Baseline patient characteristics, incidence of CINV, and physician perception of CINV incidence following moderately and highly emetogenic chemotherapy in Asia Pacific countries
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肿瘤科华中科技大学同济医学院附属同济医院[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
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.
基金:
Merck Co., Inc.; Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Whitehouse Station, NJ
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2013]版:
Q1REHABILITATIONQ2HEALTH CARE SCIENCES & SERVICESQ3ONCOLOGY
最新[2023]版:
Q1REHABILITATIONQ2HEALTH CARE SCIENCES & SERVICESQ2ONCOLOGY
第一作者单位:[1]Mackay Mem Hosp, Ctr Canc, Taipei, Taiwan
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推荐引用方式(GB/T 7714):
Hsieh Ruey Kuen,Chan Alexandre,Kim Hoon-Kyo,et al.Baseline patient characteristics, incidence of CINV, and physician perception of CINV incidence following moderately and highly emetogenic chemotherapy in Asia Pacific countries[J].SUPPORTIVE CARE IN CANCER.2015,23(1):263-272.doi:10.1007/s00520-014-2373-2.
APA:
Hsieh, Ruey Kuen,Chan, Alexandre,Kim, Hoon-Kyo,Yu, Shiying,Kim, Jong Gwang...&Keefe, Dorothy M. K..(2015).Baseline patient characteristics, incidence of CINV, and physician perception of CINV incidence following moderately and highly emetogenic chemotherapy in Asia Pacific countries.SUPPORTIVE CARE IN CANCER,23,(1)
MLA:
Hsieh, Ruey Kuen,et al."Baseline patient characteristics, incidence of CINV, and physician perception of CINV incidence following moderately and highly emetogenic chemotherapy in Asia Pacific countries".SUPPORTIVE CARE IN CANCER 23..1(2015):263-272