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Published on: June 21, 2024
Improving adherence with oral antiemetic agents in patients with breast cancer receiving chemotherapy
1Center for Breast Health, Bethesda, MD carolyn.hendricks53@verizon.net.
Purpose:
In this small breast cancer-dedicated solo practice, a retrospective medical record review disclosed the following: significant rate of chemotherapy-related nausea and vomiting and discordance between patient-reported compliance with prescribed antiemetics and medical record documentation of compliance. As part of the curriculum for the American Society of Clinical Oncology (ASCO) Quality Training Program, a quality improvement project was developed to improve adherence to oral antiemetics in our patients with breast cancer receiving highly emetogenic chemotherapy.
Patients And Methods:
The following steps were undertaken in plan-do-study-act cycles to improve adherence: enhanced patient education at time of chemotherapy consent, implementation of standardized in-person or e-mail contact with our patients receiving chemotherapy, and improvement of our electronic health record documentation of adherence to oral antiemetics. A run chart was generated to analyze our data.
Results:
After our interventions, the percentage of patients who took their antiemetics as prescribed rose from a baseline of 49% to 79%.
Conclusion:
Significant improvement in adherence to oral antiemetics among patients with breast cancer receiving chemotherapy was achieved and sustained in this small-practice setting using the framework provided by participation in the ASCO Quality Training Program.
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