FIALA, Ondrej, Pavel OSTASOV, Ondrej SOREJS, Vaclav LISKA, Tomáš BÜCHLER, Alexandr POPRACH and Jindrich FINEK. Incidental Use of Beta-Blockers Is Associated with Outcome of Metastatic Colorectal Cancer Patients Treated with Bevacizumab-Based Therapy: A Single-Institution Retrospective Analysis of 514 Patients. Cancers. BASEL: MDPI, 2019, vol. 11, No 12, p. 1-13. ISSN 2072-6694. Available from: https://dx.doi.org/10.3390/cancers11121856.
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Basic information
Original name Incidental Use of Beta-Blockers Is Associated with Outcome of Metastatic Colorectal Cancer Patients Treated with Bevacizumab-Based Therapy: A Single-Institution Retrospective Analysis of 514 Patients
Authors FIALA, Ondrej (203 Czech Republic, guarantor), Pavel OSTASOV (203 Czech Republic), Ondrej SOREJS (203 Czech Republic), Vaclav LISKA (203 Czech Republic), Tomáš BÜCHLER (203 Czech Republic), Alexandr POPRACH (203 Czech Republic, belonging to the institution) and Jindrich FINEK (203 Czech Republic).
Edition Cancers, BASEL, MDPI, 2019, 2072-6694.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 6.126
RIV identification code RIV/00216224:14110/19:00112964
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3390/cancers11121856
UT WoS 000507382100035
Keywords in English colorectal cancer; bevacizumab; beta-blocker; outcome; hypertension
Tags 14110811, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 17/2/2020 14:37.
Abstract
Background: Beta-adrenergic signalling plays an important role in several cancer-related processes, including angiogenesis. The impact of beta-blocker use on prognosis of cancer patients treated with antiangiogenic agents is unclear. The aim of this study was to evaluate the association between the incidental use of beta-blockers and the outcomes of patients with metastatic colorectal cancer (mCRC) treated with bevacizumab-based therapy. Methods: Clinical data from 514 mCRC patients treated with bevacizumab between 2005 and 2019 were analysed retrospectively. The association of progression-free survival (PFS) and overall survival (OS) with the incidental use of beta-blockers and other common antihypertensive drugs was assessed. Results: The median PFS and OS for patients using beta-blockers was 11.40 (95% confidence interval (CI) 10.10-13.61) months and 26.8 (95% CI 22.2-32.2) months compared with 8.30 (95% CI 7.80-9.57) and 21.0 (95% CI 17.8-23.8) months for patients not using beta-blockers (p = 0.006 and p = 0.009, respectively). In the Cox multivariate analysis, the use of beta-blockers was a significant factor predicting both PFS (hazard ratio (HR) = 0.763 (95% CI 0.606-0.960), p = 0.021) and OS (HR = 0.730 (95% CI 0.560-0.951), p = 0.020). Conclusions: The results of the present retrospective study suggest that there is a significant association between the use of beta-blockers and favourable outcomes of mCRC patients treated with bevacizumab-based therapy.
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