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Evaluation of antiemetic practices for prevention of chemotherapy-induced nausea and vomiting (CINV): results of a European oncology nurse survey
Gustave Roussy, France.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Oncology.ORCID iD: 0000-0002-9786-7326
Alcura UK Ltd, England.
Univ Hosp Coventry and Warwickshire, England.
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2019 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 27, no 11, p. 4099-4106Article in journal (Refereed) Published
Abstract [en]

Introduction Preventing CINV is possible when guideline-recommended antiemetics are used. Because oncology nurses play a critical role in risk assessment and management of CINV, a survey of European nurses was conducted to evaluate antiemetic practices, assess awareness of and adherence to current guideline recommendations, and explore barriers to adherence. Methods From March 2016 to Feb 2017, 212 oncology nurses in 16 European countries completed a 20-question online survey. Results Respondents had 15-year (median) oncology nursing experience, and most (75%) were able to suggest or prescribe antiemetics. Most (80%) worked in the public not-for-profit hospital setting. Guideline awareness was generally low with nurses most familiar with ASCO (46%) and MASCC/ESMO (40%) guidelines; individual institution guidelines were most commonly used (47%). Key discrepancies between reported antiemetic use and guideline recommendations in the highly emetogenic chemotherapy (HEC) setting were underutilization of the recommended NK(1)RA + 5-HT(3)RA + steroid combination on day 1 (55%) and high use of 5-HT3RAs (50%) on days 2-5 when a steroid (63% use) should be used. Metoclopramide use was high in both HEC and moderately emetogenic settings, with 30% and 50% reporting use on day 1 and days 2-5, respectively. The most common reported barrier to use of guideline-recommended agents was physician preference (40%). The most common challenges in managing CINV were "controlling nausea/vomiting in the delayed phase" (64%) and "reducing the impact of CINV on patients quality-of-life" (61%). Conclusions This survey highlights opportunities to improve utilization of guideline-recommended antiemetics, thereby optimizing prevention of CINV and QoL for patients receiving emetogenic chemotherapy.

Place, publisher, year, edition, pages
SPRINGER , 2019. Vol. 27, no 11, p. 4099-4106
Keywords [en]
Chemotherapy-induced nausea and vomiting (CINV); Emesis; Antiemetics; Guidelines; Adherence; Oncology nurses
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-161599DOI: 10.1007/s00520-019-04697-1ISI: 000491476800009PubMedID: 30783815OAI: oai:DiVA.org:liu-161599DiVA, id: diva2:1368183
Note

Funding Agencies|Helsinn Healthcare, SA, Lugano, Switzerland; Helsinn Healthcare, SA

Available from: 2019-11-06 Created: 2019-11-06 Last updated: 2019-11-06

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CiteExportLink to record
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