Naslov
Optimizing treatment for patients with metastatic renal cell carcinoma in the Central and Eastern European region

Autori
Vrdoljak, Eduard ; Ciuleanu, T. ; Kharkevich, G. ; Mardiak, J. ; Mego, M. ; Padrik, P. ; Petruželka, L. ; Purkalne, G. ; Shparyk, Y. ; Skrbinc, B. ; Szczylik, C. ; Torday, L.

Izvornik
Expert opinion on pharmacotherapy (1465-6566) 13 (2012), 2; 159-174

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
tretment; metastatic renal cancer; Central and Eastern European region.;
(tretment; metastatic renal cancer; Central and Eastern European region)

Sažetak
INTRODUCTION: Belarus, Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Republic of Moldova, Romania, Russian Federation, Serbia, Slovakia, Slovenia and the Ukraine represent a collection of Central and Eastern European (CEE) countries in which the epidemiology and treatment of cancer varies greatly between and within countries. Current challenges include non-adherence to current treatment guidelines, restrictions in access and reimbursement for new therapies, and a lack of basic oncology programs. Metastatic renal cell carcinoma (mRCC) is a malignancy with historically poor prognosis. In CEE countries, the incidence and mortality rates of mRCC are among the highest in the world. Fortunately, mRCC represents a cancer for which a number of new targeted therapies have recently demonstrated benefit, resulting in new evidence-based treatment guidelines. Incorporating these mRCC treatment recommendations into the routine care of patients with mRCC in CEE countries would represent a major step forward for cancer care in this region. AREAS COVERED: This review discusses the unique challenges faced by the aforementioned Eastern European countries in the treatment of metastatic renal cell cancer, in an attempt to assist health-care providers in providing the best care possible for their European patients. EXPERT OPINION: Despite a wealth of clinical trial data supporting the use of targeted therapies for first-line treatment of mRCC, cytokine-based immunotherapy is still used in some of these European countries. With implementation and adherence to existing guidelines, treatment can be clinically and economically optimized in patients with mRCC from this region.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA