Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness

Chemotherapy-Induced Nausea and Vomiting (CINV) treatment prevails as a principal clinical problem in modern oncology, leading to poor quality of life of patients and a threat for compliance with treatment regimens. Electronic patient-reported outcomes are now proved to be the promising tool which d...

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Main Authors: Yuvashree Chandrasekaran, Mukesh Kumar Dharmalingam Jothinathan
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024003431
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author Yuvashree Chandrasekaran
Mukesh Kumar Dharmalingam Jothinathan
author_facet Yuvashree Chandrasekaran
Mukesh Kumar Dharmalingam Jothinathan
author_sort Yuvashree Chandrasekaran
collection DOAJ
description Chemotherapy-Induced Nausea and Vomiting (CINV) treatment prevails as a principal clinical problem in modern oncology, leading to poor quality of life of patients and a threat for compliance with treatment regimens. Electronic patient-reported outcomes are now proved to be the promising tool which determines and combats prolonged issues in Asia Pacific such as loss of appetite, nausea, and vomiting alongside other treatment-related issues. Such people might perceive CINV as a terrible threat they are battling with that is showing up in the form of nausea after chemotherapy and nausea which they are afraid of. Meanwhile, our real-life clinical practice is not at its optimal adherence to prevention guidelines. A personalized antiemetic prophylaxis that consists of intravenous medications, oral choices, extended-period dosing and radiation emesis prevention is necessary. Approaches like monthly olanzapine and ginger have shown to be cheaper and work in the prevention of CINV. A review of the available research indicates that there are specific kinds of treatment therapies that are effective as well as inexpensive such as netupitant and palonosetron combination therapy. With tropisetron along with dexamethasone acting as first choice for controlling CINV symptoms, especially though cisplatin, the superior CINV control is ensured for both acute and delayed symptoms. Palonosetron competently affords the acute and long-lasting phases of nausea. These evidence-based findings, therefore, highlight the significance of improving the anti-emetic treatments to allow patients derive maximum benefit and provide relief for the ones with treatment-related side effects in oncology management.
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spelling doaj-art-2c9aa891a88849149dbf5ef93608c4552025-01-09T06:16:32ZengElsevierOral Oncology Reports2772-90602024-06-0110100497Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectivenessYuvashree Chandrasekaran0Mukesh Kumar Dharmalingam Jothinathan1Centre for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, IndiaCorresponding author.; Centre for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, IndiaChemotherapy-Induced Nausea and Vomiting (CINV) treatment prevails as a principal clinical problem in modern oncology, leading to poor quality of life of patients and a threat for compliance with treatment regimens. Electronic patient-reported outcomes are now proved to be the promising tool which determines and combats prolonged issues in Asia Pacific such as loss of appetite, nausea, and vomiting alongside other treatment-related issues. Such people might perceive CINV as a terrible threat they are battling with that is showing up in the form of nausea after chemotherapy and nausea which they are afraid of. Meanwhile, our real-life clinical practice is not at its optimal adherence to prevention guidelines. A personalized antiemetic prophylaxis that consists of intravenous medications, oral choices, extended-period dosing and radiation emesis prevention is necessary. Approaches like monthly olanzapine and ginger have shown to be cheaper and work in the prevention of CINV. A review of the available research indicates that there are specific kinds of treatment therapies that are effective as well as inexpensive such as netupitant and palonosetron combination therapy. With tropisetron along with dexamethasone acting as first choice for controlling CINV symptoms, especially though cisplatin, the superior CINV control is ensured for both acute and delayed symptoms. Palonosetron competently affords the acute and long-lasting phases of nausea. These evidence-based findings, therefore, highlight the significance of improving the anti-emetic treatments to allow patients derive maximum benefit and provide relief for the ones with treatment-related side effects in oncology management.http://www.sciencedirect.com/science/article/pii/S2772906024003431Chemotherapy-induced nausea and vomiting (CINV)OncologyMetoclopramideOlanzapineGingerDexamethasone
spellingShingle Yuvashree Chandrasekaran
Mukesh Kumar Dharmalingam Jothinathan
Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness
Oral Oncology Reports
Chemotherapy-induced nausea and vomiting (CINV)
Oncology
Metoclopramide
Olanzapine
Ginger
Dexamethasone
title Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness
title_full Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness
title_fullStr Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness
title_full_unstemmed Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness
title_short Advancements in managing chemotherapy-induced nausea and vomiting: From efficacy to cost-effectiveness
title_sort advancements in managing chemotherapy induced nausea and vomiting from efficacy to cost effectiveness
topic Chemotherapy-induced nausea and vomiting (CINV)
Oncology
Metoclopramide
Olanzapine
Ginger
Dexamethasone
url http://www.sciencedirect.com/science/article/pii/S2772906024003431
work_keys_str_mv AT yuvashreechandrasekaran advancementsinmanagingchemotherapyinducednauseaandvomitingfromefficacytocosteffectiveness
AT mukeshkumardharmalingamjothinathan advancementsinmanagingchemotherapyinducednauseaandvomitingfromefficacytocosteffectiveness