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Effectiveness of Antiemetic Regimens for Highly Emetogenic Chemotherapy-Induced Nausea and Vomiting: A Systematic Review and Network Meta-Analysis.

Takamichi YokoeTetsu HayashidaAiko NagayamaAyako NakashojiHinako MaedaTomoko SekiMaiko TakahashiToshimi TakanoTakayuki AbeYuko Kitagawa
Published in: The oncologist (2018)
Nausea and vomiting during chemotherapy often pose difficulties for patients and doctors, making it hard to continue the proper therapy and to maintain the quality of life. This article gives insights into the optimal choice of medicine to treat nausea during chemotherapy. The findings reported here provide readers with a robust efficacy ranking of antinausea medicine, which can be used as a reference for the best possible treatment. Furthermore, the 70% less costly drug, olanzapine, is suggested to be equally effective to aprepitant in reducing nausea and vomiting. The possibility of offering a cost-effective treatment to a wider range of the population is discussed.
Keyphrases
  • chemotherapy induced
  • randomized controlled trial
  • systematic review
  • ejection fraction
  • squamous cell carcinoma
  • bone marrow
  • locally advanced
  • replacement therapy
  • patient reported outcomes
  • drug induced