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The Impact of Myelosuppression on Quality of Life of Patients Treated with Chemotherapy

Overview
Journal Future Oncol
Specialty Oncology
Date 2024 Apr 8
PMID 38587388
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Abstract

Side effects from chemotherapy-induced myelosuppression can negatively affect patients' quality of life (QoL). Neutropenia increases infection risk, and anemia frequently results in debilitating fatigue. Additionally, the bleeding risk associated with thrombocytopenia can lead to fear and anxiety. However, traditional interventions for myelosuppression fall short of the ideal. Granulocyte colony-stimulating factors reduce the risk of severe neutropenia but commonly lead to bone pain. Erythropoiesis-stimulating agents are not always effective and may cause thromboembolic events, while transfusions to correct anemia/thrombocytopenia are associated with transfusion reactions and volume overload. Trilaciclib, which is approved for reducing myelosuppression in patients with extensive-stage small cell lung cancer, together with several investigational agents in development for managing myelosuppression have the potential to improve QoL for patients on chemotherapy.

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References
1.
Barreto J, McCullough K, Ice L, Smith J . Antineoplastic agents and the associated myelosuppressive effects: a review. J Pharm Pract. 2014; 27(5):440-6. DOI: 10.1177/0897190014546108. View

2.
Crawford J, Kosmidis P, Hirsch F, Langer C . Targeting anemia in patients with lung cancer. J Thorac Oncol. 2007; 1(7):716-25. View

3.
Littlewood T, Bajetta E, Nortier J, Vercammen E, Rapoport B . Effects of epoetin alfa on hematologic parameters and quality of life in cancer patients receiving nonplatinum chemotherapy: results of a randomized, double-blind, placebo-controlled trial. J Clin Oncol. 2001; 19(11):2865-74. DOI: 10.1200/JCO.2001.19.11.2865. View

4.
Bendall L, Bradstock K . G-CSF: From granulopoietic stimulant to bone marrow stem cell mobilizing agent. Cytokine Growth Factor Rev. 2014; 25(4):355-67. DOI: 10.1016/j.cytogfr.2014.07.011. View

5.
Cella D, Kallich J, McDermott A, Xu X . The longitudinal relationship of hemoglobin, fatigue and quality of life in anemic cancer patients: results from five randomized clinical trials. Ann Oncol. 2004; 15(6):979-86. DOI: 10.1093/annonc/mdh235. View