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ANDROGEN DEPRIVATION THERAPY AND SARS-COV-2 INFECTION IN PATIENTS WITH PROSTATE CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS

HÜSEYİN SALİH SEMİZ, MEHMET EMİN ARAYİCİ, HULYA ELLİDOKUZ

Eurasian Journal of Medical Investigation - 2022;6(3):273-278

Department of Medical Oncology, Dokuz Eylul University, Institute of Oncology, Izmir, Türkiye

 

Objectives: The main treatment for metastatic prostate cancer is androgen deprivation therapy. The relationship be tween ADT and SARSCoV-2 virus was intensively investigated since the COVID 19 pandemic began. To perform a meta analysis to evaluate the effect of androgen deprivation therapy (ADT) on COVID-19 in patients with prostate cancer. Methods: On January 11th, a comprehensive literature search was conducted following PRISMA guidelines in the PubMed, Scopus, Embase, and Web of Science databases, and an update was conducted on January 24 for this search. Results: Eight papers were included for systematic review. Five studies were suitable for meta-analysis. The incidence of SARS-CoV-2 infection among patients who were receiving ADT was 3.0%. ADT was not associated with a lower in cidence of SARS-CoV-2 infection (95% CI: 0.56-1.58, RR = 0.94, p=.91; I2 = 60%, p=.03). Mortality was around 28% and there was no significant relationship between ADT use and mortality (95% CI: 0.61-1.69, RR = 1.01, p=.96). Conclusion: It is difficult to say that there is a relationship between use of ADT and the risk of death due to COVID-19 infection. But there is also no evidence to suggest that ADT causes the risk of death from COVID-19.