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Baseline patient characteristics, incidence of CINV, and physician perception of CINV incidence following moderately and highly emetogenic chemotherapy in Asia Pacific countries

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单位: [1]Mackay Mem Hosp, Ctr Canc, Taipei, Taiwan [2]Natl Univ Singapore, Singapore 117548, Singapore [3]Catholic Univ Korea, St Vincents Hosp, Suwon, South Korea [4]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Ctr Canc, Wuhan 430074, Peoples R China [5]Kyungpook Natl Univ, Med Ctr, Taegu, South Korea [6]Catholic Univ Korea, Seoul St Marys Hosp, Seoul, South Korea [7]OptumInsight Inc, Stockholm, Sweden [8]Merck Sharp & Dohme Ltd, Global Med Affairs, Seoul, South Korea [9]Merck Sharp & Dohme Ltd, Global Med Affairs, Singapore, Singapore [10]Merck Res Labs, Global Hlth Outcomes, Whitehouse Stn, NJ USA [11]Univ Adelaide, Fac Hlth Sci, Adelaide, SA, Australia
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关键词: Chemotherapy-induced nausea and vomiting Incidence Observational Prescribing patterns

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This paper describes the incidence of chemotherapy-induced nausea and vomiting (CINV) after highly or moderately emetogenic chemotherapy (HEC or MEC) for cancer in six Asia Pacific countries. Sequential adult patients na < ve to chemotherapy and scheduled to receive at least two cycles of single-day HEC or MEC were enrolled in this prospective observational study. Patients completed the Multinational Association of Supportive Care in Cancer (MASCC) Antiemesis Tool on post-chemotherapy days 2 and 6 to record acute-phase (first 24 h) and delayed-phase (days 2-5) CINV. There were 648 evaluable patients (318 HEC, 330 MEC) from Australia (n = 74), China (153), India (88), Singapore (57), South Korea (151), and Taiwan (125). Mean (SD) patient age was 56 (12) and 58 % of patients were women; the most common primary cancers were breast (27 %), lung (22 %), and colon (20 %). Overall in cycle 1, complete response (no emesis or rescue antiemetics) was recorded by 69 % (95 % confidence interval (CI), 66-73) of all evaluable patients, with country percentages ranging from 55 to 78 % (p < 0.001). After HEC, no emesis was recorded by 75 % and no nausea by 38 % of patients. After MEC, 80 % had no emesis and 50 % no nausea. Acute-phase CINV was better controlled than delayed-phase CINV, and the control of nausea was the lowest of any CINV measure in all phases. In a CINV perception survey, physicians tended to overestimate emesis rate and underestimate nausea rate. CINV remains a substantial problem, and country-specific information about CINV can be useful in developing strategies to improve outcomes for patients undergoing chemotherapy.

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出版当年[2014]版:
大类 | 3 区 医学
小类 | 2 区 卫生保健与服务 2 区 康复医学 4 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 康复医学 3 区 卫生保健与服务 3 区 肿瘤学
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出版当年[2013]版:
Q1 REHABILITATION Q2 HEALTH CARE SCIENCES & SERVICES Q3 ONCOLOGY
最新[2023]版:
Q1 REHABILITATION Q2 HEALTH CARE SCIENCES & SERVICES Q2 ONCOLOGY

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第一作者单位: [1]Mackay Mem Hosp, Ctr Canc, Taipei, Taiwan
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