Characterizing and assessing antiemetic underuse in patients initiating highly emetogenic chemotherapy.

Nirosha Mahendraratnam,Joel F Farley,Ethan Basch,Amber Proctor,Stephanie B Wheeler,Stacie B Dusetzina

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer（2019）

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摘要

Antiemetic underuse is high in patients initiating HEC, potentially leading to avoidable CINV events. We found that insurance generosity has a minimal effect on antiemetic guideline concordance in this population, suggesting discordance may be the result of site of care as well as gaps in provider knowledge or accountability.

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关键词

Antiemetics,Chemotherapy-induced nausea and vomiting,Claims data,Clinical guidelines,Value-based care

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