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Title: | Impact and management of chemotherapy/radiotherapy-induced nausea and vomiting and the perceptual gap between oncologists/oncology nurses and patients: a cross-sectional multinational survey |
Author: | Vidall, Cheryl Fernández-Ortega, Paz Cortinovis, Diego Jahn, Patrick Amlani, Bharat Scotté, Florian |
Keywords: | Administració de medicaments Quimioteràpia del càncer Malalts de càncer Emètics Relacions metge-pacient Relacions infermera-pacient Enquestes Administration of drugs Cancer chemotherapy Cancer patients Emetics Physician-patient relationships Nurse-patient relationships Surveys |
Issue Date: | 1-Nov-2015 |
Publisher: | Springer Verlag |
Abstract: | Purpose: chemotherapy/radiotherapy-induced nausea and vomiting (CINV/RINV) can affect half of oncology patients, significantly impacting daily life. Nausea without vomiting has only recently been thought of as a condition in its own right. As such, the incidence of nausea is often underestimated. This survey investigated the incidence and impact of CINV/RINV in patients compared with estimations of physicians/oncology nurses to determine if there is a perceptual gap between healthcare professionals and patients. Methods: an online research survey of physicians, oncology nurses and patients was conducted across five European countries. Participants had to have experience prescribing/recommending or have received anti-emetic medication for CINV/RINV treatment. Questionnaires assessed the incidence and impact of CINV/RINV, anti-emetic usage and compliance, and attribute importance of anti-emetic medication. Results: a total of 947 (375 physicians, 186 oncology nurses and 386 patients) participated in this survey. The incidence of nausea was greater than vomiting: 60 % of patients reported nausea alone, whereas 18 % reported vomiting. Physicians and oncology nurses overestimated the incidence of CINV/RINV but underestimated its impact on patients' daily lives. Only 38 % of patients reported full compliance with physicians'/oncology nurses' guidelines when self-administering anti-emetic medication. Leading factors for poor compliance included reluctance to add to a pill burden and fear that swallowing itself would induce nausea/vomiting. Conclusions: there is a perceptual gap between healthcare professionals and patients in terms of the incidence and impact of CINV/RINV. This may lead to sub-optimal prescription of anti-emetics and therefore management of CINV/RINV. Minimising the pill burden and eliminating the requirement to swallow medication could improve poor patient compliance with anti-emetic regimens. |
Note: | Reproducció del document publicat a: https://doi.org/10.1007/s00520-015-2750-5 |
It is part of: | Supportive Care in Cancer, 2015, vol. 23, num. 11, p. 3297-3305 |
URI: | http://hdl.handle.net/2445/126048 |
Related resource: | https://doi.org/10.1007/s00520-015-2750-5 |
ISSN: | 0941-4355 |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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