Pattern of Adverse Drug Reactions Due to Cancer Chemotherapy in a Tertiary Care Hospital in South India

Sharma, Ajitha and Kumari, Meena K and Manohar, Hasitha Diana and Bairy, KL and Thomas, Joseph (2015) Pattern of Adverse Drug Reactions Due to Cancer Chemotherapy in a Tertiary Care Hospital in South India. Perspectives in Clinical Research, 6 (2). pp. 109-115. ISSN 2229-3485

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Abstract

Purpose: Studies regarding pattern of adverse drug reactions (ADRs) in cancer chemotherapy patients are scarce in India. This study was conducted to evaluate the pattern of occurrence of ADRs due to cancer chemotherapy in hospitalized patients and to assess the causality, severity, predictability, and preventability of these reactions. Materials and Methods: This was a retrospective, descriptive study and the occurrence and nature of ADR, suspected drug, duration of hospital stay and outcome were noted from case records. These ADRs were assessed for causality using both World Health Organization (WHO) causality assessment scale and Naranjo’s algorithm. The severity and preventability of the reported reactions were assessed using modified Hartwig and Siegel scale and modified Schumock and Thornton scale respectively. Results: Five hundred ADRs were recorded from 195 patients. Most common ADRs were infections (22.4%), nausea/ vomiting (21.6%) and febrile neutropenia (13%). Platinum compounds, nitrogen mustards, taxanes, antibiotics and 5‑fluorouracil were the most common drugs causing ADRs. WHO causality assessment scale showed 65% of the reactions to be “probable” and 35% to be “possible,” while Naranjo’s algorithm indicated that 65.6% of ADRs were “probable” and 34.4% were “possible”. Modified Hartwig and Siegel scale showed most reactions (41.4%) to be of “moderate level 4(a)” severity, while 30.6% of reactions were of “mild level 1” severity. About 30.8% of the ADRs were “definitely preventable” according to the modified Schumock and Thornton scale. Conclusion: ADRs are most important causes of morbidity and mortality and increase the economic burden on patient and society. By careful ADR monitoring, their incidence can be decreased.

Item Type: Article
Uncontrolled Keywords: Adverse drug reactions; Causality; Chemotherapy; Pharmacovigilance
Subjects: Medicine > KMC Manipal > Medical Oncology
Medicine > KMC Manipal > Pharmacology
Depositing User: KMC Manipal
Date Deposited: 30 Mar 2015 05:22
Last Modified: 30 Mar 2015 05:22
URI: http://eprints.manipal.edu/id/eprint/142287

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