Why do cancer patients often suffer from nausea and vomiting? Consensus on prevention guidelines related to anti-tumor treatment in my country released in Shanghai
Cancer patients not only pursue a long life, but also "live well." After more than 30 years of hard work by my country's clinical cancer workers, great progress has been made in supportive cancer treatment, and doctors have more means to help patients. At the recently held 2024 academic meeting of the Cancer Supportive Treatment Committee of the Chinese Anti-Cancer Association, the expert consensus on the "China Guidelines for the Prevention and Treatment of Nausea and Vomiting Related to Anti-Cancer Treatment" was released at the same time, launching a full-symptom control and full-course management project for tumors.
Epidemiological data show that the incidence and mortality of malignant tumors in China are on the rise, but the age-standardized mortality rate is declining. In recent years, new anti-tumor treatment options and drugs have been continuously developed, but nausea and vomiting related to anti-tumor treatment are still common adverse reactions. Nausea and vomiting not only have a negative impact on patients' quality of life, but may also affect the effectiveness of anti-tumor treatment.
Zhang Jun, Director of the Oncology Department of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, said that more than 70% of anti-tumor patients will experience varying degrees of nausea and vomiting. Severe cases may lead to dehydration, electrolyte disorders, nutritional deficiencies and other diseases, affecting treatment. This "Guideline" points out that in addition to anti-tumor drug factors, such as female patients, age less than 50 years old, younger age, no drinking or very little drinking, history of morning sickness during pregnancy, history of motion sickness, history of anxiety disorders, previous chemotherapy drugs Patients with a history of nausea and vomiting and patients taking concomitant medications have a higher probability of vomiting. "Through this kind of "Guidelines", we hope to have a better understanding of patients' quality of life. In addition to the length of life, it can also make their lives thicker." It is reported that according to the "Guidelines", patient self-management will also be launched online. The Report mobile application strives to provide cancer patients with full management from screening, diagnosis, treatment, rehabilitation to follow-up.
In recent years, singing therapy has become an emerging auxiliary therapy in the full life cycle management of tumors. At this conference, experts from multiple fields such as the Shanghai Conservatory of Music and Shanghai University of Science and Technology established a new cooperation mechanism in the intersection of medicine and engineering. In the future, they will conduct in-depth exploration of the technology and mechanism of singing healing.
Qu Jieming, Secretary of the Party Committee of Ruijin Hospital, said that Ruijin Hospital will continue to take the construction of MDT as the starting point, based on the improvement of the tumor specimen library and database, and relying on diagnosis and treatment standards, translational research, and innovative therapies to form a "whole-process management and rational layout" Ruijin’s oncology medical treatment features, as well as the nursing features of full symptom management of “no pain, no hunger, no vomiting, no ugliness, no worries”. Fan Xianqun, academician of the Chinese Academy of Engineering and dean of Shanghai Jiao Tong University School of Medicine, mentioned that Jiao Tong University School of Medicine will also fully rely on the diagnosis and treatment advantages of the medical school and affiliated hospitals to carry out more basic and translational research based on key clinical scientific issues and provide more "interaction "Medical data, hand over medical evidence", and strive to optimize the clinical practice of diagnosis and treatment of common tumors in China to benefit more cancer patients.
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