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The assessment and management of chemotherapy-related toxicities in patients with breast cancer, colorectal cancer, and Hodgkin’s and non-Hodgkin’s lymphomas: A scoping review

Fox, Patricia, Darley, Andrew, Furlong, Eileen, Miaskowski, Christine, Patiraki, Elisabeth, Armes, Jo, Ream, Emma, Papadopoulou, Constantina, McCann, Lisa, Kearney, Nora and Maguire, Roma (2016) The assessment and management of chemotherapy-related toxicities in patients with breast cancer, colorectal cancer, and Hodgkin’s and non-Hodgkin’s lymphomas: A scoping review European Journal of Oncology Nursing, 26. pp. 63-82.

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Abstract

Purpose The purpose of the eSMART (Electronic Symptom Management using the Advanced Symptom Management System (ASyMS) Remote Technology) study is to evaluate the use of mobile phone technology to manage chemotherapy-related toxicities (CRTs) in people with breast cancer (BC), colorectal cancer (CRC), Hodgkin's lymphoma (HL), and non-Hodgkin lymphoma (NHL)) across multiple European sites. One key objective was to review the published and grey literature on assessment and management of CRTs among patients receiving primary chemotherapy for BC, CRC, HL, and NHL to ensure that ASyMS remained evidence-based and reflected current and local practice.

Methods Three electronic databases were searched for English papers, with abstracts available from 01/01/2004-05/04/2014. For the grey literature, relevant clinical practice guidelines (CPGs)/evidence-based resources (EBRs) from the main international cancer organisations were reviewed as were symptom management (SM) protocols from the sites.

Results After full-text screening, 27 publications were included. The majority (n = 14) addressed fatigue and focused on BC patients. Relevant CPGs/EBRs were found for fatigue (n = 4), nausea/vomiting (n = 5), mucositis (n = 4), peripheral neuropathy (n = 3), diarrhoea (n = 2), constipation (n = 2), febrile neutropenia/infection (n = 7), palmar plantar erythrodysesthesia (PPE) (n = 1), and pain (n = 4). SM protocols were provided by >40% of the clinical sites.

Conclusions A need exists for empirical research on SM for PPE, diarrhoea, and constipation. Research is needed on the efficacy of self-care strategies in patients with BC, CRC, HL, and NHL. In general, consistency exists across CPGs/EBRs and local guidelines on the assessment and management of common CRTs.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Fox, PatriciaUNSPECIFIEDUNSPECIFIED
Darley, AndrewUNSPECIFIEDUNSPECIFIED
Furlong, EileenUNSPECIFIEDUNSPECIFIED
Miaskowski, ChristineUNSPECIFIEDUNSPECIFIED
Patiraki, ElisabethUNSPECIFIEDUNSPECIFIED
Armes, Jojo.armes@surrey.ac.ukUNSPECIFIED
Ream, Emmae.ream@surrey.ac.ukUNSPECIFIED
Papadopoulou, ConstantinaUNSPECIFIEDUNSPECIFIED
McCann, Lisal.mccann@surrey.ac.ukUNSPECIFIED
Kearney, NoraUNSPECIFIEDUNSPECIFIED
Maguire, Romar.maguire@surrey.ac.ukUNSPECIFIED
Date : 22 December 2016
Identification Number : 10.1016/j.ejon.2016.12.008
Copyright Disclaimer : © 2016 Elsevier Ltd. All rights reserved.
Uncontrolled Keywords : Assessment; Management; Chemotherapy; Toxicity; Symptom; Scoping review; Clinical practice guideline; Self-care
Depositing User : Clive Harris
Date Deposited : 30 Oct 2017 10:38
Last Modified : 30 Oct 2017 10:38
URI: http://epubs.surrey.ac.uk/id/eprint/844677

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