학술논문

Diagnosis and management of complications from the treatment of primary central nervous system tumors in adults.
Document Type
article
Source
Neuro-oncology. 25(7)
Subject
Humans
Lymphoma
Central Nervous System Neoplasms
Brain Neoplasms
Combined Modality Therapy
Quality of Life
Adult
adverse affects
dose
interruptions
prevention
reexposure
toxicity
Patient Safety
Neurosciences
Brain Disorders
Rare Diseases
Clinical Trials and Supportive Activities
Brain Cancer
Cancer
Clinical Research
7.3 Management and decision making
Management of diseases and conditions
7.1 Individual care needs
6.1 Pharmaceuticals
Evaluation of treatments and therapeutic interventions
Oncology and Carcinogenesis
Oncology & Carcinogenesis
Language
Abstract
Central nervous system (CNS) tumor patients commonly undergo multimodality treatment in the course of their disease. Adverse effects and complications from these interventions have not been systematically studied, but pose significant challenges in clinical practice and impact function and quality of life, especially in the management of long-term brain tumor survivors. Here, the European Association of Neuro-Oncology (EANO) has developed recommendations to prevent, diagnose, and manage adverse effects and complications in the adult primary brain CNS tumor (except lymphomas) patient population with a specific focus on surgery, radiotherapy, and pharmacotherapy. Specifically, we also provide recommendations for dose adaptations, interruptions, and reexposure for pharmacotherapy that may serve as a reference for the management of standard of care in clinical trials. We also summarize which interventions are unnecessary, inactive or contraindicated. This consensus paper should serve as a reference for the conduct of standard therapy within and outside of clinical trials.