Comparison of antiemetic efficacy between single and repeat treatment with dexamethasone in patients receiving carboplatin-based combination chemotherapy

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A retrospective study was carried out to compare the preventive effects of single and repeat treatment with dexamethasone (DEX) on delayed nausea and emesis in patients who had received carboplatin (CBDCA)-based combination chemotherapy. Sixty-four patients were evaluated. Efficacy was assessed using the nausea and emesis score, food intake score and the requirement for antiemetic medication. These forward scores were categorized as three-grade during the first 5 days after chemotherapy. Acute nausea and emesis were well controlled in both groups on day 1. Mean values of the nausea and emesis score on day 3 evening and the food intake score on day 4 morning in the repeat-treatment group was 1.31 ± 0.93 and 3.46 ± 1.03, respectively, which were significantly better when compared with the single-treatment group (2.00 ± 1.52; P = 0.028 and 2.79 ± 1.12; P = 0.018, respectively). Multivariate logistic regression analysis revealed that less frequent dispensing of antiemetic medication was significantly associated with the repeat-treatment group (adjusted odds ratio, 0.153; 95% confidence interval, 0.026-0.734; P = 0.018). These results suggest that repeat-dose DEX may be more effective than single-dose DEX for the prevention of delayed nausea and emesis after CBDCA-based combination chemotherapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Methods and findings in experimental and clinical pharmacology - 32(2010), 7 vom: 20. Sept., Seite 499-505

Sprache:

Englisch

Beteiligte Personen:

Kawazoe, H [VerfasserIn]
Motoki, Y [VerfasserIn]
Takechi, Y [VerfasserIn]
Shishino, Y [VerfasserIn]
Ido, K [VerfasserIn]
Suemaru, K [VerfasserIn]
Araki, H [VerfasserIn]

Links:

Volltext

Themen:

7S5I7G3JQL
Antiemetics
BG3F62OND5
Carboplatin
Comparative Study
Dexamethasone
Journal Article
Research Support, Non-U.S. Gov't
Serotonin 5-HT3 Receptor Antagonists

Anmerkungen:

Date Completed 10.03.2011

Date Revised 21.11.2013

published: Print

Citation Status MEDLINE

doi:

10.1358/mf.2010.32.7.1501438

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM203548825