PMID- 36191821 OWN - NLM STAT- MEDLINE DCOM- 20221129 LR - 20221129 IS - 1879-0461 (Electronic) IS - 1040-8428 (Linking) VI - 180 DP - 2022 Dec TI - Corticosteroids in oncology: Use, overuse, indications, contraindications. An Italian Association of Medical Oncology (AIOM)/ Italian Association of Medical Diabetologists (AMD)/ Italian Society of Endocrinology (SIE)/ Italian Society of Pharmacology (SIF) multidisciplinary consensus position paper. PG - 103826 LID - S1040-8428(22)00250-5 [pii] LID - 10.1016/j.critrevonc.2022.103826 [doi] AB - Corticosteroids (CSs) are widely used in oncology, presenting several different indications. They are useful for induction of apoptosis in hematological neoplasms, for management of anaphylaxis and cytokine release/hypersensitivity reaction and for the symptomatic treatment of many tumour- and treatment-related complications. If the employment of CSs in the oncological setting results in several benefits for patients and satisfaction for clinicians, on the other hand, many potential adverse events (AEs), both during treatment and after withdrawal of CSs, as well as the duality of the effects of these compounds in oncology, recommend being cautious in clinical practice. To date, several gray zones remain about indications, contraindications, dose, and duration of treatment. In this article, a panel of experts provides a critical review on CSs therapy in oncology, focusing on mechanisms of action and pharmacological characteristics, current and emerging therapeutic indications/contraindications, AEs related to CSs treatment, and the impact on patient outcome. CI - Copyright (c) 2022 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Faggiano, Antongiulio AU - Faggiano A AD - Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, ENETS Center of Excellence, Sapienza University of Rome, Rome, Italy. Electronic address: antongiulio.faggiano@uniroma1.it. FAU - Mazzilli, Rossella AU - Mazzilli R AD - Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, ENETS Center of Excellence, Sapienza University of Rome, Rome, Italy. FAU - Natalicchio, Annalisa AU - Natalicchio A AD - Department of Emergency and Organ Transplantation, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Bari, Italy. FAU - Adinolfi, Valerio AU - Adinolfi V AD - Endocrinology and Diabetology Unit, ASL Verbano Cusio Ossola, Domodossola, Italy. FAU - Argentiero, Antonella AU - Argentiero A AD - Medical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy. FAU - Danesi, Romano AU - Danesi R AD - Unit of Clinical Pharmacology and Pharmacogenetics, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy. FAU - D'Oronzo, Stella AU - D'Oronzo S AD - Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Bari, Italy. FAU - Fogli, Stefano AU - Fogli S AD - Unit of Clinical Pharmacology and Pharmacogenetics, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy. FAU - Gallo, Marco AU - Gallo M AD - Endocrinology and Metabolic Diseases Unit, AO SS Antonio e Biagio e Cesare Arrigo of Alessandria, Alessandria, Italy. FAU - Giuffrida, Dario AU - Giuffrida D AD - Department of Oncology, Istituto Oncologico del Mediterraneo, Viagrande, Catania, Italy. FAU - Gori, Stefania AU - Gori S AD - Oncologia Medica, IRCCS Ospedale Don Calabria-Sacro Cuore di Negrar, Verona, Italy. FAU - Montagnani, Monica AU - Montagnani M AD - Department of Biomedical Sciences and Human Oncology - Section of Pharmacology, Medical School - University of Bari Aldo Moro, Bari, Italy. FAU - Ragni, Alberto AU - Ragni A AD - Endocrinology and Metabolic Diseases Unit, AO SS Antonio e Biagio e Cesare Arrigo of Alessandria, Alessandria, Italy. FAU - Renzelli, Valerio AU - Renzelli V AD - Diabetologist and Endocrinologist, Italian Association of Clinical Diabetologists, Italy. FAU - Russo, Antonio AU - Russo A AD - Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy. FAU - Silvestris, Nicola AU - Silvestris N AD - Medical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, Messina, Italy. FAU - Franchina, Tindara AU - Franchina T AD - Medical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, Messina, Italy. FAU - Tuveri, Enzo AU - Tuveri E AD - Diabetology, Endocrinology and Metabolic Diseases Service, ASL-Sulcis, Italy. FAU - Cinieri, Saverio AU - Cinieri S AD - Medical Oncology Division and Breast Unit, Senatore Antonio Perrino Hospital, ASL Brindisi, Brindisi, Italy. FAU - Colao, Annamaria AU - Colao A AD - Endocrinology, Diabetology and Andrology Unit, Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy; UNESCO Chair, Education for Health and Sustainable Development, Federico II University, Naples, Italy. FAU - Giorgino, Francesco AU - Giorgino F AD - Department of Emergency and Organ Transplantation, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Bari, Italy. FAU - Zatelli, Maria Chiara AU - Zatelli MC AD - Section of Endocrinology and Internal Medicine, Department of Medical Sciences, University of Ferrara, Italy. CN - Oncological Endocrinology research group of the Italian Society of Endocrinology LA - eng PT - Journal Article PT - Review DEP - 20220930 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Adrenal Cortex Hormones) SB - IM MH - Humans MH - Consensus MH - *Medical Oncology/methods MH - *Societies, Medical MH - Contraindications MH - Adrenal Cortex Hormones/therapeutic use MH - Italy OTO - NOTNLM OT - Adverse events OT - Cancer OT - Corticosteroids OT - Dose OT - Glucocorticoids OT - Indications OT - Survival OT - Tumour response EDAT- 2022/10/04 06:00 MHDA- 2022/11/30 06:00 CRDT- 2022/10/03 19:27 PHST- 2022/08/04 00:00 [received] PHST- 2022/09/28 00:00 [revised] PHST- 2022/09/28 00:00 [accepted] PHST- 2022/10/04 06:00 [pubmed] PHST- 2022/11/30 06:00 [medline] PHST- 2022/10/03 19:27 [entrez] AID - S1040-8428(22)00250-5 [pii] AID - 10.1016/j.critrevonc.2022.103826 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2022 Dec;180:103826. doi: 10.1016/j.critrevonc.2022.103826. Epub 2022 Sep 30.