Evidence map›Paper›PMID 35953731›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Interventions for the prevention of acute phase chemotherapy-induced nausea and vomiting in adult and pediatric patients: a systematic review and meta-analysis.

Priya Patel, Paula D Robinson, Nora Wahib, Patrick Cheung, Thomas Wong, Sandra Cabral, Arden Parker, Marie Cohen, Katie Devine, Paul Gibson and 10 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Palonosetron for prevention of delayed chemotherapy-induced nausea and vomiting in pediatric patients: a meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Do Not Throw Away Your Patient's Shot at Complete Vomiting Control.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  12. Developing and assessing a vomiting-free ward workflow for gynecological patients receiving chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  13. Observational
  14. Impact of dexamethasone on transplant-related mortality in pediatric patients: a multi-site, propensity score-weighted, retrospective assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  15. 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

20 authors at 12 institutions in 4 countries.

Priya PatelPediatric Oncology Group of Ontario, Toronto, Canada.
Paula D RobinsonPediatric Oncology Group of Ontario, Toronto, Canada.
Nora WahibLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Patrick CheungLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Thomas WongLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada.
Sandra CabralPediatric Oncology Group of Ontario, Toronto, Canada.
Arden ParkerMcGill University, Montreal, Canada.
Marie Cohen, Leeds, UK.
Katie DevineRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Paul GibsonPediatric Oncology Group of Ontario, Toronto, Canada.
Mark T HoldsworthCollege of Pharmacy, University of New Mexico, Albuquerque, USA.
Eloise NeumannBirmingham Women's and Children's Hospital, Birmingham, UK.
Andrea OrseyDivision of Pediatric Hematology/Oncology, Connecticut Children's Medical Center, Hartford, USA.
Robert PhillipsDepartment of Haematology and Oncology, Leeds Teaching Hospital, NHS Trust, Leeds, UK.
Daniela Spinelli, Toronto, Canada.
Jennifer ThackrayDepartment of Pharmacy, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Marianne van de WeteringPrincess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Deborah WoodsDavis Health, Pediatric Hematology/Oncology, University of California, Davis, USA.
Lillian SungDepartment of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, Toronto, Canada.
L Lee DupuisDepartment of Pharmacy, The Hospital for Sick Children, Toronto, Canada. lee.dupuis@sickkids.ca.ORCID http://orcid.org/0000-0002-7699-1061
Pediatric Oncology Group · CAUniversity of Toronto · CAHospital for Sick Children · CALeeds Teaching Hospitals NHS Trust · GBMcGill University · CAMemorial Sloan Kettering Cancer Center · USPrincess Máxima Center · NLRutgers, The State University of New Jersey · USUniversity of California, Davis · USUniversity of Connecticut · USUniversity of Leeds · GBUniversity of New Mexico · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Medical Research Council G0800472NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo identify effective and safe interventions to prevent acute phase chemotherapy-induced nausea and vomiting (CINV) in adult and pediatric patients.

methodsWe conducted a systematic review of randomized trials evaluating interventions to prevent acute CINV. Outcomes assessed were complete chemotherapy-induced vomiting (CIV) control, complete chemotherapy-induced nausea (CIN) control, complete CINV control, and discontinuation of antiemetics due to adverse effects.

resultsThe search identified 65,172 citations; 744 were evaluated at full-text, and 295 (25 pediatric) met eligibility criteria. In patients receiving highly emetogenic chemotherapy (HEC), complete CIV (risk ratio (RR) 1.23, 95% confidence interval (CI) 1.05-1.44) and CIN (RR 1.34, 95% CI 1.10-1.62) control improved when olanzapine was added. The addition of a neurokinin-1 receptor antagonist (NK1RA) to a corticosteroid plus a serotonin-3 receptor antagonist (5HT3RA) also improved complete CIV (RR 1.11, 95% CI 1.08-1.14) and CIN (RR 1.05, 95% CI 1.01-1.08) control. Compared to granisetron/ondansetron, palonosetron provided improved complete CIV control when the 5HT3RA was given alone or when combined with dexamethasone. In patients receiving moderately emetogenic chemotherapy (MEC), dexamethasone plus a 5HT3RA improved complete CIV control compared to a 5HT3RA alone (RR 1.29, 95% CI 1.21-1.39). Only a single meta-analysis evaluating the safety outcome was possible.

conclusionsFor patients receiving HEC, various antiemetic regimens improved CIV and CIN control. For patients receiving MEC, administration of a 5HT3RA plus dexamethasone improved CIV control. Analysis of antiemetic safety was constrained by lack of data.

Indexed as

AntiemeticsAntineoplastic AgentsNeoplasmsAdultChildDexamethasoneHumansNauseaVomitingAntiemeticsAntineoplastic AgentsDexamethasoneChemotherapyNauseaPediatricsSupportive careVomiting

Identifiers

PMID35953731
PMCPMC10153509
OpenAlexW4290998968

What OpenQuestion holds

Textmetadata
LicenceTDM
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.