Incidence and risk of xerosis with targeted anticancer therapies.

Abstract:

BACKGROUND:Many targeted therapies used in the treatment of cancer can lead to the development of xerosis, but the incidence and relative risk of xerosis have not been ascertained. OBJECTIVE:We conducted a systematic review and metaanalysis of clinical trials, to ascertain the incidence and risk of developing xerosis after taking anticancer drugs. METHODS:The PubMed (1966-October 2013), Web of Science (January 1998-October 2013), and American Society of Clinical Oncology abstracts (2004-2013) databases were searched for clinical trials of 58 targeted agents. Results were calculated using random or fixed effects models. RESULTS:The incidences of all- and high-grade xerosis were 17.9% (95% confidence interval [CI]: 15.6-20.4%) and 1.0% (95% CI: 0.9-1.5%), respectively. The risk of developing all-grade xerosis was 2.99 (95% CI: 2.0-4.3), and it varied across different drugs (P < .001). LIMITATIONS:The reporting of xerosis may vary among clinicians and institutions, and the incidence may be affected by age, concomitant medications, comorbidities, and underlying malignancies or skin conditions. CONCLUSION:Patients receiving targeted therapies have a significant risk of developing xerosis. Patients should be counseled and treated early for this symptom to prevent suboptimal dosing and quality of life impairment.

journal_name

J Am Acad Dermatol

authors

Valentine J,Belum VR,Duran J,Ciccolini K,Schindler K,Wu S,Lacouture ME

doi

10.1016/j.jaad.2014.12.010

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

656-67

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(14)02270-1

journal_volume

72

pub_type

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