title: Patient-centered management of chemotherapy-induced nausea and vomiting.
abstract: BACKGROUND
  Oncology providers frequently underestimate the incidence of chemotherapy-induced nausea and vomiting (CINV), and patients often are reluctant to report symptoms. Inadequate patient-provider communication is a significant barrier to optimal management of this debilitating toxicity.
  
  
  METHODS
  The author reviews relevant published data and methods to optimize the clinical care of patients receiving chemotherapy with moderate-to-high emetogenic potential.
  
  
  RESULTS
  Patient reticence plus physician expectations that patients will report symptoms accurately lead to lapses in communication and suboptimal clinical care.
  
  
  CONCLUSIONS
  Communication strategies should serve to encourage patients to share the responsibility for establishing goals of therapy and understanding the risks and benefits of their selected antiemetic regimen, thereby becoming active participants in their own cancer care.
authors.affiliation: Division of Hematology/Oncology, Vermont Cancer Center, University of Vermont College of Medicine, Burlington, VT 05405, USA. steven.grunberg@uvm.edu
authors.forename: Steven
authors.initials: S
authors.lastname: Grunberg
mesh_terms: D000932:Antiemetics / Q000627:therapeutic use*; D000970:Antineoplastic Agents / Q000009:adverse effects*; D006801:Humans; D009325:Nausea / Q000139:chemically induced* / Q000188:drug therapy / Q000517:prevention & control / Q000628:therapy*; D018802:Patient-Centered Care / Q000379:methods*; D014839:Vomiting / Q000139:chemically induced* / Q000188:drug therapy / Q000517:prevention & control / Q000628:therapy*
chemical_list: D000932:Antiemetics; D000970:Antineoplastic Agents