Download the ESMO 2012 Abstract Book - Oxford Journals

Annals of Oncology
progression-free survival very useful from the viewpoint of side effects, even in phase
III clinical trials.
Disclosure: All authors have declared no conflicts of interest.
1705 PROSPECTIVE EVALUATION OF THE EFFECT OF A MANUAL
FOR DIABETIC PATIENTS WHO RECEIVE CANCER
CHEMOTHERAPY
H. Kato1 , T. Mineta2 , K. Chikamori2 , N. Hamajima2 , S. Koyama3 , H. Kushihara3 ,
B. Hiroyuki4 , M. Yamauchi5 , K. Kawada1 and F. Nomura1 1
Medical Oncology, Japanese Red Cross Nagoya First Hospital, Nagoya,
JAPAN, 2 Nursing, Japanese Red Cross Nagoya First Hospital, Nagoya, JAPAN,
3
Pharmacy, Japanese Red Cross Nagoya First Hospital, Nagoya, JAPAN,
4
Nutrition, Japanese Red Cross Nagoya First Hospital, Nagoya, JAPAN,
5
Endocrinology and Diabetes, Japanese Red Cross Nagoya First Hospital,
Nagoya, JAPAN
Background: How to safely administer cancer chemotherapy to patients with
diabetes mellitus is an important issue. Our institution is a general core hospital in
Japan. In 2010, we surveyed the current status of diabetic patients given cancer
chemotherapy. Adequate medical examinations were not performed. In 2011, we
designed a manual for diabetic patients who receive cancer chemotherapy. We now
report an improvement in medical examinations of diabetic patients who receive
cancer chemotherapy since introducing our manual.
Methods: We decided that adequate medical examinations should include the
following: adequate measurement of blood sugar levels; evaluation of the patient by a
diabetologist; making standards for decreasing the dose of steroids given before
cancer chemotherapy; and making standards for nutritional guidance. We compared
the present status (as of March 2012) with that before the introducing our manual
for diabetic patients receiving cancer chemotherapy.
Results: The proportion of diabetic patients increased from 12% to 19%. The
rate of measuring blood sugar levels at the start of new regimens of
chemotherapy increased from 69% to 72%. The rate of adequate continuous
monitoring of blood sugar levels increased from 48% to 81%. The rate of
evaluation by a diabetologist increased from 36% to 50%. The rate of decreased
premedication with steroids increased from 55% to 66%. The rate of providing
nutritional guidance was unchanged (23% to 24%).
Conclusions: The rates of adequate continuous monitoring of blood sugar levels,
decreasing premedication with steroids, and evaluation by a diabetologist improved.
The increase in the proportion of diabetic patients was attributed to adequate blood
sugar examinations. However, the low rate of providing of nutritional guidance
remains an unsolved problem.
Disclosure: All authors have declared no conflicts of interest.
Volume 23 | Supplement 9 | September 2012 doi:10.1093/annonc/mds416 | ix527