Evidence map›Paper›PMID 39909912›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Patterns of self-reported diarrhea in patients with cancer receiving chemotherapy.

Natalya Alekhina, Bob Wong, Katherine Sward, Kathi H Mooney

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Natalya AlekhinaUniversity of Utah College of Nursing, 10 2000 E, Salt Lake City, UT, 84112, USA. natalya.alekhina@nurs.utah.edu.ORCID http://orcid.org/0000-0001-6181-2975
Bob WongUniversity of Utah College of Nursing, 10 2000 E, Salt Lake City, UT, 84112, USA.
Katherine SwardUniversity of Utah College of Nursing, 10 2000 E, Salt Lake City, UT, 84112, USA.
Kathi H MooneyUniversity of Utah College of Nursing, 10 2000 E, Salt Lake City, UT, 84112, USA.

Funding

Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
NINR NIH HHS T32NR013456
6 · The paper itself

Abstract

purposeDiarrhea is prevalent in individuals with cancer undergoing chemotherapy and negatively affects their outcomes, treatment adherence, and survival. With the majority of patients receiving chemotherapy in an outpatient setting, treatment-related toxicities, including diarrhea, are experienced while at home, and, therefore, their prevalence, frequency, and associated distress remain largely uncaptured. This study aimed to assess the prevalence and severity of patient-reported diarrhea and the relationship between diarrhea severity and its associated distress.

methodsWe performed a secondary analysis of diarrhea severity and associated distress ratings (1-10) reported over the course of chemotherapy by individuals with various types and stages of malignancies. Symptoms were assessed daily through an automated telephone system.

resultsOut of 345 participants, 217 (62.90%) reported at least one episode of diarrhea. Of the reported diarrhea occurrences, 60.39% were classified as mild (1-3), 34.62% as moderate (4-7), and 4.99% as severe (8-10). The mean duration of mild, moderate, and severe diarrhea was 3.57, 4.84, and 1.43 days, respectively. Of all diarrhea episodes, 97.40% were reported between cycles 1 and 8, with cycle 1 having the greatest number of reported episodes. Out of these, cycle 5 had the highest average diarrhea severity (4.02) and cycle 8 the lowest (2.98). The average number of diarrhea reports per patient was 4.94 for participants in mild symptom group, 3.98 in moderate, and 1.78 in severe. A simple linear regression revealed a significant beta of 0.91 (p < 0.001) between diarrhea severity and the associated distress score.

conclusionsDiarrhea affected over 60% of study participants. Its severity was highly correlated with patient-reported distress. Clinicians need to be aware that diarrhea can significantly disrupt patients' wellbeing and make it a priority of patient education and post-treatment assessment.

Indexed as

Antineoplastic AgentsDiarrheaNeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrevalenceSelf ReportSeverity of Illness IndexYoung AdultAntineoplastic AgentsChemotherapyDiarrheaDistressPatient-reported outcomesRemote symptom monitoring

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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.