Body Mass Index Affects Delayed Chemotherapy-induced Vomiting in Pediatric Malignancy Patients.
J Pediatr Hematol Oncol
; 45(7): 398-403, 2023 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-37677942
ABSTRACT
BACKGROUND:
Delayed chemotherapy-induced vomiting (DCIV) is a problem for children undergoing chemotherapy for malignant tumors. The aim of this study was to investigate the association between body mass index (BMI) and DCIV in children. PATIENTS ANDMETHODS:
Clinical data were collected from patients with malignancies who underwent chemotherapy at our center. Independent risk factors for DCIV derived by logistic regression. The Youden Index, which calculates BMI, divides patients into a high-risk group and a low-risk group, and the difference in DCIV between the two groups was analyzed. The relationship between BMI and DCIV was assessed by calculating the frequency of vomiting episodes and the severity of vomiting.RESULTS:
A total of 283 patients were included in this cohort study. BMI (odds ratio [OR] 0.811; 95% CI 0.699-0.941), age (OR 1.014; 95% CI 1.006-1.021), and emetogenic grade (OR 2.858, 95% CI 1.749-4.671) were independent risk factors for the development of DCIV in children. Patients in the high-risk group experienced vomiting more frequently and with greater severity than those in the low-risk group ( P < 0.05).CONCLUSIONS:
BMI in children with malignancy is associated with DCIV, and the incidence of DCIV decreases as BMI increases. Physicians may be able to arrange a more elaborate antiemetic prevention regimen based on the patient's BMI.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
J Pediatr Hematol Oncol
Assunto da revista:
HEMATOLOGIA
/
NEOPLASIAS
/
PEDIATRIA
Ano de publicação:
2023
Tipo de documento:
Article