Evidence map›Paper›PMID 42205894›Full record

ArticleCancer management and research2026

Impact of Evolving Antiemetic Prophylaxis on Chemotherapy-Induced Nausea and Vomiting (CINV): A Five-Year Comparative Study in Sichuan, China (2018-2023).

Weijie Xiong, Weiwei Zhang, Quande Zhao, Yuzhu Zheng, Ke Xie, Jidong Miao, Li Chen, Ting Li, Wei Cao, De Zhu and 19 more

Abstract read
In one paragraph

Article in Cancer management and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

29 authors.

Weijie Xiong *Department of Oncology, Chengdu Fifth People's Hospital (The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Cancer Prevention and Treatment Institute of Chengdu, Chengdu, Sichuan Province, People's Republic of China.
Weiwei Zhang *Department of Oncology, Chengdu Fifth People's Hospital (The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Cancer Prevention and Treatment Institute of Chengdu, Chengdu, Sichuan Province, People's Republic of China.ORCID 0000-0003-2765-5376
Quande Zhao *Department of Oncology, Langzhong People's Hospital, Nanchong, Sichuan Province, People's Republic of China.
Yuzhu Zheng *Department of Oncology, The Third People's Hospital of Chengdu, Chengdu, Sichuan Province, People's Republic of China.
Ke Xie *Department of oncology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, People's Republic of China.
Jidong MiaoDepartment of Oncology, The Fourth People's Hospital of Zigong, Zigong, Sichuan Province, People's Republic of China.
Li ChenDepartment of Oncology, Wusheng People's hospital, Guang'an, Sichuan Province, People's Republic of China.
Ting LiDepartment of Oncology, The Second People's Hospital of Yibin, Yibin, Sichuan Province, People's Republic of China.
Wei CaoDepartment of Oncology, the People's Hospital of Jianyang City, Chengdu, Sichuan Province, People's Republic of China.
De ZhuDepartment of Oncology, Bazhong Central hospital, Bazhong, Sichuan Province, People's Republic of China.
Mengjun HuangDepartment of Oncology, Du Jiang Yan Medical Center, Chengdu, Sichuan Province, People's Republic of China.
Cheng LiDepartment of Oncology, Guang'an People's Hospital, Guang'an, Sichuan Province, People's Republic of China.
Youhua WangDepartment of Oncology, Gulin People's hospital, Luzhou, People's Republic of China.
Yan GuiDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, People's Republic of China.
Qingcong LiDepartment of Oncology, Ya'an People's Hospital, Chengdu, Sichuan Province, People's Republic of China.
Chun CaoDepartment of Oncology, Zigong First People's Hospital, Zigong, Sichuan Province, People's Republic of China.
Yunxiao YangDepartment of Oncology, The Affiliated Hospital of Panzhihua University, Panzhihua, Sichuan, People's Republic of China.
Chi DuDepartment of Oncology, The Hospital of Zizhou, Neijiang, Sichuan Province, People's Republic of China.
Yan GaoDepartment of Oncology, Pidu District People's Hospital, Chengdu, Sichuan Province, People's Republic of China.
Yangang ZhouDepartment of Oncology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan Province, People's Republic of China.
Huiling ZhangDepartment of Oncology, Ziyang Central Hospital, Chengdu, Sichuan Province, People's Republic of China.
Xiaoyan LeDepartment of Oncology, Chengdu Shi Wenjiang Qu Renmin Yiyuan, Chengdu, Sichuan Province, People's Republic of China.
Ping ChenDepartment of Oncology, Chengdu Seventh People's Hospital, Chengdu, Sichuan Province, People's Republic of China.
Ming JiangHead & Neck Oncology Ward, Cancer Center, West China Hospital of Sichuan University, Chengdu, Sichuan Province, People's Republic of China.
Peng LiDepartment of Oncology, Dayi People's Hospital, Chengdu, Sichuan Province, People's Republic of China.
Jinping YangDepartment of Oncology, People's Hospital of Guangyuan, Chengdu, Sichuan Province, People's Republic of China.
Yang WangDepartment of Oncology, China Aviation Industry Chengdu 363 Hospital, Chengdu, Sichuan Province, People's Republic of China.
Jiang ZhuDepartment of Thoracic Oncology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, People's Republic of China.
Lang HeDepartment of Oncology, Chengdu Fifth People's Hospital (The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine), Cancer Prevention and Treatment Institute of Chengdu, Chengdu, Sichuan Province, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A baseline study conducted in 2018 revealed suboptimal guideline adherence and high chemotherapy-induced nausea and vomiting (CINV) burden in Sichuan, China. Since then, concerted efforts have been made to enhance CINV management through guideline promotion and physician education. This study aimed to evaluate temporal changes in CINV incidence and antiemetic prophylaxis patterns by comparing 2023 real-world data with the 2018 baseline. Methods: In this prospective, multicenter study, we enrolled 1985 cancer patients receiving moderately or highly emetogenic chemotherapy (MEC/HEC) across Sichuan in 2023. We employed methodologies consistent with the baseline study to ensure direct comparability. Primary endpoints were the overall, acute, and delayed CINV incidence. Secondary endpoints included complete control (CC) rates and antiemetic regimen adherence. Results: Compared with the 2018 baseline, significant improvements were observed in 2023. The overall CINV incidence decreased from 82.97% to 57.3% (P < 0.001). Acute CINV decreased from 55.3% to 43.9%, and delayed CINV showed the most substantial decline from 62.3% to 30.4% (P < 0.001 for both). For patients receiving HEC, CC rates in the overall, acute, and delayed phases increased from 30.1% to 58.4%, from 52.8% to 64.1%, and from 60.6% to 75.6%, respectively. For MEC patients, CC rates in the overall, acute, and delayed phases increased from 32.1% to 68.5%, from 47.5% to 83.4%, and from 55.4% to 91.9%, respectively ( Conclusion: Over the five-year period, CINV management in Sichuan has demonstrated significant, measurable progress, evidenced by a notable decline in incidence and substantially improved complete control rates, especially in high-risk HEC patients. This positive trend is strongly associated with the increased implementation of evidence-based antiemetic guidelines. However, the persistent CINV burden underscores the need for continued quality improvement efforts to fully translate guideline recommendations into universal best practice.

Indexed as

chemotherapy-induced nausea and vomitingChinaCINVguideline adherenceNCDsno CINV daysreal-world evidence

Identifiers

PMID42205894
PMCPMC13207863

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.