Impact of pancreatic enzyme replacement therapy on short- and long-term outcomes in advanced pancreatic cancer: meta-analysis of randomized controlled trials
- Author(s)
- Ammar, K; Leeds, JS; Ratnayake, CB; Sen, G; French, JJ; Nayar, M; Oppong, KW; Loveday, BP; Pandanaboyana, S;
- Details
- Publication Year 2021-08,Volume 15,Issue #8,Page 941-947
- Journal Title
- Expert Review of Gastroenterology & Hepatology
- Publication Type
- Review
- Abstract
- Objectives: We analyzed randomized controlled trials (RCTs) to assess the impact of PERT on weight change, quality of life, and overall survival (OS) in patients with advanced pancreatic cancer (APC).Methods: All RCTs indexed in PubMed, Medline and Scopus, databases reporting PEI in APC and the effect of PERT were included up to August 2020. The primary outcome measure was OS and the secondary outcome measures were weight change and quality of life.Results: Four RCTs including 194 patients (107 males) were analyzed. Ninety-eight (50.5%) patients received PERT treatment. Treatment with PERT did not show a significant effect on OS (SMD 0.12, 95% confidence interval -0.46-0.70, p = 0.46). There was no difference in change in body weight (SMD 0.53, 95% confidence interval -0.72-1.77, p = 0.21). Quality of life was not significantly different in those taking PERT compared to controls.Conclusions: This meta-analysis found no significant difference in OS, change in weight or quality of life with use of PERT in APC. However, non-uniform designs and different end points , along with smaller number of patients, limit a more in-depth analysis of outcomes. Further, RCTs are warranted to support evidence of routine use of PERT in APC.
- Keywords
- *Enzyme Replacement Therapy; Exocrine Pancreatic Insufficiency/*drug therapy/etiology; Humans; Pancreatic Neoplasms/complications/*drug therapy/mortality; Quality of Life; Randomized Controlled Trials as Topic; Treatment Outcome; Weight Loss/drug effects; Pancreatic cancer; pancreatic Enzyme Replacement Therapy; pancreatic exocrine insufficiency; survival; weight
- Department(s)
- Surgical Oncology
- PubMed ID
- 33522321
- Publisher's Version
- https://doi.org/10.1080/17474124.2021.1884544
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2025-05-23 04:03:00
Last Modified: 2025-05-23 04:04:10