Prevention of different hydration options on cisplatin induced
nephrotoxicity: a systematic review and meta analysis
Abstract
Purpose:Cisplatin-induced nephrotoxicity (CIN) is still the most
serious side effect limiting the use of cisplatin. It affects up to 20%
of patients. So, there are many precautions to avoid it. The purpose of
this study was to conduct a systematic review and meta-analysis to
evaluate and determine different hydration options that could provide
protection against cisplatin-induced nephrotoxicity. Methods:A
computerized literature search of PubMed, Embase, and Cochrane databases
was performed. Trials were eligible if they enrolled patients receiving
cisplatin and participants to receive different hydration options to
prevent nephrotoxicity. We calculated odds ratios (ORs) and 95%
confidence intervals (CIs) for combinations of studies. Results:Within
1111 eligible studies, 31 articles fulfilling the selection criteria
were included in the review. A meta-analysis could only be performed on
the 9 retrospective studies concerning magnesium supplementation, and
showed nephroprotective effect of CIN (OR0.21, [0.59–0.29]).
Conclusion:Although up to now, there is no one method of prevention
that shows its indisputable efficacy, our results highlight the
potential protective effect of magnesium supplementation on CIN.