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Checkpoint inhibitor therapy: Immune-related adverse event management
Lori Davis1, Mary Beth Casselbury, Sharon Wilson
1Lori Davis and Mary Beth Casselbury are triage nurses, and Sharon Wilson is a clinical nurse leader at the Lipson Cancer Institute in Rochester, N.Y.
Immune checkpoint inhibitors can cause immune-related toxicities (irAEs) during and after cancer treatment. A patient education program helps recognize these immunotherapy side effects and toxicities.
Area of Science:
- Oncology
- Immunology
- Clinical Medicine
Background:
- Immune checkpoint inhibitors (ICIs) are a cornerstone of modern cancer therapy.
- ICI treatment is frequently associated with immune-related adverse events (irAEs).
- irAEs can manifest at any point during or after therapy, posing a clinical challenge.
Purpose of the Study:
- To discuss the landscape of immune checkpoint inhibitor therapy.
- To describe the implementation of a patient education program.
- To enhance the recognition of immunotherapy-related irAEs and their toxicities.
Main Methods:
- Literature review on ICI therapy and irAEs.
- Development and implementation of a patient education program.
- Focus on patient recognition of irAE symptoms and toxicities.
Main Results:
- High prevalence of multiple irAEs associated with ICIs.
- irAEs can occur during treatment and up to 3 months post-treatment.
- Patient education is crucial for timely identification and management.
Conclusions:
- Immune checkpoint inhibitor therapy necessitates vigilant monitoring for irAEs.
- Patient education programs are vital for improving the recognition of immunotherapy toxicities.
- Early recognition of irAEs can potentially improve patient outcomes.
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