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Baéz-Gutierrez N, Suárez-Casillas P, Pérez-Moreno MA, Blázquez-Goñi C, Abdelkader-Martín L. Antiemetic prophylaxis in hematologic malignancies patients receiving conditioning protocols for hematopoietic stem cell transplantation: A study protocol for a systematic review. Farm Hosp 2023; 47:T289-T293. [PMID: 37858519 DOI: 10.1016/j.farma.2023.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 07/12/2023] [Accepted: 07/13/2023] [Indexed: 10/21/2023] Open
Abstract
OBJECTIVE Chemotherapy-induced nausea and vomiting continue to pose a significant challenge for patients undergoing hematopoietic stem cell transplantation. This study aims to synthesize available evidence on antiemetic prophylaxis regimens in patients with hematologic malignancies undergoing hematopoietic stem cell transplantation, in order to identify the best standard of care. METHODS A systematic review will be conducted using MEDLINE via PubMed, EMBASE, ClinicalTrials.gov., and Cochrane databases. Studies written in English, French, Italian or Spanish will be considered. After screening the literature according to the inclusion and exclusion criteria, two independent reviewers will extract data and assess the risk of bias in eligible articles. This protocol has been prepared according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines. This protocol is registered in the Prospective Register of Ongoing Systematic Reviews (PROSPERO) CRD42023406380. DISCUSSION Chemotherapy-induced nausea and vomiting is a debilitating side effect that presents a significant challenge for patients with hematologic malignancies. Despite the publication of various guidelines, none of them includes specific recommendations for each chemotherapy regimen. Therefore, analyzing the primary antiemetic prophylaxis regimens in patients with hematologic malignancies undergoing hematopoietic stem cell transplantation would be valuable in enhancing patients' quality of life.
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Daudén Tello E, Alonso Suárez J, Beltrán Catalán E, Blasco Maldonado C, Herrero Manso MC, Jiménez Morales A, Marín-Jiménez I, Martín-Arranz MD, García-Merino A, Porta Etessam J, Rodríguez-Sagrado MA, Rosas Gómez de Salazar J, Trujillo Martín E, Salgado-Boquete L. Multidisciplinary Management of the Adverse Effects of Apremilast. Actas Dermosifiliogr (Engl Ed) 2020; 112:134-141. [PMID: 32910923 DOI: 10.1016/j.ad.2020.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 05/31/2020] [Accepted: 08/22/2020] [Indexed: 10/23/2022] Open
Abstract
We present a series of general and specific recommendations based on pathophysiologic considerations for managing the most common adverse effects of apremilast that lead to treatment discontinuation: diarrhea, nausea, and headache. The recommendations are based on a review of the literature and the experience of a multidisciplinary team of 14 experts including dermatologists, rheumatologists, neurologists, gastroenterologists, pharmacists, and nurses. We propose a series of simple algorithms that include clinical actions and suggestions for pharmacologic treatment. The adverse effects of apremilast can be managed from a multidisciplinary approach. The purpose of optimizing management is to bring clinical benefits to patients.
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Affiliation(s)
- E Daudén Tello
- Servicio de Dermatología, Hospital Universitario La Princesa, Madrid, España.
| | - J Alonso Suárez
- Servicio de Dermatología, Hospital Universitario Virgen de la Victoria, Málaga, España
| | - E Beltrán Catalán
- Servicio de Reumatología, Hospital Parc Salut del Mar, Barcelona, España
| | - C Blasco Maldonado
- Unidad de Enfermería, Servicio de Dermatología, Hospital Universitario Puerta de Hierro, Madrid, España
| | - M C Herrero Manso
- Unidad de Enfermería, Servicio de Reumatología, Hospital Universitario 12 de Octubre, Madrid, España
| | - A Jiménez Morales
- Servicio de Farmacia, Hospital Universitario Virgen de las Nieves, Granada, España
| | - I Marín-Jiménez
- Unidad de EII-CEIMI-Servicio de Aparato Digestivo, Hospital Gregorio Marañón, Madrid, España
| | - M D Martín-Arranz
- Servicio de Aparato Digestivo, Hospital Universitario La Paz; Grupo de Inmunidad Innata, Instituto de Investigación IdiPaz, Madrid, España
| | - A García-Merino
- Servicio de Neurología, Hospital Universitario Puerta de Hierro, Madrid, España
| | - J Porta Etessam
- Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España
| | | | | | - E Trujillo Martín
- Servicio Reumatología, Hospital Universitario de Gran Canaria, Las Palmas de Gran Canaria, España
| | - L Salgado-Boquete
- Servicio de Dermatología, Complejo Hospitalario Universitario, Pontevedra, España
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Alvarez L, Imbaquingo G, Rivadeneira MF, Reascos L. Validation of the translation and cross-cultural adaptation into Spanish of the Postoperative Nausea and Vomiting Intensity Scale. ACTA ACUST UNITED AC 2020; 67:538-544. [PMID: 32819752 DOI: 10.1016/j.redar.2020.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 02/28/2020] [Accepted: 05/18/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Postoperative nausea and vomiting (PONV) is a common problem in patients undergoing surgical procedures, generating patient dissatisfaction and increasing hospital costs. The Postoperative Nausea and Vomiting Intensity Scale identifies clinically significant cases; however, it has not been validated in Spanish. OBJECTIVE To carry out a cross-cultural adaptation of the PONV Intensity Scale into Spanish and validate it for use in the postoperative period of patients undergoing elective non-cardiac and non-intracranial surgery. MATERIALS AND METHODS Cross-sectional validation study of a diagnostic test. The NVPO Intensity Scale was culturally adapted to Spanish and administered to 393 adult hospitalized patients at 6 postoperative hours. The data were compared with the Apfel Scale and nausea measured on a visual analogue scale (VAS). Internal consistency and inter-observer concordance were calculated. RESULTS 59.8% of patients presented NVPO, of which 14.5% were clinically significant. An acceptable internal consistency was obtained for the NVPO Intensity Scale (Cronbach's alpha 0.7) and a high inter-observer correlation (Kappa 0.9, 95% CI 0.86-0.92), statistically significant, for the overall scale. The correlation with VAS was high (Rho Spearman 0.9). The mean VAS and Apfel scale score was significantly higher in patients with clinically significant PONV. CONCLUSIONS The PONV Intensity Scale adapted to Spanish is a valid and reliable instrument for monitoring and evaluating postoperative nausea and vomiting.
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Affiliation(s)
- L Alvarez
- Anestesiología, Reanimación y Terapia del Dolor, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
| | - G Imbaquingo
- Anestesiología, Reanimación y Terapia del Dolor, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
| | - M F Rivadeneira
- Epidemiología, Facultad de Medicina, Instituto de Salud Pública, Pontificia Universidad Católica del Ecuador, Quito, Ecuador.
| | - L Reascos
- Servicio de Anestesiología, Hospital de Especialidades FF. AA. N° 1, Quito, Ecuador
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Bruguera P, López-Pelayo H, Miquel L, Balcells-Oliveró M. [High prevalence of cannabinoid hyperemesis syndrome in marijuana users]. Emergencias 2016; 28:249-251. [PMID: 29105413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Cannabinoid hyperemesis syndrome (CHS) is a recently described condition associated with chronic marijuana use. CHS is defined by the triad of chronic marijuana consumption cyclic bouts of nausea and vomiting, plus frequent hot showering. Its etiology, pathogenesis, and epidemiology remain obscure. We interviewed all patients over the age of 18 years attended between February and April 2014 in an outpatient marijuana rehabilitation center. A questionnaire was used to collect sociodemographic and clinical data as well as information related to a diagnosis of CHS. Of 22 patients who met the inclusion criteria, 4 (18.2%) reported symptoms suggestive of CHS; 2 (9.1%) had all symptoms, and 2 (9.1%) had some. CHS is common. We recommend asking about symptoms that might indicate this diagnosis given that CHS generates a high level of discomfort as well as diagnostic errors and many referrals to specialists.
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Affiliation(s)
- Pol Bruguera
- Grup de Recerca en Addiccions Clínic (GRAC), Institut Clínic de Neurosciències, Universitat de Barcelona, España
| | - Hugo López-Pelayo
- Grup de Recerca en Addiccions Clínic (GRAC), Institut Clínic de Neurosciències, Universitat de Barcelona, España. Red de trastornos adictivos, España
| | - Laia Miquel
- Grup de Recerca en Addiccions Clínic (GRAC), Institut Clínic de Neurosciències, Universitat de Barcelona, España. IDIBAPS, Barcelona, España. Red de trastornos adictivos, España
| | - Mercè Balcells-Oliveró
- Grup de Recerca en Addiccions Clínic (GRAC), Institut Clínic de Neurosciències, Universitat de Barcelona, España. Red de trastornos adictivos, España
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Zablah R, Velasco-Benítez CA, Merlos I, Bonilla S, Saps M. Prevalence of functional gastrointestinal disorders in school-aged children in El Salvador. Rev Gastroenterol Mex 2015. [PMID: 26297182 DOI: 10.1016/j.rgmxen.2015.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND We studied the epidemiology of functional gastrointestinal disorders (FGIDs) in school-aged Salvadoran children using standardized diagnostic criteria. AIMS To determine the prevalence of FGIDs in school-aged children in El Salvador. MATERIAL AND METHODS A total of 395 children participated in the study (one public school and one private school). School children completed the Spanish version of the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III (QPGS-III), an age-appropriate and previously validated instrument for diagnosing FGIDs according to the Rome III criteria. Sociodemographic (age, sex, type of school) and familial (family structure and size, family history of gastrointestinal disorders) data were obtained. RESULTS The mean age of the sample was 11.8 years ± 1.6 SD (median 10, range 8-15) and 59% of the participants were female. Eighty-one children met the diagnostic criteria for a FGID (20%). Defecation disorders were the most common group of FGIDs. Functional constipation was diagnosed in 10% of the children and 9.25% were diagnosed with abdominal pain-related FGIDs (most commonly IBS, 3.75%). IBS overlapped with functional dyspepsia in 11% of the cases. Children with FGIDs frequently reported nausea. Children attending private school and older children had significantly more FGIDs than children in public school and younger children. CONCLUSIONS FGIDs are common in school-aged Salvadoran children.
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Affiliation(s)
- R Zablah
- Department of Gastroenterology and Endoscopy, Hospital Nacional de Niños Benjamín Bloom, San Salvador, El Salvador
| | | | - I Merlos
- Department of Gastroenterology and Endoscopy, Hospital Nacional de Niños Benjamín Bloom, San Salvador, El Salvador
| | - S Bonilla
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts, EE. UU
| | - M Saps
- Division of Digestive Diseases, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, EE. UU..
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Zablah R, Velasco-Benítez CA, Merlos I, Bonilla S, Saps M. Prevalence of functional gastrointestinal disorders in school-aged children in El Salvador. Rev Gastroenterol Mex 2015; 80:186-91. [PMID: 26297182 DOI: 10.1016/j.rgmx.2015.03.008] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Revised: 03/24/2015] [Accepted: 03/26/2015] [Indexed: 12/19/2022]
Abstract
BACKGROUND We studied the epidemiology of functional gastrointestinal disorders (FGIDs) in school-aged Salvadoran children using standardized diagnostic criteria. AIMS To determine the prevalence of FGIDs in school-aged children in El Salvador. MATERIAL AND METHODS A total of 395 children participated in the study (one public school and one private school). School children completed the Spanish version of the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III (QPGS-III), an age-appropriate and previously validated instrument for diagnosing FGIDs according to the Rome III criteria. Sociodemographic (age, sex, type of school) and familial (family structure and size, family history of gastrointestinal disorders) data were obtained. RESULTS The mean age of the sample was 11.8 years ± 1.6 SD (median 10, range 8-15) and 59% of the participants were female. Eighty-one children met the diagnostic criteria for a FGID (20%). Defecation disorders were the most common group of FGIDs. Functional constipation was diagnosed in 10% of the children and 9.25% were diagnosed with abdominal pain-related FGIDs (most commonly IBS, 3.75%). IBS overlapped with functional dyspepsia in 11% of the cases. Children with FGIDs frequently reported nausea. Children attending private school and older children had significantly more FGIDs than children in public school and younger children. CONCLUSIONS FGIDs are common in school-aged Salvadoran children.
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Affiliation(s)
- R Zablah
- Department of Gastroenterology and Endoscopy, Hospital Nacional de Niños Benjamín Bloom, San Salvador, El Salvador
| | | | - I Merlos
- Department of Gastroenterology and Endoscopy, Hospital Nacional de Niños Benjamín Bloom, San Salvador, El Salvador
| | - S Bonilla
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts, EE. UU
| | - M Saps
- Division of Digestive Diseases, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, EE. UU..
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