A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting
Purpose: Chemotherapy-induced nausea and vomiting (CINV) are the major adverse effects of cancer chemotherapy. The objectives of this study are to evaluate the utilization of antiemetics in CINV and to assess the emetogenicity of chemotherapy and to investigate the incidence of acute and delayed CIN...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-01-01
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| Series: | Indian Journal of Medical and Paediatric Oncology |
| Subjects: | |
| Online Access: | http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=3;spage=334;epage=339;aulast=Baburaj |
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| author | Gayathri Baburaj Ansha Mariya Abraham Lija George Vijith Shetty Rovin M Thempalangad K S Rajesh K C Bharath Raj |
| author_facet | Gayathri Baburaj Ansha Mariya Abraham Lija George Vijith Shetty Rovin M Thempalangad K S Rajesh K C Bharath Raj |
| author_sort | Gayathri Baburaj |
| collection | DOAJ |
| description | Purpose: Chemotherapy-induced nausea and vomiting (CINV) are the major adverse effects of cancer chemotherapy. The objectives of this study are to evaluate the utilization of antiemetics in CINV and to assess the emetogenicity of chemotherapy and to investigate the incidence of acute and delayed CINV. Methods: A prospective observational study was carried out in patients undergoing chemotherapy. A suitable data collection form was designed to collect data regarding patient's demographics, cancer type, chemotherapy regimen, antiemetic prescribed, and incidence of CINV according to the standard methods utilizing morrow assessment of nausea and emesis form. Results: Among 200 patients enrolled in the study, with age range of 18–83 (52 ± 11.65; mean ± standard deviation) of both sexes (44% of male and 56% of female), 38.5% of patients received highly emetogenic chemotherapy and 46.5% received moderate emetogenic chemotherapy. Among the patients, 88% received 5HT3-RA in combination with corticosteroid (99%) and NK1-RA (40.5%). Despite the administration of antiemetic, the incidence of acute and delayed nausea after chemotherapy treatment was reported by 54% and 15.5%, respectively. The comparable figures for acute and delayed vomiting were 36.5% and 14.5%. Conclusion: The incidence of CINV among the patients was relatively high and it indicates that more attention is needed for the treatment of both acute and delayed CINV. It also gives an idea for implementation of more efficient antiemesis guideline in the clinical practice. |
| format | Article |
| id | doaj-art-37e6bb4c3b8e4dc8b5fc09c992eb84f7 |
| institution | DOAJ |
| issn | 0971-5851 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Medical and Paediatric Oncology |
| spelling | doaj-art-37e6bb4c3b8e4dc8b5fc09c992eb84f72025-08-20T03:03:58ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58512017-01-0138333433910.4103/ijmpo.ijmpo_116_17A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomitingGayathri BaburajAnsha Mariya AbrahamLija GeorgeVijith ShettyRovin M ThempalangadK S RajeshK C Bharath RajPurpose: Chemotherapy-induced nausea and vomiting (CINV) are the major adverse effects of cancer chemotherapy. The objectives of this study are to evaluate the utilization of antiemetics in CINV and to assess the emetogenicity of chemotherapy and to investigate the incidence of acute and delayed CINV. Methods: A prospective observational study was carried out in patients undergoing chemotherapy. A suitable data collection form was designed to collect data regarding patient's demographics, cancer type, chemotherapy regimen, antiemetic prescribed, and incidence of CINV according to the standard methods utilizing morrow assessment of nausea and emesis form. Results: Among 200 patients enrolled in the study, with age range of 18–83 (52 ± 11.65; mean ± standard deviation) of both sexes (44% of male and 56% of female), 38.5% of patients received highly emetogenic chemotherapy and 46.5% received moderate emetogenic chemotherapy. Among the patients, 88% received 5HT3-RA in combination with corticosteroid (99%) and NK1-RA (40.5%). Despite the administration of antiemetic, the incidence of acute and delayed nausea after chemotherapy treatment was reported by 54% and 15.5%, respectively. The comparable figures for acute and delayed vomiting were 36.5% and 14.5%. Conclusion: The incidence of CINV among the patients was relatively high and it indicates that more attention is needed for the treatment of both acute and delayed CINV. It also gives an idea for implementation of more efficient antiemesis guideline in the clinical practice.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=3;spage=334;epage=339;aulast=BaburajAntiemeticschemotherapynauseavomiting |
| spellingShingle | Gayathri Baburaj Ansha Mariya Abraham Lija George Vijith Shetty Rovin M Thempalangad K S Rajesh K C Bharath Raj A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting Indian Journal of Medical and Paediatric Oncology Antiemetics chemotherapy nausea vomiting |
| title | A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting |
| title_full | A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting |
| title_fullStr | A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting |
| title_full_unstemmed | A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting |
| title_short | A study on utilization and evaluation of antiemetics in chemotherapy-induced nausea and vomiting |
| title_sort | study on utilization and evaluation of antiemetics in chemotherapy induced nausea and vomiting |
| topic | Antiemetics chemotherapy nausea vomiting |
| url | http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=3;spage=334;epage=339;aulast=Baburaj |
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