Most Read Articles
Roshini Claire Anthony, 2 days ago

The combined use of piperacillin and tazobactam does not appear to be a suitable alternative to meropenem for patients with bloodstream infections caused by ceftriaxone-resistant Escherichia coli (E. coli) or Klebsiella pneumoniae (K. pneumoniae), according to results of the MERINO* trial.

Tristan Manalac, 5 days ago
Taking oral antibiotics appears to increase the risk of nephrolithiasis, according to a recent study. Moreover, the risk seems to be compounded for individuals with recent antibiotic exposure and those who were exposed at a younger age.
Jairia Dela Cruz, 6 days ago
Male smokers under the age of 50 years are at risk of developing ischaemic stroke, and this risk increases with the number of cigarettes smoked daily, according to data from the Stroke Prevention in Young Men Study.
Yesterday
Early renin-angiotensin-aldosterone system (RAAS) blockade with renin-angiotensin system inhibitors (RASI) leads to better short- and long-term renal outcomes in systemic lupus erythematosus (SLE) patients with antiphospholipid-associated nephropathy (aPLN), according to a study, adding that this renal protective effect is independent of RASI’s antihypertensive and antiproteinuric effects.

Granisetron more economical than palonosetron, ondansetron for preventing chemo-induced vomiting

04 Oct 2017

Granisetron, in combination with dexamethasone, appears to be a more cost-effective treatment option than palonosetron and ondansetron for the prevention of nausea and vomiting following highly emetogenic chemotherapy, according to a study from China.

Researchers developed a Markov decision-analytic model to determine, from the perspective of the Chinese healthcare system, which of the following strategies was the most cost-effective option in patients following highly emetogenic chemotherapy: 0.25 mg palonosetron (0.25P), 16 mg ondansetron (Onda) or 3 mg granisetron (Gran).

They investigated the health and economic outcomes of the three frequently used strategies using clinical and utility data obtained from published studies. Current local Chinese practices were used to calculate the cost data, and sensitivity analyses were performed to determine the impact of uncertainty regarding the results.

Base-case analysis revealed that the 0.25P strategy delivered maximum health benefits compared with the other two strategies, but the probabilistic sensitivity analysis showed that the Gran strategy was the most cost-effective approach when the willingness-to-pay threshold was not more than $22,515 per quality-adjusted life year.

In addition, it is not cost-effective to use palonosetron in preventing overall nausea and vomiting following highly emetogenic chemotherapy in Chinese patients, according to researchers.

These findings partially support that of the study by Matsumaru and colleagues, who concluded that palonosetron was superior to granisetron in preventing nausea and vomiting induced by chemotherapy for haematological cancers. In Japan, the standard dose of palonosetron is 0.75 mg. The researchers recommended the comparison of a dose of 0.25P with 0.75 mg in future studies. [Mol Clin Oncol 2017;7:629-632]

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Most Read Articles
Roshini Claire Anthony, 2 days ago

The combined use of piperacillin and tazobactam does not appear to be a suitable alternative to meropenem for patients with bloodstream infections caused by ceftriaxone-resistant Escherichia coli (E. coli) or Klebsiella pneumoniae (K. pneumoniae), according to results of the MERINO* trial.

Tristan Manalac, 5 days ago
Taking oral antibiotics appears to increase the risk of nephrolithiasis, according to a recent study. Moreover, the risk seems to be compounded for individuals with recent antibiotic exposure and those who were exposed at a younger age.
Jairia Dela Cruz, 6 days ago
Male smokers under the age of 50 years are at risk of developing ischaemic stroke, and this risk increases with the number of cigarettes smoked daily, according to data from the Stroke Prevention in Young Men Study.
Yesterday
Early renin-angiotensin-aldosterone system (RAAS) blockade with renin-angiotensin system inhibitors (RASI) leads to better short- and long-term renal outcomes in systemic lupus erythematosus (SLE) patients with antiphospholipid-associated nephropathy (aPLN), according to a study, adding that this renal protective effect is independent of RASI’s antihypertensive and antiproteinuric effects.