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- Title
5α-Reductase Inhibitors Could Prevent the Clinical and Pathological Progression of Prostate Cancer: A Meta-analysis.
- Authors
Yue Yang; Haifeng Hu; Hanchao Zhang; Zhengdao Liu; Faliang Zhao; Jin Yang; Guobiao Liang; Yang, Yue; Zhang, Hanchao; Liu, Zhengdao; Zhao, Faliang; Hu, Haifeng; Yang, Jin; Liang, Guobiao
- Abstract
<bold>Purpose: </bold>To explore the efficacy of 5-ARIs in PCA (Prostate Cancer).<bold>Methods: </bold>Searching through the major medical databases such as PubMed, Science Citation Index, EMBASE, Medline, Web of Science, Cochrane Library for all published studies in English until 2018. The following search terms were used: "Finasteride", "dutasteride", "5α reductase inhibitors", "5-ARIs", "prostate cancer", "prostate neoplasm" and the additional related studies were manually searched. Newcastle-Ottawa Scale (NOS) assessed the qualities of studies, and the outcome measures were observed by RR or OR with 95% CIs.<bold>Results: </bold>We included 9 eligible studies for analyses from 2011 to 2017. We found that 5-ARIs group may have fewer progression (OR = 0.48 95%CI: 0.37-0.61 P < 0.00001, I2=4% p = 0.39) and lower pathological progression (OR = 0.46; 95%CI: 0.29-0.73; p = 0.001, I2=0% p = 0.45), compared with control groups. However, the OS did not show significant difference between two groups (OR=1.10; 95%CI:0.90-1.35; P = 0.35, I2 = 93% P < .00001 ).<bold>Conclusion: </bold>The use of 5-ARIs could prevent progression in PCA patients both clinical and pathological.
- Subjects
CANCER invasiveness; PROSTATE cancer; MEDICAL databases; CITATION indexes; FINASTERIDE; DISEASE progression; RESEARCH; META-analysis; RESEARCH methodology; MEDICAL cooperation; EVALUATION research; COMPARATIVE studies; ENZYME inhibitors; PROSTATE tumors
- Publication
Urology Journal, 2021, Vol 18, Issue 3, p247
- ISSN
1735-1308
- Publication type
journal article
- DOI
10.22037/uj.v18i.4831