Medical Oncology

Supportive Care   

Questions discussed in this category


Are there any protocols in place? Aside from telling patients to use ice packs or bags or immerse hands/feet in ice water baths from 15" before to 15"...

If so, do you use it for all patients or only cisplatin doses >= 70 mg/m2? What dose of mannitol do you use?

Do you prophylactically start all patients on B12, B-complex, and/or omega-3? If so, what dose? What about ice mittens and booties?

In patients who continue to have insomnia despite diphenhydramine, benzos, and trazodone, are there other evidence based treatments that are helpful?

Do you routinely recommend any dietary changes or is the evidence not convincing?

If a patient has a large femoral metastasis that cannot be resected, but is to be stabilized with ORIF which will push tumor into the distal end of th...

What non-pharmacological interventions do you recommend? Do you routinely prescribe prophylactic laxatives to patients initiating opioids? How do you ...

Would you recommend the patient stop testosterone upon this new diagnosis? If the patient is not amenable to stopping, would you incorporate an AI in ...

If so, do you avoid pegfilgrastim given that <12 days will lapse between its administration and the next cycle?

This includes handling saliva, vomit, sweat, vaginal secretions, semen, urine, and stool. Are there recommendations for intimacy, sex, laundry, and&nb...

Do you prescribe creams (e.g., urea) to prevent HFS, or is their use generally more reactive? 

After optimizing symptoms and reversible factors, and attempting cognitive-behavioral interventions and exercise, do you recommend pharmacologic agent...

What advice do you give regarding dietary practices, feeding tubes / parenteral nutrition, and pharmacotherapy specifically for cachexia?

Can it be prevented? How do you evaluate patients? What non-pharmacologic or pharmacologic interventions do you use for treatment?

There are conflicting reports of increased incidence of bleomycin-induced lung toxicity with G-CSF.

Obviously, patient and caregiver preferences are paramount. But, what factors do you consider? Does expanded hospice (e.g., Medicare Care Choices) inf...

Is there specific workup you perform? Are there preventive measures? Once established, are there non-pharmacological and pharmacological treatments yo...

How would you manage symptoms? How would you adjust the adjuvant regimen (dose reduce, omit paclitaxel etc)? What strategies would you consider for pr...

i.e. doxorubicin, ifosfamide + RT. Do you worry about decreased locoregional control or increased toxicities with the use of G-CSF in combination with...

If yes, what dosage and do you use it continuously or intermittently? Regarding provera, many patients with ER/PR (+) breast cancer worry about taking...

Many women are distressed when asked to discontinue hormone replacement therapy or use intravaginal estrogen suppositories.


Papers discussed in this category


Oncology, 2013-01-01

PLoS ONE, 2015-01-01

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2006-03-20

Clinical breast cancer, 2018-02

Breast,

JAMA oncology, 2016-09-01

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013-04

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016-07

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010-02-01

Cancer,

Eur J Oncol Nurs, 2011 Jul 23

Support Care Cancer, 2013 Dec 22

Breast Cancer Res. Treat., 2017 May 09

JAMA, 2013-04-03

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017-09

Springerplus, 2016 May 10

JAMA dermatology, 2018-06-01

J Clin Oncol, 2019 Jul 22

J. Clin. Oncol., 2015 Nov 16

Lancet Oncol., 2018 Oct 19

Semin. Oncol., 2017 Feb 11

Eur. Urol., 2020 Jan 01

Chest, 1997-03

J. Clin. Oncol.,

Clin Genitourin Cancer, 2017 Sep 04

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011-04-10

Cancer journal (Sudbury, Mass.), 2007

The journal of supportive oncology, 2003

J Clin Oncol,

Breast Cancer (Dove Med Press), 2017 Jan 23

J. Clin. Oncol., 2020 May 20

Journal of the National Cancer Institute, 2013-08-21

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2010-02

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013-09-01

N. Engl. J. Med.,

J Clin Oncol, 2019 Sep 18

British journal of cancer, 2016-03-29

Journal of the National Cancer Institute, 2007-05-02

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018-02

Support Care Cancer, 2020 May 06

J Oncol Pract,

EMBO Mol Med, 2020 Apr 29

J Oncol, 2020 Jun 24

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010-12-10

Practical radiation oncology, 2015

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2014-06-20

J Clin Oncol, 2020 Jul 14

J Clin Oncol, 2019 Dec 19

Ann Oncol,

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2011-10

Journal of oncology practice, 2019-01

Support Care Cancer, 2021 Aug 16

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010-03-10

Cancer chemotherapy and pharmacology, 2003-07

J Oncol Pharm Pract, 2009 Sep 16

Cancer Treat Rep,

Ann Pharmacother, 2012 Jan 31

Journal of hospital medicine, 2018-08-01

Front Oncol, 2022 Mar 09

BMJ Support Palliat Care, 2022 Jul 08

Nutr Cancer, 2019 Oct 12

J Clin Oncol, 2021 Dec 20

J Natl Compr Canc Netw,

J Immunother Cancer, 2021 Jun

Ann Oncol, 2022 Oct 18