Prevention of chemotherapy-induced nausea and vomiting in elderly cancer patients

被引:23
作者
Jakobsen, Jan Nyrop [1 ]
Herrstedt, Jorn [1 ]
机构
[1] Odense Univ Hosp, Dept Oncol R, DK-5000 Odense C, Denmark
关键词
Cancer; Chemotherapy; Nausea; Vomiting; Elderly; Antiemetics; RECEIVING END; OLDER PERSONS; PHARMACOKINETICS; ONCOLOGY; APREPITANT; CISPLATIN; CYCLOPHOSPHAMIDE; GRANISETRON; ONDANSETRON; ANTAGONISTS;
D O I
10.1016/j.critrevonc.2008.12.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
There is a global and continuing increase in the population of elderly people. This is particularly true among patients with cancer including those receiving chemotherapy. There are no guidelines that in particular address prophylaxis of chemotherapy-induced nausea and vomiting (CINV) in the elderly. Elderly have a potential decreased risk of CINV due to the fact that they are often treated with less emetic chemotherapy and due to the fact that high age is protective. On the other hand, elderly have an increased risk of toxicity from antiemetics due to age-related decrease in organ function, use of poly-pharmacy with increased risk of drug-drug interactions and due to co-morbidity. Compliance needs to be carefully evaluated, particularly in patients with high risk of non-comphance, such as elderly with dementia and impaired vision. (c) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:214 / 221
页数:8
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