Steven Grunberg1. 1. Division of Hematology/Oncology, Vermont Cancer Center, University of Vermont College of Medicine, Burlington, VT 05405, USA. steven.grunberg@uvm.edu
Abstract
BACKGROUND: Oncology providers frequently underestimate the incidence of chemotherapy-induced nausea and vomiting (CINV), and patients often are reluctant to report symptoms. Inadequate patient-provider communication is a significant barrier to optimal management of this debilitating toxicity. METHODS: The author reviews relevant published data and methods to optimize the clinical care of patients receiving chemotherapy with moderate-to-high emetogenic potential. RESULTS: Patient reticence plus physician expectations that patients will report symptoms accurately lead to lapses in communication and suboptimal clinical care. CONCLUSIONS: Communication strategies should serve to encourage patients to share the responsibility for establishing goals of therapy and understanding the risks and benefits of their selected antiemetic regimen, thereby becoming active participants in their own cancer care.
BACKGROUND: Oncology providers frequently underestimate the incidence of chemotherapy-induced nausea and vomiting (CINV), and patients often are reluctant to report symptoms. Inadequate patient-provider communication is a significant barrier to optimal management of this debilitating toxicity. METHODS: The author reviews relevant published data and methods to optimize the clinical care of patients receiving chemotherapy with moderate-to-high emetogenic potential. RESULTS:Patient reticence plus physician expectations that patients will report symptoms accurately lead to lapses in communication and suboptimal clinical care. CONCLUSIONS: Communication strategies should serve to encourage patients to share the responsibility for establishing goals of therapy and understanding the risks and benefits of their selected antiemetic regimen, thereby becoming active participants in their own cancer care.
Authors: Sonja Koch; Axel Wein; Jürgen Siebler; Frank Boxberger; Markus F Neurath; Hanns-Detlev Harich; Werner Hohenberger; Frank Dörje Journal: Support Care Cancer Date: 2013-04-09 Impact factor: 3.603
Authors: Cheryl Vidall; Paz Fernández-Ortega; Diego Cortinovis; Patrick Jahn; Bharat Amlani; Florian Scotté Journal: Support Care Cancer Date: 2015-05-08 Impact factor: 3.603