Radiation-induced nausea and vomiting: a clinical audit of prophylactic antiemetic use

Alden-Bennett, Verity, Ball, Bev, Nightingale, Hannah and Bridge, Pete ORCID: 0000-0001-7704-9812 (2021) Radiation-induced nausea and vomiting: a clinical audit of prophylactic antiemetic use Journal of Radiotherapy in Practice, 21 (4). pp. 1-4. ISSN 1460-3969, 1467-1131

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Abstract

Introduction: Radiation-induced nausea and vomiting (RINV) is a common side effect of single fraction palliative radiotherapy. Patients experiencing RINV have significantly reduced quality of life and a prescription of prophylactic antiemetics, principally 5-HT3 antagonists, is recommended. There is a growing body of evidence relating to indications for this, but as yet there are no national guidelines. Methods: A retrospective audit aimed to determine the extent to which patients at high and moderate emetogenic risk receiving single fraction radiotherapy were prescribed prophylactic emetic medication in line with the current evidence base. Results: A total of 60 patients were included in the audit; of these patients, 50 were consented for the risk of nausea and/or vomiting. Prophylactic antiemetics were only prescribed to 28 (46·7%) of all audited patients. Out of the 50 patients who provided informed consent, only 24 (48%) were prescribed an antiemetic prior to their treatment. Conclusion: Antiemetic prescribing for single fraction patients at moderate to high emetogenic risk at a large regional centre is underutilised in relation to published evidence. Amended guidance and further audits are recommended to ensure that this patient group is best supported.

Item Type:	Article
Uncontrolled Keywords:	antiemetics, prophylactic, radiotherapy, palliative
Divisions:	Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Population Health Faculty of Health & Life Sciences > School of Life Sciences
Depositing User:	Symplectic Admin
Date Deposited:	11 Jun 2021 14:21
Last Modified:	01 Mar 2026 11:01
DOI:	10.1017/s1460396921000133
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3125977
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