INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2456-4184 | Impact factor: 8.76 | ESTD Year: 2016
Scholarly open access journals, Peer-reviewed, and Refereed Journals, Impact factor 8.76 (Calculate by google scholar and Semantic Scholar | AI-Powered Research Tool) , Multidisciplinary, Monthly, Indexing in all major database & Metadata, Citation Generator, Digital Object Identifier(DOI)
Aim: The objective of the study was to assess the causality, severity and preventability of ADRs detected by chemotherapeutic medications and to assess their management.
Methodology: A prospective observational study was conducted for 6 months among 108 patients.
Results: The study found a total of 263 ADRs, with the gastrointestinal system being the most affected organ system (28.6%).The drug Paclitaxel caused the highest number of ADRs when administered as monotherapy, while paclitaxel+carboplatin caused the highest number of ADRs when taken in combination. Causality was assessed using Naranjo’s causality assessment scale, it was found that 87.1% of the ADRs were probable, 7.6% were possible, and 5.3% were definite. The severity of ADRs was assessed using the Hartwig & Siegal scale, and the study found that 49.8% of ADRs were moderate level 3, 34.6% were moderate level 4a, 10.3% were mild level 2, 4.2% were moderate level 4b, and 1.1% were mild level 1.The preventability of the ADRs was assessed using the Modified Schumock and Thornton preventability scale, it was found that 68.4% of ADRs were not preventable, 18.6% were probably preventable, and 12.9% were definitely preventable. The study also found that the ADRs were managed by providing additional treatment without changing the drug regimen.
Conclusion : ADRs are the major concern in patient safety and are responsible for a significant amount of mortality and morbidity, as well as financial burden on patients. It is essential to keep ADR in track, and early detection/ monitoring could help reduce the risk of one’s health.
Keywords:
Adverse drug reaction, causality, chemotherapy, pharmacovigilance.
Cite Article:
"Assessment and management of ADR associated with cancer chemotherapy in a tertiary care hospital ", International Journal of Novel Research and Development (www.ijnrd.org), ISSN:2456-4184, Vol.8, Issue 5, page no.a422-a447, May-2023, Available :http://www.ijnrd.org/papers/IJNRD2305055.pdf
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ISSN:
2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
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