Table 2.
QUESTION | All Healthcare Providers, % | Hematology/Oncology Physicians, % | Hematology/Oncology Nurses, % | P Value* |
---|---|---|---|---|
Of your patients who experienced chemotherapy-induced nausea and vomiting (CINV) last year, what type of CINV was most common? (Select all that apply) | ||||
Anticipatory nausea/vomiting | 31 | 27 | 31 | .18 |
Breakthrough nausea/vomiting | 50 | 78 | 84 | .03 |
Refractory nausea/vomiting | 19 | 16 | 22 | .08 |
Of your patients who experienced CINV last year, which was the most problematic to manage? | ||||
Acute nausea | 27 | 9 | 20 | <.0001 |
Acute vomiting | 23 | 8 | 11 | .55 |
Delayed nausea | 33 | 61 | 50 | .06 |
Delayed vomiting | 17 | 21 | 20 | .88 |
Please indicate the degree to which you agree with the statement. (Strongly Agree/Agree) | ||||
Chemotherapy-induced nausea and vomiting are well controlled in my patients. | 81 | 95 | 88 | .01 |
In the past year, I've had to delay or discontinue a patient's chemotherapy due to CINV. | 45 | 31 | 32 | .92 |
What are barriers to optimal management of CINV in your institution? (Select all that apply) | ||||
Cost | 48 | 59 | 47 | .13 |
Improper treatment selection | 23 | 19 | 19 | .86 |
Ineffective therapies | 25 | 17 | 23 | .34 |
Limited options on formulary | 31 | 24 | 26 | 1.00 |
Nonadherence to guidelines | 23 | 32 | 22 | .08 |
Not understanding patient-related factors that affect CINV risk | 32 | 25 | 28 | .66 |
Not understanding emetogenic risk of cancer therapy | 14 | 10 | 10 | .92 |
Patient noncompliance | 38 | 37 | 48 | .04 |
Poor patient-clinician communication | 30 | 21 | 29 | .08 |
Other | 6 | 3 | 7 | .15 |
What is your preferred method of administration of CINV therapy? | ||||
IV | 47 | 43 | 60 | .002 |
Oral | 31 | 40 | 34 | .36 |
Transdermal | 12 | 10 | 3 | .002 |
Subcutaneous | 5 | 6 | 2 | .03 |
Other | 4 | 1 | 2 | .25 |
Why is this administration preferred? (Select all that apply) | ||||
Convenience for physician | 16 | 30 | 11 | <.0001 |
Convenience for patient | 70 | 67 | 71 | 1.00 |
Ensures patient compliance | 37 | 47 | 43 | .49 |
Most efficacious | 36 | 41 | 42 | .29 |
Prevents multiday administration | 15 | 22 | 14 | .14 |
Side effect profile | 12 | 12 | 11 | .35 |
Reimbursement/cost | 14 | 16 | 25 | .06 |
Other | 6 | 1 | 7 | .002 |
Comparisons were between hematology/oncology physicians and hematology/oncology nurses.