Department of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Rm 7-821 700 University Avenue, Toronto, ON, Canada.
Support Care Cancer. 2018 Mar;26(Suppl 1):29-33. doi: 10.1007/s00520-018-4117-1. Epub 2018 Mar 19.
For patients with cancer, the threat of chemotherapy-induced nausea and vomiting (CINV) can greatly influence treatment decisions and overall quality of life. Clinicians now have numerous effective antiemetic therapies to offer to patients, but selecting the optimal strategy can be complicated. Integration of current CINV guidelines, emerging data from recent clinical trials, and patient-specific risk factors can greatly improve antiemetic prophylaxis. Two challenging clinical scenarios are presented and discussed to provide insight on how to best approach these types of treatment decisions and apply recent advances in CINV prevention and management to patient care.
对于癌症患者来说,化疗引起的恶心和呕吐(CINV)的威胁极大地影响了他们的治疗决策和整体生活质量。临床医生现在有许多有效的止吐治疗方法可供患者选择,但选择最佳策略可能会很复杂。整合当前的 CINV 指南、来自最近临床试验的新数据以及患者的具体风险因素,可以极大地改善止吐预防。本文提出并讨论了两种具有挑战性的临床情况,以提供有关如何最好地处理这些类型的治疗决策的见解,并将 CINV 预防和管理方面的最新进展应用于患者护理。