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Evaluation of current antiemetic therapy response in patients undergoing MEC or HEC regimens in Portugal

dc.contributor.authorAraújo, António
dc.contributor.authorTavares, Nuno
dc.contributor.authorFaria, Ana Luísa
dc.contributor.authorGomes, Rosa
dc.contributor.authorMendonça, Joana Carvalho
dc.contributor.authorParente, Bárbara
dc.contributor.authorCapela, Andreia
dc.contributor.authorBarata, Fernando
dc.contributor.authorMacedo, Ana
dc.date.accessioned2023-03-29T10:19:00Z
dc.date.available2023-03-29T10:19:00Z
dc.date.issued2023-03
dc.description.abstractChemotherapy-induced nausea and vomiting (CINV) negatively impact cancer patients' quality of life and treatment outcomes. This study evaluated the achievement of complete response to CINV prophylaxis during the first five days after chemotherapy in adult outpatient cancer clinics with solid malignant tumours receiving Moderate or Highly Emetogenic Chemotherapy (MEC or HEC) in Portugal. During the study, patients completed three evaluations, and nausea severity and CINV impact on patients' daily life was assessed. A complete response (no emetic episodes, no use of rescue antiemetic medication, and no more than mild nausea) was observed in 72% of the cycles (N = 161) throughout the five days after chemotherapy. Amongst the patient population, 25% classified their CINV episodes as severe. Though more than half of the patients achieved a complete response, suggesting that a therapeutic effort is being made to minimise this side effect, the overall scenario is barely optimistic. Significantly, new CINV-control measures in MEC/HEC patients should be adopted, specifically avoiding the single use of dexamethasone and 5-HT3 and raising awareness of using NK1-RAs. Thus, it is critical to improve CINV prophylactic treatment and implement practical international antiemetic guidelines in Portuguese clinical practice, envisaging the improvement of supportive care for cancer patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/curroncol30020117pt_PT
dc.identifier.eissn1718-7729
dc.identifier.urihttp://hdl.handle.net/10400.1/19341
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectNeoplasmspt_PT
dc.subjectChemotherapypt_PT
dc.subjectNauseapt_PT
dc.subjectVomitingpt_PT
dc.subjectCINVpt_PT
dc.titleEvaluation of current antiemetic therapy response in patients undergoing MEC or HEC regimens in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1537pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage1529pt_PT
oaire.citation.titleCurrent Oncologypt_PT
oaire.citation.volume30pt_PT
person.familyNameMacedo
person.givenNameAna
person.identifier.ciencia-id8414-F029-8182
person.identifier.orcid0000-0002-6978-8989
person.identifier.ridL-9912-2018
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication8e798bcb-5052-47b0-a050-32f40328cc1a
relation.isAuthorOfPublication.latestForDiscovery8e798bcb-5052-47b0-a050-32f40328cc1a

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