Please use this identifier to cite or link to this item: https://doi.org/10.1007/s00520-013-1759-x
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dc.titleInternational radiation oncology trainee decision making in the management of radiotherapy-induced nausea and vomiting
dc.contributor.authorDennis, K.
dc.contributor.authorZhang, L.
dc.contributor.authorLutz, S.
dc.contributor.authorVan Der Linden, Y.
dc.contributor.authorVan Baardwijk, A.
dc.contributor.authorHolt, T.
dc.contributor.authorLagrange, J.-L.
dc.contributor.authorForo-Arnalot, P.
dc.contributor.authorWong, L.-C.
dc.contributor.authorMaranzano, E.
dc.contributor.authorWong, K.-H.
dc.contributor.authorLiu, R.
dc.contributor.authorVassiliou, V.
dc.contributor.authorCorn, B.W.
dc.contributor.authorDe Angelis, C.
dc.contributor.authorHolden, L.
dc.contributor.authorWong, C.S.
dc.contributor.authorChow, E.
dc.date.accessioned2016-09-06T08:41:49Z
dc.date.available2016-09-06T08:41:49Z
dc.date.issued2013-07
dc.identifier.citationDennis, K., Zhang, L., Lutz, S., Van Der Linden, Y., Van Baardwijk, A., Holt, T., Lagrange, J.-L., Foro-Arnalot, P., Wong, L.-C., Maranzano, E., Wong, K.-H., Liu, R., Vassiliou, V., Corn, B.W., De Angelis, C., Holden, L., Wong, C.S., Chow, E. (2013-07). International radiation oncology trainee decision making in the management of radiotherapy-induced nausea and vomiting. Supportive Care in Cancer 21 (7) : 2041-2048. ScholarBank@NUS Repository. https://doi.org/10.1007/s00520-013-1759-x
dc.identifier.issn09414355
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/126826
dc.description.abstractPurpose: This study explored international radiation oncology trainee decision making in the management of radiotherapy-induced nausea and vomiting (RINV). Methods: Radiation oncology trainees who were members of the national radiation oncology associations of the USA, Canada, Netherlands, Australia, New Zealand, France, Spain and Singapore completed a Web-based survey. Respondents estimated the risks of nausea and vomiting associated with six standardised radiotherapy-only clinical case vignettes modelled after international anti-emetic guidelines and then committed to prophylactic, rescue or no therapy as an initial management approach for each case. Results: One hundred and seventy-six trainees from 11 countries responded. Only 28 % were aware of any anti-emetic guideline. In general, risk estimates and management approaches for the high-risk and minimal risk cases varied less and were more in line with guideline standards than were estimates and approaches for the moderate- and low-risk cases. Prophylactic therapy was the most common approach for the high-risk and a moderate-risk case (83 and 71 % of respondents respectively), while rescue therapy was the most common approach for a second moderate-risk case (69 %), two low-risk cases (69 and 76 %) and a minimal risk case (68 %). A serotonin receptor antagonist was the most commonly recommended prophylactic agent. On multivariate analysis, a higher estimated risk of nausea predicted for recommending prophylactic therapy, and a lower estimated risk of nausea predicted for recommending rescue therapy. Conclusions: Radiation oncology trainee risk estimates and recommended management approaches for RINV clinical case vignettes varied and matched guideline standards more often for high-risk and minimal risk cases than for moderate- and low-risk cases. Risk estimates of nausea specifically were strong predictors of management decisions. © 2013 Springer-Verlag Berlin Heidelberg.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1007/s00520-013-1759-x
dc.sourceScopus
dc.subjectAnti-emetic
dc.subjectEmesis
dc.subjectNausea
dc.subjectRadiotherapy
dc.subjectTrainee
dc.subjectVomiting
dc.typeArticle
dc.contributor.departmentMEDICINE
dc.description.doi10.1007/s00520-013-1759-x
dc.description.sourcetitleSupportive Care in Cancer
dc.description.volume21
dc.description.issue7
dc.description.page2041-2048
dc.description.codenSCCAE
dc.identifier.isiut000319751500031
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