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1.
Bull Cancer ; 111(6): 608-619, 2024 Jun.
Artigo em Francês | MEDLINE | ID: mdl-38670821

RESUMO

Chemotherapy-induced nausea and vomiting (CINV) are frequent and dreaded side effects in cancer treatments. CINV has a major impact on patient's condition and quality of life. Prophylaxis is tailored to patient's profile and the emetogenic level of their chemotherapy. The aim of this study is to update the recommendations for CINV prevention and management in pediatric onco-hematology for use in France, by adapting the guidelines of the Pediatric Oncology Group of Ontario (POGO). Clinical practice guideline adaptation is a recognized method for tailoring existing clinical practice guidelines to local context. A multidisciplinary French-speaking panel was formed to discuss about POGO guideline recommendations for the acute and delayed phases, breakthrough, refractory and anticipatory CINV and the evidence supporting them. Panel members were asked whether they wanted to adopt, modify or reject each of the POGO guideline recommendations. Panel members translated each recommendation and adapted recommendations for an implementation in France. Their acceptance required agreement at least 80 % of panel members. Algorithms and tables were created, listing all the recommendations and providing a better overview for decision-making process adapted to the patient's profile. These recommendations should be reviewed for implementation at French institutions caring for pediatric cancer patients and once implemented, the rates of adherence to recommendations and CINV control should be reported.


Assuntos
Antieméticos , Antineoplásicos , Náusea , Neoplasias , Vômito , Humanos , Vômito/induzido quimicamente , Vômito/prevenção & controle , Náusea/induzido quimicamente , Náusea/prevenção & controle , Criança , Antineoplásicos/efeitos adversos , Adolescente , Neoplasias/tratamento farmacológico , França , Antieméticos/uso terapêutico , Algoritmos , Sociedades Médicas
2.
Bull Cancer ; 109(11): 1144-1153, 2022 Nov.
Artigo em Francês | MEDLINE | ID: mdl-36220696

RESUMO

Nausea and vomiting induced by cancer treatment (CINV) remain one of the most common and feared side effects in children despite the use of new drugs to prevent them. The existing recommendations for the prophylaxis and treatment of CINV are based on adult patients in Anglo-Saxon societies. Based on a recent review of the literature, we focused on specific pediatric issues in order to offer recommendations validated by the supportive care committee of the French society for childhood cancer.


Assuntos
Antieméticos , Antineoplásicos , Hematologia , Neoplasias , Adulto , Criança , Humanos , Antieméticos/efeitos adversos , Neoplasias/tratamento farmacológico , Náusea/induzido quimicamente , Náusea/prevenção & controle , Vômito/induzido quimicamente , Vômito/prevenção & controle , Antineoplásicos/efeitos adversos
3.
Bull Cancer ; 107(7-8): 800-812, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32418660

RESUMO

Antineoplastic drug induced nausea and vomiting are common adverse events in cancer care of paediatric patients ; therefore, prevention and management of these adverse events is a major concern for healthcare professionals. There are common features between paediatric and adult patients in terms of the emetogenic level depending on antineoplastic agents or about available medicines. However, there are also specificities for paediatric population including individual risk factors of emesis or nausea assessment for example. Knowledge relative to available medicines is also limited in the paediatric population, especially for recent medicines. This review aims to provide a comprehensive overview about antiemetics in paediatric oncology to clinicians and other healthcare professionals involved in paediatric cancer care. First of all, we describe physiopathological paediatric specificity, risk factors and clinical assessment of antineoplastic drug induced nausea and vomiting. Secondly, we focus on available medicines and also address the issue of complementary and alternative medicines.


Assuntos
Antieméticos/uso terapêutico , Antineoplásicos/efeitos adversos , Náusea/terapia , Neoplasias/tratamento farmacológico , Vômito/terapia , Terapia por Acupuntura/métodos , Corticosteroides/uso terapêutico , Aromaterapia/métodos , Criança , Humanos , Náusea/induzido quimicamente , Náusea/classificação , Náusea/prevenção & controle , Fitoterapia/métodos , Fatores de Risco , Vômito/induzido quimicamente , Vômito/classificação , Vômito/prevenção & controle
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