title: Chemotherapy-induced nausea and vomiting: contemporary approaches to optimal management. Proceedings from a symposium at the 2008 Multinational Association of Supportive Care in Cancer (MASCC) Annual Meeting.
abstract: BACKGROUND
  Chemotherapy-induced nausea and vomiting remains a significant problem for cancer patients.
  
  
  CONCLUSIONS
  Patient factors such as polypharmacy, medication costs, mucositis, and depression may hinder good antiemetic control, while high workloads, poor communication, and underestimation of the problem on the part of healthcare professionals also play a role. Improving outcomes requires accurate assessment of risk factors, use of guidelines, and better adherence to antiemetic regimens.
  
  
  CONCLUSIONS
  Extended-release formulations and new delivery systems such as transdermal patches, nasal sprays, and pumps provide a new strategy that may improve patient outcomes.
authors.affiliation: University of Vermont, 89 Beaumont Ave, Given Bldg E-214, Burlington, VT 05405, USA. steven.grunberg@uvm.edu
authors.forename: Steven
authors.initials: S
authors.lastname: Grunberg
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Clark-Snow
authors.forename: Jim
authors.initials: J
authors.lastname: Koeller
mesh_terms: D000932:Antiemetics / Q000009:adverse effects / Q000627:therapeutic use*; D000970:Antineoplastic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D009325:Nausea / Q000139:chemically induced* / Q000188:drug therapy*; D009369:Neoplasms / Q000188:drug therapy*; D012307:Risk Factors; D014839:Vomiting / Q000139:chemically induced* / Q000188:drug therapy*
chemical_list: D000932:Antiemetics; D000970:Antineoplastic Agents