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.
    This retrospective cohort study, using data from the Taiwan National Health Insurance database, examined the impact of 5α-reductase inhibitors (5-ARIs) on urothelial carcinoma outcomes in 18,530 men with bladder cancer and 4,384 men with upper tract urothelial carcinoma. The study found that 5-ARIs recipients had a lower risk of bladder cancer-related death (OR 0.835, 95% CI 0.71–0.98) compared to nonusers. However, there was no significant difference in bladder cancer recurrence rates (OR 0.956, 95% CI 0.82–1.11) or upper tract urothelial carcinoma-related mortality (OR 0.814, 95% CI 0.6–1.1). The findings suggested that 5-ARIs could be a viable strategy to improve bladder cancer outcomes.
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