Evidence map›Paper›PMID 36185306›Full record

ArticleFrontiers in oncology2022

Effectiveness of a phone-based nurse monitoring assessment and intervention for chemotherapy-related toxicity: A randomized multicenter trial.

Andrea Antonuzzo, Carla Ida Ripamonti, Fausto Roila, Andrea Sbrana, Luca Galli, Guido Miccinesi, Enrico Sammarco, Alfredo Berruti, Deborah Coletta, Laura Velutti and 13 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04726020 (NICSO National Study), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT04726020 nacompletednot on this map

NICSO National Study: Physician - Nurse Monitoring Project About Oncological Adverse Events

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2018 to 2022Enrolled645ConditionsCancerArmsIntensive monitoring, Standard monitoring
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
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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

23 authors.

Andrea AntonuzzoUO Oncologia Medica 1 SSN Polo Oncologico, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Carla Ida RipamontiOncology-Supportive Care Unit, Department Medical Oncology & Haematology, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.
Fausto RoilaSC Oncologia Medica, Azienda Ospedaliera Universitaria "S. Maria della Misericordia", Perugia, Italy.
Andrea SbranaServizio di Pneumo-Oncologia, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Luca GalliUO Oncologia Medica 1 SSN Polo Oncologico, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Guido MiccinesiClinical Epidemiology Unit, Istituto per lo Studio, la Prevenzione e la Rete Oncologica, Firenze, Italy.
Enrico SammarcoUO Oncologia Medica 1 SSN Polo Oncologico, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Alfredo BerrutiSC Oncologia Medica, ASST Spedali Civili di Brescia, Brescia, Italy.
Deborah ColettaUOSD Oncologia, Policlinico Tor Vergata, Rome, Italy.
Laura VeluttiMedical Oncology and Hematology Unit - IRCCS Humanitas Research Hospital, Humanitas Cancer Center, Milan, Italy.
Alessandra FabiDivisione Oncologia Medica A, IFO Istituto per la Ricerca dei Tumori Regina Elena, Rome, Italy.
Domenico Cristiano CorsiOspedale San Giovani Calibita Fatebenefratelli - Isola Tiberina, Rome, Italy.
Gabriella MarianiMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Patricia Di PedeOncology-Supportive Care Unit, Department Medical Oncology & Haematology, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.
Gian Paolo SpinelliUnitá Operativa di Oncologia Universitaria della Casa della Salute di Aprilia, UOC Oncologia Universitaria, Aprilia, Italy.
Daniele SantiniUOC Oncologia Medica, Campus Bio-Medico, Rome, Italy.
Fable ZustovichUOC Oncologia, AULSS 1 Dolomiti, Ospedale San Martino, Belluno, Italy.
Marco GunnelliniUO Oncologia, Ospedale di Gubbio - Gualdo Tadino, Gubbio, Italy.
Maura RossiSC Oncologia, ASO SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Monica GiordanoOncologia, Ospedale S. Anna, Como, Italy.
Massimo Di MaioDipartimento di Oncologia, Università di Torino, AO Ospedale Mauriziano, Turin, Italy.
Gianmauro NumicoDepartment of Medical Oncology, Santa Croce e Carle Hospital, Cuneo, Italy.
Paolo BossiSC Oncologia Medica, ASST Spedali Civili di Brescia, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Anticancer treatment-related toxicities can impact morbidity and mortality, hamper the administration of treatment, worsen the quality of life and increase the burden on the healthcare system. Therefore, their prompt identification is crucial. NICSO (Italian Network for Supportive Care in Cancer) conducted a nationwide randomized trial to evaluate the role of a planned, weekly phone-based nurse monitoring intervention to prevent and treat chemotherapy, targeted therapy- and immunotherapy-related toxicities. Here, we report the results from the chemotherapy arm. Methods: This was a nationwide, randomized, open-label trial conducted among 29 Italian centers (NCT04726020) involving adult patients with breast, colon, or lung cancer and a life expectancy ≥6 months receiving adjuvant chemotherapy. Patients received either a weekly nurse monitoring phone call and an educational leaflet reporting practical advice about prevention and treatment of toxicities (experimental group) or the educational leaflet only (control group). Results: The addition of a nurse monitoring intervention may help reduce time spent with severe toxicities (grade ≥3), particularly those less frequently reported in clinical practice, such as fatigue. When considering grade 1-2 AEs, times with mild/moderate diarrhea, mucositis, fatigue and pain were shorter in the experimental arm. Time spent without AEs was significantly longer in the experimental arms for all the toxicities. The requirement for special medical attention was comparable between groups. Conclusion: This study suggests the need for implementing a better system of toxicity assessment and management for patients treated with adjuvant chemotherapy to promote effective preventive and/or therapeutic intervention against these events.

Indexed as

chemotherapy-related toxicitiesnurse telephone monitoring interventionpatient-reported outcome measuresquality of liferandomized multicenter trial

Identifiers

PMID36185306
PMCPMC9520968

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Registered trials

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