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Impact of tumour burden on chemotherapy-induced nausea and vomiting.
Department of Clinical Neuroscience, Karolinska Institute, S-171 76 Stockholm, Sweden / Department of Clinical Psychology, Uppsala University, Box 1225, S-751 42 Uppsala, Sweden;.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Department of Gynaecological Oncology, Radiumhemmet, S-171 76 Stockholm, Sweden.
Department of Clinical Psychology, Uppsala University, Box 1225, S-751 42 Uppsala, Sweden;.
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1996 (English)In: British Journal of Cancer, ISSN 0007-0920, E-ISSN 1532-1827, Vol. 74, no 7, 1114-1119 p.Article in journal (Refereed) Published
Abstract [en]

We investigated how residual tumour burden after cytoreductive surgery was related to the occurrence of acute and delayed nausea and vomiting in 101 ovarian cancer patients receiving their first chemotherapy course. The anti-emetic treatment included ondansetron combined with dexamethasone or placebo. After chemotherapy all patients received ondansetron only for 5 days. Two categories of tumour burden (TB) were formed according to the diameter of the greatest residual tumour (< 2 cm = minimal TB and > or = 2 cm = large TB). Self-reports of nausea and vomiting were obtained for 15 days. Other potential predictor variables were assessed and included in multivariate analyses. Patients with large compared with minimal TB had more delayed emesis, especially on days 2-7. They also had more acute nausea. The aggravating effect associated with large residual TB was more evident in patients > or = 55 years. During the second week after the chemotherapy the occurrence of nausea was higher in patients > or = 55 years than in those < 55 years. This was seen primarily in patients with large residual TB. Predictors for no delayed emesis at all were anti-emetic treatment with dexamethasone, minimal tumour burden, low neuroticism and no history of motion sickness. The increased risk of "persistent' delayed nausea and vomiting seen in older patients with large tumour burden may have important clinical implications and warrants further attention.

Place, publisher, year, edition, pages
1996. Vol. 74, no 7, 1114-1119 p.
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-113903PubMedID: 8855984OAI: diva2:785648
Available from: 2015-02-03 Created: 2015-02-03 Last updated: 2015-02-12

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Åvall-Lundqvist, ElisabethPeterson, Curt
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