Chemotheraphy and Its Side Effects
Chemotheraphy and Its Side Effects
Chemotheraphy and Its Side Effects
11-delmundo
Cancer is a major health issue. 8.2 million people around the world died from cancer in 2012
(Ferlay et al. 2015). Chemotherapy is one of the main options for treating cancer. It can be
prescribed as a standalone treatment, or in parallel or in sequence with radiotherapy or surgery.
Chemotherapy is mainly delivered by outpatient clinics. These figures show that cancer is a
major issue, and outpatient chemotherapy is a strategic element in cancer care: its use increases
and its cost is rising even quicker.
Cancer and its treatment represent significant challenges for the health care system in America.
Chemotherapy, in particular, presents a challenge for patients, families, and health care
professionals. In 1986, approximately 557,000 cancer patients were treated with systemic
chemotherapy (Devita, 1989). More patients are receiving chemotherapy in outpatient treatment
facilities than ever before, because it is cost effective and convenient for the patient. Patients are
treated with a chemotherapy regimen over a period of hours in an outpatient clinic or physician's
office and are released. If a patient is going to experience side effects from treatment, they will
most likely experience these effects at home.
Although some side effects of chemotherapy drugs such as nausea can occur within minutes to
days after the drugs are given, a potentially life threatening side effect such as myelosuppression
can occur from one to four weeks. The most dangerous side effects that the patient will usually
encounter occur after the patient has left the treatment facility. Patients and families need to
become more familiar with their disease, treatment regimens, and side effects. If they receive
their treatments in an outpatient clinic or office, they must be provided with specific information
on how to self-manage treatment side effects. Chemotherapy teaching has focused on educating
patients about the drugs they are receiving and what side effects they may experience (Dodd &
Mood, 1981). Oncology nurses need to expand this teaching to include information on self-care
management of side effects.
Finally, the combination of natural bioactive compounds with traditional chemotherapeutic drugs
can potentiate anti-cancer efficacy and reduce side-effects of chemotherapy. In some cases,
addition of bioactive compounds may overcome the chemo- or radio-resistance of cancer cells.
These synergistic effects of nutraceutical compounds such as flavonoids, stilbenes, terpenes,
curcumin, and others have been discussed in a review article by Redondo-Blanco et al. presented
in this Research Topic. The authors reviewed current knowledge on mechanisms of action of
these compounds based on studies in colorectal cancer cells, animal models and clinical trials.
However, the use of non-approved combinations of drugs and unproven remedies may lead to
severe side-effects and life-threatening toxicities. Uhl et al. present a case report on fatal toxicity
induced by a combination of dichloroacetate and artemisinin derivative, artesunate. Both drugs
exert anti-cancer activity in vitro and in vivo, and were trialed in a small number of cancer
patients; however, a combination of these drugs provoked severe liver and bone marrow toxicity
in the patient.
`Refferences:
Lamé, G., Jouini, O., Stal-Le Cardinal, J., 2016. Outpatient Chemotherapy Planning: a
Literature Review with Insights from a Case Study. IIE Transactions on Healthcare Systems
Engineering. doi:10.1080/19488300.2016.1189469
Nurgali K, Jagoe RT and Abalo R (2018) Editorial: Adverse Effects of Cancer Chemotherapy:
Anything New to Improve Tolerance and Reduce Sequelae?. Front. Pharmacol. 9:245. doi:
10.3389/fphar.2018.00245