The Journal of Chemotherapy is an international multidisciplinary journal committed to the rapid publication of high quality, peer-reviewed, original research on all aspects of antimicrobial and antitumor chemotherapy. The Journal publishes original experimental and clinical research articles, state-of-the-art reviews, brief communications and letters on all aspects of chemotherapy, providing coverage of the pathogenesis, diagnosis, treatment, and control of infection, as well as the use of anticancer and immunomodulating drugs. Specific areas of focus include, but are not limited to: · Antibacterial, antiviral, antifungal, antiparasitic, and antiprotozoal agents; · Anticancer classical and targeted chemotherapeutic agents, biological agents, hormonal drugs, immunomodulatory drugs, cell therapy and gene therapy; · Pharmacokinetic and pharmacodynamic properties of antimicrobial and anticancer agents; · The efficacy, safety and toxicology profiles of antimicrobial and anticancer drugs; · Drug interactions in single or combined applications; · Drug resistance to antimicrobial and anticancer drugs; · Research and development of novel antimicrobial and anticancer drugs, including preclinical, translational and clinical research; · Biomarkers of sensitivity and/or resistance for antimicrobial and anticancer drugs; · Pharmacogenetics and pharmacogenomics; · Precision medicine in infectious disease therapy and in cancer therapy; · Pharmacoeconomics of antimicrobial and anticancer therapies and the implications to patients, health services, and the pharmaceutical industry.
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