title: Comparison of clinical outcomes of different erythropoietin usage strategies.
abstract: OBJECTIVE
  There is no comprehensive study that compares the different usage strategies of recombinant human erythropoietin (rHuEPO) in platinum-induced anemia. In order to clarify this issue, we conducted a prospective clinical study.
  
  
  METHODS
  Seventy-seven patients were studied in three main groups. Group 1 (n = 17) consisted of cancer patients without anemia. These patients received rHuEPO starting from the first chemotherapy cycle. Group 2 (n = 26) consisted of patients whose hemoglobin (Hb) values decreased by at least 1 g/dL after the first cycle of chemotherapy. Group 3 (n = 34) consisted of patients whose Hb values dropped below 10.5 g/dL after the second chemotherapy cycle. Groups 2 and 3 were each divided into two subgroups. In groups 1, 2A and 3A rHuEPO (5000 U/day subcutaneously three times a week) treatment was continued until three weeks after the completion of chemotherapy. In groups 2B and 3B, rHuEPO was given for 12 weeks only.
  
  
  RESULTS
  There were no prominent differences between the Hb values of these groups throughout the chemotherapy cycles. Transfusion rates and the number of patients who became anemic were also not different between groups.
  
  
  CONCLUSIONS
  No rHuEPO usage strategies are superior to others in terms of Hb levels and transfusion requirements. The decision as to when rHuEPO is to be added to platinum-containing therapy should be tailored to the health conditions of individual patients.
authors.affiliation: Uludag University Faculty of Medicine, Department of Medical Oncology, Bursa, Turkey. marslan@uludag.edu.tr
authors.forename: Murat
authors.initials: M
authors.lastname: Arslan
authors.forename: Turkkan
authors.initials: T
authors.lastname: Evrensel
authors.forename: Ender
authors.initials: E
authors.lastname: Kurt
authors.forename: Mutlu
authors.initials: M
authors.lastname: Demiray
authors.forename: Guzin
authors.initials: G
authors.lastname: Gonullu
authors.forename: Ozkan
authors.initials: O
authors.lastname: Kanat
authors.forename: Osman
authors.initials: O
authors.lastname: Manavoglu
mesh_terms: D000328:Adult; D000368:Aged; D000747:Anemia, Hypochromic / Q000097:blood / Q000139:chemically induced / Q000188:drug therapy*; D004334:Drug Administration Schedule; D004921:Erythropoietin / Q000008:administration & dosage*; D005260:Female; D006397:Hematinics / Q000008:administration & dosage*; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000097:blood / Q000188:drug therapy*; D017671:Platinum Compounds / Q000008:administration & dosage / Q000009:adverse effects*; D011994:Recombinant Proteins; D016896:Treatment Outcome
chemical_list: D006397:Hematinics; D006454:Hemoglobins; D017671:Platinum Compounds; D011994:Recombinant Proteins; D004921:Erythropoietin