title: Prevention of febrile neutropenia: use of granulocyte colony-stimulating factors.
abstract: There is good evidence to suggest that dose intensity is important when considering the effectiveness of adjuvant chemotherapy in patients with breast cancer. However, the development of chemotherapy-induced febrile neutropenia can lead to reduction in dose intensity and other treatment modifications, which may negatively affect patient outcomes. Febrile neutropenia can be prevented by the use of primary prophylactic treatment, notably with granulocyte colony-stimulating factors. This practice is supported by international guidelines, all of which recommend that primary prophylaxis with granulocyte colony-stimulating factors should be used with chemotherapy where the risk of febrile neutropenia is 20% or greater.
authors.affiliation: Plymouth Oncology Centre, Derriford Hospital, Plymouth PL6 8DH, UK. Steve.Kelly@phnt.swest.nhs.uk
authors.forename: S
authors.initials: S
authors.lastname: Kelly
authors.forename: D
authors.initials: D
authors.lastname: Wheatley
mesh_terms: D000368:Aged; D005334:Fever / Q000517:prevention & control*; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use*; D006801:Humans; D009503:Neutropenia / Q000517:prevention & control*; D018570:Risk Assessment
chemical_list: D016179:Granulocyte Colony-Stimulating Factor