Evidence map›Paper›PMID 26154543›Full record

ArticleEinstein (Sao Paulo, Brazil)

Assessment of adherence to the guidelines for the management of nausea and vomiting induced by chemotherapy.

Monique Sedlmaier França, Pedro Luiz Serrano Usón Junior, Yuri Philippe Pimentel Vieira Antunes, Bernard Lobato Prado, Carlos del Cistia Donnarumma, Taciana Sousa Mutão, Heloisa Veasey Rodrigues, Auro del Giglio

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in Einstein (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Role of olanzapine in chemotherapy-induced nausea and vomiting on platinum-based chemotherapy patients: a randomized controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Trial
  3. Awareness of chemotherapy-induced nausea and vomiting and adherence to guidelines: results of a multinational and multicenter survey, part of the THRIVE program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Patterns of antiemetic prophylaxis for chemotherapy-induced nausea and vomiting in China.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Monique Sedlmaier FrançaHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Pedro Luiz Serrano Usón JuniorHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Yuri Philippe Pimentel Vieira AntunesHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Bernard Lobato PradoHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Carlos del Cistia DonnarummaHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Taciana Sousa MutãoHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Heloisa Veasey RodriguesHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Auro del GiglioFaculdade de Medicina do ABC, Santo André, SP, Brazil.
Hospital Israelita Albert Einstein · BRFaculdade de Medicina do ABC · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess adherence of the prescribing physicians in a private cancer care center to the American Society of Clinical Oncology guideline for antiemetic prophylaxis, in the first cycle of antineoplastic chemotherapy.

methodsA total of 139 chemotherapy regimens, of 105 patients, were evaluated retrospectively from 2011 to 2013.

resultsWe observed 78% of non-adherence to the guideline rate. The main disagreements with the directive were the prescription of higher doses of dexamethasone and excessive use of 5-HT3 antagonist for low risk emetogenic chemotherapy regimens. On univariate analysis, hematological malignancies (p=0.005), the use of two or more chemotherapy (p=0.05) and high emetogenic risk regimes (p=0.012) were factors statistically associated with greater adherence to guidelines. Treatment based on paclitaxel was the only significant risk factor for non-adherence (p=0.02). By multivariate analysis, the chemotherapy of high emetogenic risk most correlated with adherence to guideline (p=0.05).

conclusionWe concluded that the adherence to guidelines is greater if the chemotherapy regime has high emetogenic risk. Educational efforts should focus more intensely on the management of chemotherapy regimens with low and moderate emetogenic potential. Perhaps the development of a computer generated reminder may improve the adherence to guidelines.

Indexed as

Guideline AdherenceAdultAgedAged, 80 and overAntiemeticsAntineoplastic AgentsBreast NeoplasmsCancer Care FacilitiesCarcinoma, Non-Small-Cell LungFemaleHumansInappropriate PrescribingLung NeoplasmsLymphoma, Non-HodgkinMaleMedical RecordsAntiemeticsAntineoplastic Agents

Identifiers

PMID26154543
PMCPMC4943813
OpenAlexW850883524

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.