title: [Risk Factors for Oxaliplatin-Induced Phlebitis and Venous Pain, and Evaluation of the Preventive Effect of Preheating with a Hot Compress for Administration of Oxaliplatin].
abstract: Venous pain induced by oxaliplatin(L-OHP)is a clinical issue related to adherence to the Cape OX regimen. To prevent LOHP- induced venous pain, we provided nursing care to outpatients who were administered a preheated L -OHP diluted solution using a hot compress. We retrospectively evaluated the risk factors for colorectal cancer patients who had L -OHP induced phlebitis and venous pain. Furthermore, the preventive effect of nursing care was compared between inpatients and outpatients from January 2010 to March 2012. At the L-OHP administration site, any symptoms were defined as phlebitis, whereas pain was defined as venous pain. A total of 132 treatment courses among 31 patients were evaluated. Multivariate logistic regression analysis revealed that both phlebitis and venous pain were significantly more common in female patients (adjusted odds ratio, 2.357; 95%CI: 1.053-5.418; and adjusted odds ratio, 5.754; 95%CI: 2.119-18.567, respectively). The prevalence of phlebitis and venous pain did not differ between inpatients and outpatients (phlebitis, 61.3% vs 67.7%; venous pain, 29.0%vs 19.4%). These results suggest that administration of L-OHP via a central venous route should be considered in female patients.
authors.affiliation: Outpatient Chemotherapy Center, Ehime University Hospital.
authors.forename: Kana
authors.initials: K
authors.lastname: Nakauchi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kawazoe
authors.forename: Risa
authors.initials: R
authors.lastname: Miyajima
authors.forename: Chieko
authors.initials: C
authors.lastname: Waizumi
authors.forename: Yuki
authors.initials: Y
authors.lastname: Rokkaku
authors.forename: Kikue
authors.initials: K
authors.lastname: Tsuneoka
authors.forename: Noriko
authors.initials: N
authors.lastname: Higuchi
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Yoh
authors.initials: Y
authors.lastname: Kojima
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yakushijin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D015179:Colorectal Neoplasms / Q000188:drug therapy*; D005260:Female; D006358:Hot Temperature; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009944:Organoplatinum Compounds / Q000008:administration & dosage / Q000009:adverse effects*; D000077150:Oxaliplatin; D010146:Pain / Q000139:chemically induced / Q000517:prevention & control*; D010689:Phlebitis / Q000139:chemically induced / Q000517:prevention & control*; D011312:Pressure; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D009944:Organoplatinum Compounds; D000077150:Oxaliplatin