Creation of a chemotherapy-induced nausea/vomiting dashboard to improve outcomes for pediatric cancer patients.

Publisher: Springer International Country of Publication: Germany NLM ID: 9302957 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-7339 (Electronic) Linking ISSN: 09414355 NLM ISO Abbreviation: Support Care Cancer Subsets: MEDLINE

Original Publication: Berlin : Springer International, c1993-

Antiemetics/*therapeutic use ; Antineoplastic Agents/*adverse effects ; Nausea/*chemically induced ; Neoplasms/*complications ; Quality of Life/*psychology ; Vomiting/*chemically induced; Adolescent ; Adult ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Infant, Newborn ; Neoplasms/drug therapy ; Young Adult

Purpose: Two of the most common acute side effects of chemotherapy are nausea and vomiting. Nausea and vomiting impact quality of life, nutritional status, and ability to tolerate further chemotherapy. Parents of pediatric oncology patients rank nausea as one of the most bothersome treatment-related symptoms.
Methods: Utilizing Quality Improvement methodology, we developed a dashboard interface to facilitate extraction of data from the electronic medical record (EMR), which is presented via a visual display that summarizes the type of chemotherapy and antiemetic medications, use of as needed medications, and number of episodes of emesis.
Results: This dashboard interface allows for rapid and efficient identification of patients whose antiemetic regimen is mismatched for the emetogenicity of ordered chemotherapy, thus providing a timely opportunity to modify the antiemetic regimen based on published guidelines before administration of chemotherapy drugs. It also allows measurement of the effectiveness of the antiemetic regimen in terms of the number of break through emesis and the need for as needed medications.
Conclusions: A novel CINV dashboard was created, which visually conveys complex information about antiemetics, chemotherapy emetogenicity, as needed medications, and breakthrough vomiting for inpatient pediatric oncology patients.

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Keywords: Antiemetic; Chemotherapy-induced nausea and vomiting (CINV); Clinical practice guidelines; Pediatric oncology

0 (Antiemetics)
0 (Antineoplastic Agents)

Date Created: 20200801 Date Completed: 20210308 Latest Revision: 20210308

20231215

10.1007/s00520-020-05652-1

32734390