5α-Reductase Inhibitors Impact Prognosis of Urothelial Carcinoma

    September 2020 in “ BMC Cancer
    Chien-Sheng Wang, Ching‐Chia Li, Yung‐Shun Juan, Wen‐Jeng Wu, Hsiang‐Ying Lee
    TLDR 5α-reductase inhibitors may lower the risk of death from bladder cancer.
    The study examined the effects of 5α-reductase inhibitors (5-ARIs) on urothelial carcinoma outcomes using data from the Taiwan National Health Insurance database, involving 18,530 men with bladder cancer and 4,384 men with upper tract urothelial carcinoma. It found that 5-ARIs recipients had a lower risk of bladder cancer-related death compared to nonusers, but there was no significant difference in bladder cancer recurrence rates or upper tract urothelial carcinoma-related mortality. The results suggested that 5-ARIs could potentially improve bladder cancer outcomes, although the study's retrospective nature and lack of data on confounding factors like smoking history limited the conclusions, highlighting the need for further research.
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