Administration of Renin-Angiotensin System Inhibitor Affects Tumor Recurrence and Progression in Non-Muscle Invasive Bladder Cancer Patients

Autor: Saran Maneesuwansin, M.D., Chalairat Suk-ouichai, M.D., Patkawat Ramart, M.D., Siros Jitpraphai, M.D., Kittipong Phinthusophon, M.D., Ekkarin Chotikawanich, M.D., Teerapon Amornvesukit, M.D., Tawatchai Taweemonkongsap, M.D., Bansithi Chaiyaprasithi, M.D., Sunai Leewansangtong, M.D., Sittiporn Srinualnad, M.D., Chaiyong Nualyong, M.D.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Siriraj Medical Journal, Vol 71, Iss 1, Pp 31-37 (2019)
Druh dokumentu: article
ISSN: 2228-8082
DOI: 10.33192/Smj.2019.06
Popis: Objective: To evaluate the effects of renin-angiotensin system inhibitors (RASIs) on tumor-recurrence and disease-progression in non-muscle invasive bladder cancer (NMIBC) patients. Methods: From 2006-2015, 348 NMIBC patients at Siriraj Hospital were recruited for this study. Tumor-recurrence was identified after the transurethral resection of bladder cancer (TUR-BT) and pathological confirmation of NMIBC, while stage-progression was defined as muscularis-propria invasion after pathological review or metastases. Cox proportional hazards models were used to assess the recurrence-free survival (RFS) and progression-free survival (PFS) rates. Results: Of the 348 patients, 86 (24.7%) received RASIs at the first TUR-BT. The median age was 68 years, and it was significantly older for the RASI cohort. No differences in the tumor characteristics of the groups were found. The median follow-up periods for tumor-recurrence and stage-progression were 2.3 and 3.7 years, respectively. Forty percent of the patients experienced tumor-recurrence, with the no-RASI cohort experiencing a significantly higher tumor-recurrence rate (46% versus 22%, p
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