The influence of psychosocial factors on first-time chemotherapy-induced nausea and vomiting: A prospective multicenter cohort study.

person Xiaoxiao Shi Department of Oncology, Chengdu Shang Jin Nan Fu Hospital/ Shang Jin Hospital of West China Hospital, Sichuan University, Chengdu, China info_outline Xiaoxiao Shi, Liang Xu, Jie Liu, Ying Wang, Xiaoyun Yang, Hongyu Zhuo, Jie Zhang, Ye Chen, Hongmei Xiao, Ke Xie, Wuning Zhong, Yu Jiang, Yaotiao Deng

Authors person Xiaoxiao Shi Department of Oncology, Chengdu Shang Jin Nan Fu Hospital/ Shang Jin Hospital of West China Hospital, Sichuan University, Chengdu, China info_outline Xiaoxiao Shi, Liang Xu, Jie Liu, Ying Wang, Xiaoyun Yang, Hongyu Zhuo, Jie Zhang, Ye Chen, Hongmei Xiao, Ke Xie, Wuning Zhong, Yu Jiang, Yaotiao Deng Organizations Department of Oncology, Chengdu Shang Jin Nan Fu Hospital/ Shang Jin Hospital of West China Hospital, Sichuan University, Chengdu, China, Breast Disease Center, Cancer Center, West China Hospital, Sichuan University, Chengdu, China, West China Hospital of Sichuan University, Chengdu, China, Department of Oncology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China, Department of Oncology, Panzhihua University Affiliated Hospital, Panzhihua, China, Department of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China, Oncology Department, Affiliated Hospital of Zunyi Medical University, Zunyi, China, Department of Oncology, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China, Department of Breast, Bone & Soft Tissue Oncology, Guangxi Medical University Cancer Hospital, Nanning, China Abstract Disclosures Research Funding No funding sources reported Background: Previous studies have suggested that if cancer patients experience no chemotherapy-induced nausea and vomiting (CINV) or mild symptoms during their first chemotherapy cycle, they are less likely to experience CINV in subsequent cycles, suggesting that the optimal intervention time may be before the first chemotherapy cycle. Consequently, attention should be paid to relevant risk factors. Currently, there is a lack of data on psychosocial risk factors related to chemotherapy among cancer patients in China. Methods: This study was a multicenter, prospective cohort study that included cancer patients from seven hospitals' oncology departments who were scheduled to undergo their first chemotherapy cycle. The chemotherapy regimens administered were either highly or moderately emetogenic protocols. Demographic and baseline clinical characteristics were recorded by clinical oncologists. Participants were asked to complete the Distress Thermometer (DT), the Mini-Mental Adjustment to Cancer (Mini-MAC), and a risk factor questionnaire the day before chemotherapy, and to keep a daily diary describing their CINV experiencing for 21 days after chemotherapy. Results: Between October 2022 and November 2023, a total of 1100 cancer patients were enrolled in this study and 972 cancer patients completed all the questionnaires. A total of 64.1% reported CINV during the first chemotherapy cycle. In logistic regression analysis, CINV was predicted by higher PS score (OR=1.411, p=0.049), highly emetogenic regimens (OR=1.846, p=0.004), failure to follow anti-emetics guidelines (OR=2.323, p<0.001), history of nausea/vomiting for other reasons(OR=1.817, p=0.001), lower number of hours slept before the night of chemotherapy (OR=8.987, p<0.001), expectancy of CINV(OR=1.505, p=0.032), maladaptive coping (OR = 1.03, p = 0.024) and distress (OR = 1.157, p =0.021). Conclusions: Psychosocial factors significantly correlate with chemotherapy-induced nausea and vomiting (CINV) among Chinese cancer patients. These findings underscore the importance of integrating psychosocial assessments into the management of CINV, potentially improving treatment outcomes and patient experiences.