Safety of oral hydration after cisplatin infusion in an outpatient lung cancer unit

Puisset, Florent; Bigay-Gamé, L.; Paludetto, Marie-Noëlle; Martel, Audrey; Perriat, Sophie; Rabeau, Audrey; Canonge, Jean-Marie

doi:10.1007/s00520-018-4415-7

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…105 Due to differences in CDDP dosage and the individual characteristics of patients, there is still no standardized treatment for hydration or forced diuresis used clinically in cancer patients undergoing chemotherapy. 106…”

Section: Current Strategies For Nephroprotection During Cddp Chemothe...mentioning

confidence: 99%

Protective effect of food derived nutrients on cisplatin nephrotoxicity and its mechanism

et al. 2022

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Section: Current Strategies For Nephroprotection During Cddp Chemothe...mentioning

confidence: 99%

Protective effect of food derived nutrients on cisplatin nephrotoxicity and its mechanism

et al. 2022

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“…5 Other studies conducted on the effect of short versus long hydration schemes have the same limitation as HYCIS1. [5][6][7][8][9][10][11][12][13][14][15] In order to inventorize the different cisplatin hydration schemes used in Dutch hospitals, we sent a survey to Dutch hospital pharmacies. Results of this survey showed that the cisplatin hydration schemes vary widely among hospitals and even within hospitals, depending on the indication and concomitant chemotherapy medication.…”

Section: What Is K Nown and Objec Tivementioning

confidence: 99%

“…Change in estimated glomerular filtration rate [Correction added on 01 September 2020, after first online publication: The P values in Table 3 have been transposed] The impact on SH versus LH scheme has been studied in previous reports as well, including HYCIS1. [5][6][7][8][9][10][11][12][13][14][15] In these reports, an SH proved to be associated with less or comparable nephrotoxicity. However, in these studies, many other factors differed between treatment groups as well, such as starting dose and administration rate of cisplatin, hydration fluid, electrolyte additives and diuretic use, which may have affected these results.…”

Section: Ta B L Ementioning

confidence: 99%

Difference in decline in renal function due to cisplatin after a short or long hydration scheme in non–small‐cell lung cancer: A retrospective cohort study (HYCIS‐XL)

et al. 2020

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What is known and objective Nephrotoxicity is a frequently occurring side effect of cisplatin, which may be reduced by applying ample hydration. The aim of this study was to determine whether there is a difference in decline in renal function due to cisplatin between a short hydration (SH) and long hydration scheme (LH). Methods A retrospective, observational, cohort study was conducted in two hospitals. Patients in one hospital received an SH scheme (SH group), whereas patients in the other hospital received an LH scheme (LH group). Other aspects of treatment and hydration were comparable between both patient groups. Consecutive patients (≥18 years) treated for non–small‐cell lung cancer with cisplatin‐pemetrexed with ≥1 cisplatin dose were included. Patients were excluded when serum creatinine at baseline was <40 μmol/L. Primary outcome was the difference in estimated glomerular filtration rate (eGFR) between baseline and after the last cisplatin cycle for the SH and LH patients, regardless of the number of administered cisplatin courses. Results Fifty patients were included in the SH and LH group. There were no significant differences in baseline characteristics between the two groups. None of the patients had renal failure at baseline. After two cisplatin cycles, the median differences between the baseline eGFR and the eGFR after the last cisplatin dose were 1 (−6 to 5) and −9 (−22 to −2) mL/min/1.73 m2 (interquartile range) for the SH and LH group, respectively (P = .000). Less patients completed the four cycles in the LH group (16%) compared to the SH group (64%), mainly because more LH patients were switched to another treatment and due to nephrotoxicity. However, the difference in eGFR remained statistically significant (P = .027). What is new and conclusion In this retrospective study, the SH scheme resulted in less decrease in renal function compared with the LH scheme, with a significant and clinically relevant difference. Additionally, more LH patients had to stop this effective treatment prematurely due to nephrotoxicity. Therefore, a short hydration scheme provides adequate and safe hydration, with a lower risk of nephrotoxic side effects and therefore better outcomes for patients and a reduction of healthcare costs.

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A systematic review for prevention of cisplatin-induced nephrotoxicity using different hydration protocols and meta-analysis for magnesium hydrate supplementation

Li,

Wu,

Chen

et al. 2023

Clin Exp Nephrol

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Safety of oral hydration after cisplatin infusion in an outpatient lung cancer unit

Abstract: The implementation of oral hydration in our practice was not associated with an increase in nephrotoxicity. Our observation based on large data from clinical practice shows that oral hydration after cisplatin is safe.

Cited by 4 publications

References 29 publications

Protective effect of food derived nutrients on cisplatin nephrotoxicity and its mechanism

Protective effect of food derived nutrients on cisplatin nephrotoxicity and its mechanism

Difference in decline in renal function due to cisplatin after a short or long hydration scheme in non–small‐cell lung cancer: A retrospective cohort study (HYCIS‐XL)

A systematic review for prevention of cisplatin-induced nephrotoxicity using different hydration protocols and meta-analysis for magnesium hydrate supplementation

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