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Frequency of measuring body weight in (sub)populations of patients with cancer treated with chemotherapy. 在接受化疗的癌症患者(亚)群体中测量体重的频率。
Pub Date : 2024-02-22 DOI: 10.1136/ejhpharm-2021-003215
Shirley Kemps, Mostafa Soleyman, Harmen Huls, Mariette Labots, Mirjam Crul

Objectives: Most cytostatics used in cancer treatment are dosed on body surface area (BSA). To administer an appropriate dose it is therefore necessary to know the patient's correct body weight. However, evidence is lacking on how often, after initiation of treatment, body weight should be measured to recalculate BSA. We aimed to assess the relevance of weight measurements during chemotherapy treatment.

Methods: Over a 2 year period we analysed BSA changes in adult patients undergoing chemotherapy treatment. The frequency of and median time to ≥10% BSA change was determined. We assumed a 10% BSA change required dose adjustment and was therefore clinically relevant.

Results: Using a database query, data from 2276 patients were used for descriptive statistics, life table analyses and generalised estimating equations. The frequency of ≥10% BSA change occurred in a maximum of 7.6% of the patients, depending on the tumour type. Descriptive statistics in the indications with more than 100 patients showed that BSA changes of ≥10% occurred after 84 days. The groups with the earliest BSA changes were patients with acute leukaemia, lymphoma and pancreatic cancer.

Conclusions: Our observations from real-world data indicate it is safe to omit the current requirement for monthly weight measurements. We advise that during chemotherapy, measuring the body weight in patients who have acute leukaemia, lymphoma or pancreatic cancer or who are under 20 years of age, should be performed at least every 3 months. For other patients, extending this period to a 6-monthly weight measurement should be considered.

目的:大多数用于癌症治疗的细胞抑制剂都是根据体表面积(BSA)来计算剂量的。因此,要施用适当的剂量,就必须了解患者的正确体重。然而,关于在开始治疗后应多久测量一次体重以重新计算体表面积,目前还缺乏相关证据。我们旨在评估化疗期间体重测量的相关性:我们分析了接受化疗的成年患者在两年内的 BSA 变化情况。我们确定了BSA变化≥10%的频率和中位时间。我们假定 10% 的 BSA 变化需要调整剂量,因此与临床相关:通过数据库查询,2276 名患者的数据被用于描述性统计、生命表分析和广义估计方程。根据肿瘤类型,BSA变化≥10%的患者最多占7.6%。对超过 100 名患者的适应症进行的描述性统计显示,BSA ≥10% 的变化发生在 84 天之后。BSA变化最早的群体是急性白血病、淋巴瘤和胰腺癌患者:我们从实际数据中观察到的结果表明,省略目前每月测量体重的要求是安全的。我们建议,在化疗期间,急性白血病、淋巴瘤或胰腺癌患者或 20 岁以下的患者应至少每 3 个月测量一次体重。对于其他患者,则应考虑延长至每 6 个月测量一次体重。
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引用次数: 0
5PSQ-141 Analysis of ceftaroline associated neutropenia 5PSQ-141头孢他林相关性中性粒细胞减少症分析
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.260
L. García Basas, A. Gago, J. Sáez De La Fuente, AM Álvarez Díaz
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引用次数: 1
5PSQ-209 Anticholinergic burden and risk of adverse events in patients from a Spanish nursing home 5PSQ-209西班牙养老院患者抗胆碱能负担和不良事件风险
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.328
H. Rodríguez Ramallo, E. Prado Mel, R. Ramos Romero, MI Galván-Borrás, JC Huarte Mendicoa, B. Fernandez Rubio
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引用次数: 0
4CPS-265 Cemiplimab for the treatment of relapse of a cutaneous squamous cell carcinoma in an adult patient: a case report 头孢米单抗治疗成人皮肤鳞状细胞癌复发1例
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.97
J. D. Valencia, R. T. Bermejo, L. Rodelo, I. Castillo
{"title":"4CPS-265 Cemiplimab for the treatment of relapse of a cutaneous squamous cell carcinoma in an adult patient: a case report","authors":"J. D. Valencia, R. T. Bermejo, L. Rodelo, I. Castillo","doi":"10.1136/EJHPHARM-2021-EAHPCONF.97","DOIUrl":"https://doi.org/10.1136/EJHPHARM-2021-EAHPCONF.97","url":null,"abstract":"","PeriodicalId":11991,"journal":{"name":"European Journal of Hospital Pharmacy: Science and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82969315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
5PSQ-124 Anticoagulation management within a hospital setting: identifying risk factors affecting patient safety 5PSQ-124医院环境中的抗凝管理:识别影响患者安全的危险因素
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.243
K. Noerens, N Van Tittelboom, A Van Buyten, H. Vandekerckhove
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引用次数: 0
1ISG-025 Budget impact analysis of biosimilar adalimumab versus reference adalimumab 1ISG-025阿达木单抗与参考阿达木单抗生物仿制药的预算影响分析
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.6
C. Morell, JM Gonzalez Puyuelo, Mp Monforte Gasque, N. L. Andújar, M. D. Olmo, E. Gallardo
{"title":"1ISG-025 Budget impact analysis of biosimilar adalimumab versus reference adalimumab","authors":"C. Morell, JM Gonzalez Puyuelo, Mp Monforte Gasque, N. L. Andújar, M. D. Olmo, E. Gallardo","doi":"10.1136/EJHPHARM-2021-EAHPCONF.6","DOIUrl":"https://doi.org/10.1136/EJHPHARM-2021-EAHPCONF.6","url":null,"abstract":"","PeriodicalId":11991,"journal":{"name":"European Journal of Hospital Pharmacy: Science and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77998743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
5PSQ-137 Adequacy of diagnosis and treatment of pharyngotonsillitis 5PSQ-137咽扁桃体炎诊治的充分性
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.256
C. Salom, J. Blade, C. Campabadal, F. Bejarano, C. Torrente, M. Piqueras, N. Marco, L. Castillo, M. Roch, A. Sanjuan, L. Canadell
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引用次数: 0
4CPS-334 Influence of anthropometric, demographic and therapeutic factors on serum concentrations of anti-TNF drugs 人体测量学、人口学和治疗因素对血清抗tnf药物浓度的影响
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.166
S. Giménez, J. Polo, A. Sendra, P. Llopis, M. Climente
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引用次数: 0
4CPS-372 Pharmaceutical interventions in hospitalised patients during the first wave of the SARS-CoV-2 pandemic 第一波SARS-CoV-2大流行期间住院患者的药物干预措施
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.204
A. Sancho, B. García, A. Villaescusa, L. L. Lopez, J. Amigo, E. Albert, N. Martínez
Background and importanceThe activity of pharmacy services increased during the first wave of the SARS-Cov-2 pandemic An example of this was the activity carried out during the validation of inpatient treatments Aim and objectivesTo evaluate pharmaceutical interventions carried out in a second level hospital during the pandemic and compare them with those in the same period of the previous year Material and methodsThis was a retrospective study All pharmaceutical interventions between March and May 2020 (pandemic period: P) and those between March and May 2019 (pre-pandemic period: pre-P) were reviewed Data collected were: number of interventions, hospital stay, intervention rate (number of interventions × 1000 hospital stays), therapeutic group involved and type of intervention Data analysis: Stata V 15 1 The χ2 Mantel–Haenszel test was used to compare intervention rates and the χ2 Pearson to compare proportions ResultsThe number of interventions was 690 versus 115, and the number of hospital stays was 27 415 versus 27 062 for the P and pre-P periods, respectively The intervention rate (P vs pre-P) was 25 2×1000 stays versus 4 2×1000 stays (χ2 Mantel–Haenszel, p<0 0001) Therapeutic groups involved (P vs pre-P, respectively) were: P01-antiparasitics/hydroxychloroquine (40% vs 0%), J-01-antibiotics and J05-antivirals (17% vs 19%), N05-antipsychotics (7% vs 6%), B01-anticoagulants antiaggregants (6% vs 15%), N-02 analgesics (5% vs 21%) and other groups (25% vs 39%) Statistically significant differences were found between both distributions (χ2 Pearson, p<0,001) Type of interventions (P vs pre-P, respectively): drug interaction monitoring (40% vs 11%), stop treatment (26% vs 17%), dosage change (26% vs 60%) and other interventions (8% vs 12%) Both distributions (P and pre-P) were compared, and there were statistically significant differences between them (χ2 Pearson, p<0,001) Conclusion and relevanceDuring the first wave of the SARS-CoV-2 pandemic, activity related to the validation of inpatients treatments increased significantly in our centre The acceptance rate of interventions was not collected but it should be considered for future studies The therapeutic groups involved in the pharmaceutical interventions differed between the P and pre-P periods In the P period, those related to antiparasitic drugs (which includes hydroxychloroquine) increased significantly Types of interventions were also different between both periods In the P period, the interventions related to drug interactions and excessive durations of treatments were the most frequent Both types were interventions related to the safety of treatments during the pandemic References and/or acknowledgementsConflict of interestNo conflict of interest
背景与重要性在第一波SARS-Cov-2大流行期间,药房服务活动增加,住院治疗验证期间开展的活动就是一个例子目的与目的评价大流行期间二级医院开展的药物干预措施,并将其与上一年同期进行的药物干预措施进行比较材料和方法本研究为回顾性研究对2020年5月(大流行期间:P)和2019年3月至5月(大流行前期间:P前)的数据进行了回顾。收集的数据包括:干预次数、住院时间、干预率(干预次数× 1000住院时间)、涉及的治疗组和干预类型。χ2使用Mantel-Haenszel检验比较干预率,χ2 Pearson检验比较比例结果干预次数为690次,P和P前分别为115次,住院时间分别为27415次和27062次,干预率(P与P前)分别为25次2×1000和4次2×1000 (χ2 Mantel-Haenszel, p<0 0001)涉及的治疗组(P与P前)分别为:p01 -抗寄生虫药/羟氯喹(40% vs 0%)、j -01-抗生素和j05 -抗病毒药物(17% vs 19%)、n05 -抗精神病药(7% vs 6%)、b01 -抗凝剂、抗聚集剂(6% vs 15%)、N-02镇痛药(5% vs 21%)和其他组(25% vs 39%)两组分布差异均有统计学意义(χ2 Pearson, p< 0.001)。药物相互作用监测(40% vs 11%)、停止治疗(26% vs 17%)、剂量变化(26% vs 60%)和其他干预措施(8% vs 12%)的分布(P和P前)进行比较,差异均有统计学意义(χ2 Pearson, p< 0.001)。干预的接受率没有被收集,但在未来的研究中应该考虑到这一点。参与药物干预的治疗组在P期和P前阶段之间存在差异。与抗寄生虫药物(包括羟氯喹)相关的干预措施显著增加,干预措施的类型在两个时期之间也有所不同。在P期,与药物相互作用和治疗持续时间过长有关的干预措施最为常见
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引用次数: 0
2SPD-037 Analysis of drug dispenses outside the hospital guide in a psychiatric hospital 2SPD-037某精神病院院外用药指南分析
Pub Date : 2021-03-01 DOI: 10.1136/EJHPHARM-2021-EAHPCONF.20
J. Costa, EM Robles Blazquez, Jm Gonzalez, M. Guzman
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引用次数: 0
期刊
European Journal of Hospital Pharmacy: Science and Practice
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