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Adverse reactions mediated by radiopharmaceuticals for palliative treatment of bone metastases: asystematic review of literature

dc.contributor.authorPinho, Cláudia
dc.contributor.authorMartins, Sara
dc.contributor.authorJesus, Ângelo
dc.contributor.authorSuárez, Ana Martín
dc.date.accessioned2023-09-22T16:09:57Z
dc.date.available2023-09-22T16:09:57Z
dc.date.issued2023-07-11
dc.description.abstractBone metastases are one of the most frequent complications of advanced cancers and one of the therapies used for the palliative treatment of pain associated with them is radiopharmaceutical therapy. Like any other drug, radiopharmaceuticalscan cause adverse reactions (AR). Therefore, a global and up-to-date view of AR related to radiopharmaceuticals is essential, to allow the detection, understanding and management of them by health professionals and the patient. Reviewthe results and conclusions of studies on the use of RF in the palliative treatment of pain associated with bone metastases, particularly, Strontium-89 (89Sr), Samarium-153 (153Sm), Rhenium-186 (186Re) and Rhenium-188 (188Re). A systematic literature review was conducted according to PRISMA statement, using the databases MEDLINE and EBSCO. After the selection process, 20 articles were included. The main AR reported are flare responsesand hematologic toxicity. All the studies recovered show that these drugs can provide safe, symptomatic relief from painfulosseous metastases and, in most cases, the hematological toxicity was reversible, even in elderly and severely ill patients. There is also evidence of secondary outputs for health and quality of life.Conclusions:Pain is among the most common and distressing symptoms encountered by patients with advanced cancer. The challenge of pain palliation is to achieve effective relief with minimal AR. The studies analyzed presented very similar results regarding pain relief after treatment, decrease in analgesic consumption, AR at the time of administration, hematologic toxicity and disease progression after treatment. The use of RF for pain palliation seems to be safe and an alternative to existing treatments, however more studies are need no access safety and toxicity. Pharmacovigilance of radiopharmaceuticsl is imperative so we can safely study the possible adverse effects of such drugs.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMartins, S., Pinho, C. A., Jesus, Â., & Suárez, A. M. (2023). Adverse reactions mediated by radiopharmaceuticals for palliative treatment of bone metastases: A systematic review of literature. Proceedings of Research and Practice in Allied and Environmental Health, 1(1), 6. https://doi.org/10.26537/prpaeh.v1i1.5147pt_PT
dc.identifier.doi10.26537/prpaeh.v1i1.5147pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.22/23599
dc.language.isoengpt_PT
dc.relation.publisherversionhttps://parc.ipp.pt/index.php/PRPAEH/article/view/5147pt_PT
dc.subjectAdverse reactionspt_PT
dc.subjectBone metastasespt_PT
dc.subjectPharmacovigilancept_PT
dc.subjectPain palliationpt_PT
dc.subjectRadiopharmaceuticalspt_PT
dc.titleAdverse reactions mediated by radiopharmaceuticals for palliative treatment of bone metastases: asystematic review of literaturept_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.startPage6pt_PT
oaire.citation.titleProceedings of Research and Practice in Allied and Environmental Health 2023pt_PT
oaire.citation.volume1 (1)pt_PT
person.familyNamePinho
person.familyNameJesus
person.givenNameCláudia
person.givenNameÂngelo
person.identifier.ciencia-id8B1B-A0D9-B6E4
person.identifier.ciencia-idA91F-3585-4F42
person.identifier.orcid0000-0002-3157-3712
person.identifier.orcid0000-0003-3972-8253
person.identifier.ridA-4404-2012
person.identifier.scopus-author-id56153841300
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication01c994b8-cb20-43a8-947c-d2b978283944
relation.isAuthorOfPublication1cbff3da-9800-4bd7-8d84-fd8d9ca819b2
relation.isAuthorOfPublication.latestForDiscovery01c994b8-cb20-43a8-947c-d2b978283944

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