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Erythropoiesis-Stimulating Agents in the Treatment of Cancer-Associated Anemia
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To the Editor: The systematic review and meta-analysis of the effects of erythropoiesis-stimulating agents (ESAs) in the treatment of cancer-associated anemia by Dr Bennett and colleagues1 was largely based on our previously published Cochrane review,2-3 supplemented with additional data from the literature. We have a number of concerns about the study methods and data.
First, it is unclear whether the authors followed a protocol that defined eligibility criteria and preplanned subgroup analyses. The eligibility criteria appear to be different from the Cochrane review. Bennett et al incorporated data from ongoing studies4 and trials with iron supplementation in the active study group, which were excluded from the Cochrane review. If the earlier review was the point of departure for their analysis, only supplemented with studies published after 2005, it does not seem appropriate to use different inclusion and exclusion criteria. All studies published before 2005 should have been re-examined for consistency . . . [Full Text of this Article]
Julia Bohlius, MD, MScPH
jbohlius@ispm.unibe.ch Institute of Social and Preventive Medicine University of Bern Bern, Switzerland
Andreas Engert, MD
First Department of Internal Medicine University Hospital Cologne Cologne, Germany
Guido Schwarzer, MSc, PhD
Institute of Medical Biometry and Medical Informatics University of Freiburg Freiburg, Germany
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