ESMO Congress 2024 | OncologyPRO

Abstract 1882P

Background

Chemotherapy-induced nausea and vomiting (CINV) is a prevalent condition that unquestionably demands prophylaxis. The personal practice assessment (PPA) - THRIVE (Training to Help Reduce CINV ratEs) program assessed nurses, pharmacists, and medical oncologists’ awareness of CINV and their adherence to CINV management guidelines.

Methods

46 respondents from Argentina (n=5), Canada (n=21), and Brazil (n=20) answered a survey anonymously about their own practice during a patient consultation. The questionnaire was elaborated by a group of expert’s medical oncologists.

Results

Survey results comprised 460 patients in treatment with highly emetogenic chemotherapy (HEC; 60%) or moderately emetogenic chemotherapy (MEC; 40%). Although 65% of respondents answered to use more than one guideline to establish CINV management protocols, up to 48% misclassify the emetogenic potential of HEC and MEC regimens. In addition, 54% of respondents do not discuss personal additional risk factors for CINV with patients. Regarding CINV prophylactic protocol for MEC, 56% of respondents do not include NK-1 RA in the regimen for patients on MEC with additional risk factors, which is the opposite of guidelines recommendation. The survey also indicates a significant variability in the time points for assessing CINV, with 35% of physicians relying only on patient’s spontaneous report about delayed CINV.

Conclusions

While most respondents acknowledge adhering to multiple guidelines for managing CINV, significant disparities exist between their clinical practices and guideline recommendations, mainly regarding MEC and personal additional risk factors. There is a pressing need to explore and support initiatives to implement these guidelines effectively and investigate the causes of non-adherence to improve patient’s outcomes.