Association of Chemotherapy Regimen Intensity and Use of Psychotropic Medications in Pediatric Oncology Patients.

chemotherapy intensity oncology pediatrics psychotropic

Journal

The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
ISSN: 1551-6776
Titre abrégé: J Pediatr Pharmacol Ther
Pays: United States
ID NLM: 101089851

Informations de publication

Date de publication:
2022
Historique:
received: 10 12 2021
accepted: 07 01 2022
entrez: 3 10 2022
pubmed: 4 10 2022
medline: 4 10 2022
Statut: ppublish

Résumé

Pediatric oncology patients endure treatments that may include chemotherapy, surgery, radiation, and transplant. These treatment modalities often have an effect on a patient's mental health. To date, little is known or published about the association between certain cancer treatment regimens and the use of psychotropic medications. The goal of this study is to identify associations between the use of psychotropic medications in pediatric oncology patients in relation to the intensity of their oncologic treatment regimen. A retrospective chart review was completed for pediatric oncology patients seen between the years of 2009 and 2019 with prescriptions and/or inpatient orders for specific psychotropic medications. The intensity of the oncologic regimen was categorized using the Intensity of Treatment Rating Scale (ITR-3) tool. Association between the intensity of therapy and use of psychotropic medications were compared using Pearson χ There were 172 patients identified as having inpatient and/or outpatient orders for psychotropic medications during the study period. Ninety-one pediatric oncology patients were included in data analysis. It was found that psychotropic medications were used consistently in pediatric oncology patients despite a specific ITR-3 score. There were no statistically significant associations found when comparing ITR-3 scores to psychotropic medication use or to age at diagnosis. Significance was not obtained in this study; however, we found that psychotropic medications were used across the spectrum of diagnoses, age, and oncologic treatment intensity. This suggests that all pediatric oncology patients should be evaluated for psychiatric needs throughout their course of oncologic treatment.

Identifiants

pubmed: 36186247
doi: 10.5863/1551-6776-27.7.649
pmc: PMC9514764
doi:

Types de publication

Journal Article

Langues

eng

Pagination

649-654

Informations de copyright

Copyright. Pediatric Pharmacy Association. All rights reserved. For permissions, email: membership@pediatricpharmacy.org 2022.

Déclaration de conflit d'intérêts

Disclosures. The authors declare no conflicts.

Références

Child Adolesc Psychiatr Clin N Am. 2003 Jul;12(3):473-92, vii
pubmed: 12910819
Pediatr Blood Cancer. 2012 Jul 15;59(1):96-9
pubmed: 21858914
CA Cancer J Clin. 2021 Jan;71(1):7-33
pubmed: 33433946
Pediatrics. 2016 Nov;138(5):
pubmed: 27940773
Acad Psychiatry. 2021 Aug;45(4):429-434
pubmed: 33786779
Arch Pediatr Adolesc Med. 2006 Aug;160(8):818-22
pubmed: 16894081

Auteurs

Natalie N Gray (NN)

Department of Pharmacy (NNG, LRV, TEB), University of Kentucky Healthcare, Lexington, KY.

Lindsay R Villalobos (LR)

Department of Pharmacy (NNG, LRV, TEB), University of Kentucky Healthcare, Lexington, KY.

Milre Matherne (M)

College of Pharmacy (MM, AS, TEB), University of Kentucky Lexington, KY.

Aric Schadler (A)

College of Pharmacy (MM, AS, TEB), University of Kentucky Lexington, KY.

Tyler E Bosley (TE)

Department of Pharmacy (NNG, LRV, TEB), University of Kentucky Healthcare, Lexington, KY.
College of Pharmacy (MM, AS, TEB), University of Kentucky Lexington, KY.

Classifications MeSH