Join PER® September 15th for the New York Advanced Practice Collaborative Meeting! Directed toward NP/PAs, this meeting blends presentations on cutting-edge information with panel discussions to enhance learning.

Toxicity Clinics

Thursday, September 12, 2013
It’s a simple concept—follow patients at high risk for treatment-induced toxicity, implement early interventions, and see what happens. Researchers from the University of Michigan in Ann Arbor evaluated two groups of patients with head and neck cancer receiving concurrent chemotherapy and radiation therapy. The first group of 50 patients received standard treatment (historical control) while the second group of 51 patients were followed by a group of nurse practitioners (NPs).

Patients who attended the NP clinic met weekly with an NP and the supportive care team beginning at the second week of treatment and ending 1-2 weeks after treatment was completed. The visits included a physical assessment, psychosocial assessment, and CBC and electrolytes monitoring, along with patient education about self-care measures.

Patients receiving standard care were more likely to be hospitalized during treatment (28% versus 12% in the NP group) and were more likely to require reductions in chemotherapy dosing (48% versus 6%). Only 46% of the patients in the standard practice group received the full schedule of chemotherapy, compared with 90% of patients in the NP group. These data are impressive, and support the role of early intervention and NPs in providing oncology care to patients at high risk for treatment-induced toxicity.

Mason H, DeRubeis MB, Foster JC, et al Outcomes evaluation of a weekly nurse practitioner-managed symptom management clinic for patients with head and neck cancer treated with chemoradiotherapy. Oncology Nursing Forum 2013; published online in advance of print. DOI: 10.1188/13.ONF.40-06AP.

Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN
Blog Info
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN is an oncology nursing consultant and editor-in-chief of Oncology Nursing News.
Author Bio
Lisa Schulmeister, MN, RN, ACNS-BC, FAAN, is the Editor-in-Chief for OncLive Nursing. She is an oncology nursing consultant and adjunct assistant professor of nursing at Louisiana State Health Sciences Center in New Orleans, LA. She provides continuing nursing education to nurses across the Unites States, is active in several professional nursing organizations, and is intrigued by the many ways nurses use technology to communicate.
External Resources

MJH Associates
American Journal of Managed Care
MD Magazine
Pharmacy Times
Physicians' Education Resource
Specialty Pharmacy Times
OncNurse Resources

Continuing Education
Web Exclusives

About Us
Advisory Board
Contact Us
Privacy Policy
Terms & Conditions
Intellisphere, LLC
2 Clarke Drive
Suite 100
Cranbury, NJ 08512
P: 609-716-7777
F: 609-716-4747

Copyright OncNursing 2006-2018
Intellisphere, LLC. All Rights Reserved.