کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6189909 | 1601060 | 2016 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Ãvaluation régionale des pratiques professionnelles sur l'utilisation des antiémétiques chez les patients atteints de cancer
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
تومور شناسی
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چکیده انگلیسی
The anticancer drug technical commission (COTECH) of the Auvergne OMEDIT has set up a region-wide professional practice evaluation (PPE) with regards to antiemetic prescription practices in chemotherapy-induced nausea and vomiting (CINV), in order to evaluate their compliance with OMEDIT's guidelines. Are not included pediatric and hematologic protocols. A prospective survey was carried from November 2013Â to January 2014Â out in 14Â medical centers in Auvergne. This clinical audit was based on the HAS (national healthcare authority) framework and used as a reference regional standards based on the MASCC Antiemetic Guidelines. Altogether, 346Â antiemetic prescriptions were compared to guidelines. We observed respectively 81Â % and 42Â % conformity rates in acute and delayed emesis for high emesis risk chemotherapy (HE); 86Â % and 35Â % conformity rates in acute and delayed emesis for moderate emesis risk chemotherapy (ME); 66Â % and 85Â % conformity rates in acute and delayed emesis for low emesis risk chemotherapy (LE). These results highlight deficiencies in compliance with guidelines, especially in the management of delayed CINV in HE and ME chemotherapy. The COTECH identified three priority improvement areas: under-prescribe NK1Â antagonists in HE cure; under-prescribe corticosteroid; over-prescribe 5HT3Â antagonists for delayed emesis. The COTECH is publicizing these results all over the Auvergne region, together with a reminder of recommendations.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Bulletin du Cancer - Volume 103, Issues 7â8, JulyâAugust 2016, Pages 622-631
Journal: Bulletin du Cancer - Volume 103, Issues 7â8, JulyâAugust 2016, Pages 622-631
نویسندگان
Jérôme Tavernier, Mireille Jouannet-Romaszko, Helena Bertucat, Nathalie Marchiset, Mohum Bahadoor, Régine Chevrier,